Renown - Medical Staff Rules and Regulations - 12-23-24 | Page 2

TABLE OF CONTENTS
PAGE
RULE 1-1
RELATIONSHIP BETWEEN THE BYLAWS AND RULES AND REGULATIONS.................................................................. 1
RULE 1-2 DEFINITIONS....................................................................................................... 1 RULE 1-3 TIME LIMITS....................................................................................................... 1 RULE 1-4 DELEGATION OF FUNCTIONS....................................................................... 1 RULE 2 MEDICAL STAFF ORGANIZATION............................................................... 2
RULE 3-1
PHYSICIAN PROXIMITY AND RESPONSE TIMES..................................... 3
A.
MEMBERS OF THE MEDICAL STAFF................................................... 3
1.
PHYSICAL LOCATION................................................................. 3
2.
RESPONSE TO CALLS FROM THE EMERGENCY
DEPARTMENT OR HOSPITAL UNITS....................................... 4
RULE 3-2
PATIENT TYPES AND ADMISSIONS.............................................................. 4
A.
DEFINITION OF PATIENT TYPES OR STATUS................................... 4
B.
ADMISSION CRITERIA............................................................................ 4
C.
ADMISSION OF PATIENTS..................................................................... 5
RULE 3-3
MEDICAL RECORDS.......................................................................................... 5
A.
DEFINITION............................................................................................... 5
B.
ACCESS...................................................................................................... 5
C.
REQUIRED ELEMENTS........................................................................... 6
D.
RESPONSIBILITY AND TIMELINESS................................................... 6
E.
DOCUMENTATION RULES..................................................................... 6
1.
Legible............................................................................................. 6
2.
Authenticated................................................................................... 6
a.
Signature.............................................................................. 6
b.
Signing Records................................................................... 6
3.
Medical Students.............................................................................. 6
4.
Advanced Practice Providers( APPs)............................................... 6
5
Residents and Fellows...................................................................... 7
6.
Summary of Documentation Timeline............................................. 7
7.
Dated / Timed.................................................................................... 7
8.
Abbreviations................................................................................... 7
a.
When Allowed..................................................................... 7
b.
Certain Abbreviations Prohibited........................................ 8
I.
General Rule............................................................ 8
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