( 3) When the emergency situation no longer exists, the patient will be assigned by the department chair / section chief or the Chief of Staff to a member with appropriate clinical privileges, considering the wishes of the patient.
4. E. DISASTER PRIVILEGES 4. E. 1. Grant of Disaster Privileges:
( a) When the disaster plan has been implemented and the immediate needs of patients in the facility cannot be met, the CEO, CMO / VPMA, or Chief of Staff may use a modified credentialing process to grant disaster privileges to eligible volunteer licensed practitioners(“ volunteers”).
( b) Disaster privileges are granted on a case-by-case basis after verification of identity and licensure.
( 1) A volunteer’ s identity may be verified through a valid government-issued photo identification( i. e., driver’ s license or passport).
( 2) A volunteer’ s license may be verified in any of the following ways:( i) current hospital picture ID card that clearly identifies the individual’ s professional designation;( ii) current license to practice;( iii) primary source verification of the license;( iv) identification indicating that the individual has been granted authority to render patient care in disaster circumstances or is a member of a Disaster Medical Assistance Team, the Medical Resource Corps, the Emergency System for Advance Registration of Volunteer Health Professionals, or other recognized state or federal organizations or groups; or( v) identification by a current Hospital employee or Medical Staff or Advanced Practice Provider Staff member who possesses personal knowledge regarding the individual’ s ability to act as a volunteer during a disaster.
( c) Primary source verification of a volunteer’ s license will begin as soon as the immediate situation is under control and must be completed within seventy-two( 72) hours from the time the volunteer presents themselves as able to assist in the situation.
( d) In extraordinary circumstances when primary source verification cannot be completed within seventy-two( 72) hours, it should be completed as soon as possible. In these situations, there must be documentation of the following:( 1) the reason primary source verification could not be performed in the required time frame;( 2) evidence of the volunteer’ s demonstrated ability to continue to provide adequate care; and( 3) an attempt to obtain primary source verification as soon as possible. If a volunteer has not provided care, then primary source verification is not required.
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