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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