449.628, the Member and / or Hospital will take all reasonable steps to transfer the patient to a Member who will honor the patient’ s advance directive. Under no circumstances will a patient be abandoned or put in a situation where care is compromised or not provided as a result of a Member’ s conscientious objection to a patient’ s advance directive.
RULE 3-16 A.
Treatment of Family Members and Self
Members of the Medical Staff should not act as a physician to themselves or their immediate family members( first degree relatives, spouse, and children) in the following situations unless it is an emergency and no viable alternative treatment options exists in the Renown system: 1. Any procedure requiring written informed consent in any setting;
2. Any procedure that might be life-threatening or that uses life- threatening modalities as part of the treatment( e. g., cancer chemotherapy);
3. Any orders directing the care of themselves, immediate family members( first degree relatives, spouse, and children) inclusive of imaging studies( inpatient or outpatient);
4. Exceptions for outpatient lab and pharmacy services, unless prohibited by licensure. Lab and pharmacy may accept orders from providers for themselves and their family members, within licensure, e. g., no controlled substances.
B. Rule for Members Treating Family Members.
1. If a Medical Staff Member desires to act as physician to a family member in any Hospital facility, the Member first must notify the Chief of Staff and CMO / VPMA to review the situation prior to the initiation of the diagnostic / therapeutic plan, or as soon thereafter as such notification reasonably may be made, and attest to:
a. the necessity of the plan / procedure; b. c. the lack of viable treatment alternatives; and
the provision of informed consent by the patient that addresses the patient’ s understanding of the risks of:
( 1) Coercion;( 2) Conflict of interest;
( 3) The complexities that might arise in the event that the patient experiences a bad outcome; and
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