( 7 ) |
findings of the procedure ; |
( 8 ) |
specimens removed , if any ; and |
( 9 ) |
any complications . |
2 . Post-Operative Report . An operative report must be dictated for transcription and signed within 24 hours after surgery .
The report should contain the following :
a . |
Pre-operative diagnosis ; |
b . |
Post-operative diagnosis ; |
c . |
Operations performed ; |
d .
Names of principal surgeon , assistant surgeons and a description of their tasks ;
e . |
Type of anesthesia administered ; |
f . |
Intra-operative findings ; |
g . |
Description of the procedures performed ; |
h . |
Intra-operative complications , if any ; and |
i . |
Specimens removed , if any ; |
j . |
surgeons or Medical Staff name ( s ) and a description of the specific |
significant surgical tasks that were conducted by Medical Staff other |
than |
the |
primary |
surgeon / practitioner |
( significant |
surgical |
procedures include : |
opening and closing , harvesting grafts , |
dissecting tissue , removing tissue , implanting devices , altering |
tissues ); and |
k .
Any prosthetic devises , grafts , tissues , transplants , or devices implanted .
F .
G .
RULE 3-9
Transfer of Care . When an attending physician signs off of a case , he or she shall enter a documented order that clearly identifies the new attending physician . Notes are encouraged in those cases when an attending physician appropriately is transferring care of the patient to another Member due to the complexity of the case or a prolonged length of stay .
Termination of Physician-Patient Relationship . In the event that the physicianpatient relationship is terminated for any reason ( by the physician or the patient ), the physician shall use his or her best efforts to assist the patient in obtaining a new physician qualified to provide the care required by the patient .
Coordination of Care and Treatment of Patients A . Discharge .
1 . Order Required . Patients shall be discharged only on the order of the responsible attending physician or APP . It is the responsibility of the attending physician , dentist , or podiatrist to plan discharge in a timely and
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