help the requesting service until alternative arrangements may be made, e. g., a more appropriate consulting service, or the disagreement is resolved in discussion with the section / department leadership.
6. Consultants are responsible for arranging in-patient coverage hand-offs for their scope of care if they are going off service unless alternative arrangements are agreed to by the requesting Member / service.
7. Disagreements regarding patient management, appropriateness of consultation, promptness of consultation, or dissatisfaction with either Member’ s care or communication should be addressed via private personto-person discussion between the responsible Member and Consultant.
8. To clarify the responsibilities of the requesting Member and Consulting Member, the documentation of the request for consultation and the consultation itself should specify the scope of responsibilities for each Member.
D. Sedation / Anesthesia Assessments.
1. Pre-Anesthesia Assessment. Within 48 hours prior to administering deep sedation or anesthesia to a patient, an Anesthesiologist must complete a preanesthesia evaluation that includes:
a. History:
( 1) Medical History performed by a physician with a review of systems( specific to cardiovascular disease);
( 2) Any adverse or allergic drug reactions with anesthesia or sedation;
( 3) Level of consciousness;( 4) NPO status;( 5) Airway assessment; and( 6) ASA classification. b. Physical Assessment:( 1) Prior to induction, updated vital signs and oxygen saturation;
( 2) Physiological monitoring is measured and assessed throughout anesthesia and documented on the anesthesia record or procedure room record;
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