2 . Response to Calls from the Emergency Department or Hospital Units . a .
b .
As a designated Trauma Center , Medical Staff Members participating in the Trauma Service must abide by the requirements for designation ( State ) or verification ( ACS ), as delineated in Trauma Services policies .
Response in-person or by telephone or other communication device is expected within 15 minutes of receipt of communication . If requested , in-person responses are expected no later than 60 minutes after being contacted , or as agreed upon between Physicians / APPs based on specific patient condition .
c . On-Call Physician Taking Simultaneous Call at Another Hospital . When a Member of the Medical Staff is on Emergency Department call , he or she is permitted to be on-call simultaneously at two or more facilities as long as Hospital knows of such an arrangement in advance . The Member on simultaneous call must have planned back-up in the event that he or she is called while responding to a call from another Hospital and is unable to respond to an on-call request from the Hospital in a reasonable time as required by above . d .
On-Call Physician Performing Scheduled Procedures or Elective Surgeries . When a Member of the Medical Staff is on Emergency Department call , he or she is permitted to perform scheduled elective procedures and surgeries . However , the Member must have planned back-up in the event that he or she is called while performing the procedure / elective surgery and is unable to respond to the on-call request in a reasonable time as required above .
RULE 3-2
Patient Types and Admissions A . Definition of Patient Types or Status :
Patients receiving care ( including patients requiring admission ) in the Hospital shall be in an appropriate status based on the service provided and reflecting specific regulatory requirements including , but not limited to , federal and state law and the CMS conditions of participation .
B . Admission Criteria :
Only members of the Medical Staff and Advanced Practice Provider Staff ( APP ) who have the appropriate privileges may admit patients to the Hospital . Any patient admitted to the Hospital shall be under the direct care or supervision of a Member of the Medical Staff or a Category Ia APP . A physician will be responsible for the medical or psychiatric care and treatment of the patient while in the Hospital which
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