Renown Regional Credentials Manual | Page 37

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 72 hours from the time the volunteer begins to provide service at the Hospital .
( d ) In extraordinary circumstances when primary source verification cannot be completed within 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 .
4 . E . 2 . Oversight of Disaster Privileges :
( a ) Safeguards must be in place to verify that volunteers are competent to provide safe and adequate care .
( b ) The Medical Staff will oversee the care provided by volunteer licensed independent practitioners . This oversight will be conducted through direct observation , mentoring , clinical record review , or other appropriate mechanism developed by the Medical Staff and Renown Health .
( c ) Within 72 hours from the time the volunteer begins to provide service at the Hospital , based on the above monitoring , a decision is made whether the disaster privileges should continue .
4 . F . CONTRACTS FOR SERVICES AND EMPLOYED MEDICAL STAFF MEMBERS
( 1 ) From time to time , the Hospital may enter into contracts with practitioners or groups of practitioners for the performance of clinical and administrative services at the Hospital . All individuals providing clinical services pursuant to such contracts will obtain and maintain clinical privileges at the Hospital , in accordance with the terms of this Manual .
( 2 ) To the extent that :
( a ) any such contract confers the exclusive right to perform specified services to one or more practitioners or groups of practitioners , or
4877-0873-6192 , v . 3 31