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For Physicians

Medical Staff Policies & Procedures
IDTitleAdded
178 ALLIED HEALTH COMPETENCIES 06/02/2011
80 APPLICATION FEES ON INITIAL APPLICATION 06/02/2011
69 APPOINTMENT – MEDICAL ASSISTANT POLICY & PROCEDURE 06/02/2011
124 ARTIFICIAL DISC IMPLANT 06/02/2011
180 ATRIAL SEPTAL DEFECT (ASD) CLOSURE 06/02/2011
67 AUTOPSIES CRITERIA 06/02/2011
176 BALLOON AORTIC VALVULOPLASTY 06/02/2011
122 BALLOON KYPHOPLASTY PRIVILEGE CRITERIA 06/02/2011
186 BOARD CERTIFICATION ASSESSMENT 12/19/2011
165 CARDIAC CATHETERIZATION 06/02/2011
155 CARDIAC CT-CTA 06/02/2011
136 CAROTID STENT PLACEMENT PRIVILEGE CRITERIA 06/02/2011
166 CHEST TUBE INSERTION 06/02/2011
185 CLINICAL OBSERVATIONS PROCESS MEDICAL STAFF POLICY 12/19/2011
106 COCHLEAR IMPLANTATIONPRIVILEGE CRITERIA 06/02/2011
154 CODE OF CONDUCT POLICY 06/02/2011
179 COMPUTERIZED PHYSICIAN ORDER ENTRY 06/02/2011
91 CONTINUING MEDICAL EDUCATION REQUIREMENT 06/02/2011
93 CONTINUOUS CARE AND SUPERVISION OF PATIENTSPOLICY AND PROCEDURE 06/02/2011
109 CREDENTIALS/ CORRECTIVE ACTION FILE 06/02/2011
79 CRIMINAL CHECKS ON INITIAL APPLICATION POLICY AND PROCEDURE 06/02/2011
148 CRITERIA FOR WAIVER FROM ERS CALL 06/02/2011
163 CRITICALLY ILL PATIENT WHO IS UNSTABLE 06/02/2011
82 DEVELOPING CRITERIA FOR PRIVILEGES 06/02/2011
102 DISASTER CRITERIA FOR CREDENTIALING PHYSICIANS 10/12/2011
66 DUES POLICY AND PROCEDURE 06/02/2011
71 EMERGENCY SERVICE (ERS) CALL 06/02/2011
160 EMERGENCY SERVICE (ERS) CALL & EMERGENCY MEDICAL TREATMENT AND LABOR ACT (EMTALA) 06/02/2011
156 EMERGENCY ULTRASOUND 06/02/2011
132 ENDOBRONCHIAL BALLOON DILATION PRIVILEGE CRITERIA 06/02/2011
131 ENDOBRONCHIAL STENT PLACEMENT PRIVILEGE CRITERIA 06/02/2011
143 ENDOGRAFT REPAIR FOR AAA 06/02/2011
181 ENDOGRAFT REPAIR FOR TAA 06/02/2011
167 ENDOMYOCARDIAL BIOPSY (CLOSED) 06/02/2011
146 ENDOSCOPIC ULTRASOUND PRIVILEGE CRITERIA 06/02/2011
54 FAMILY PRACTICE DEPARTMENT OUTPATIENT CALL SCHEDULE POLICY 06/02/2011
158 FOCUSED PROFESSIONAL PRACTICE EVALUATION 06/02/2011
112 GASTROINTESTINAL ENDOSCOPY (UPPER) AND COLONOSCOPY 10/12/2011
127 GLAUCOMA OPERATIONS –(TRABECULECTOMY) PRIVILEGE CRITERIA 06/02/2011
144 HAND-OFF COMMUNICATION 06/02/2011
150 HISTORY & PHYSICAL FOR PODIATRISTS 06/02/2011
145 HISTORY & PHYSICAL MEDICAL STAFF POLICY 10/03/2011
174 HYPERBARIC OXYGEN THERAPY FOR WOUND HEALING 06/02/2011
72 IMPAIRED OR DYSFUNCTIONAL PHYSICIAN POLICY 06/02/2011
162 INFORMED CONSENT 06/02/2011
121 INTRA-OPERATIVE ARRHYTHMIA SURGERY PRIVILEGE CRITERIA 06/02/2011
135 LABORATORY PHYSICIAN PERFORMED TESTING 06/02/2011
129 LAMELLAR KERATOPLASTY PRIVILEGE CRITERIA 06/02/2011
170 LEAD EXTRACTIONS 06/02/2011
97 LIMITED CT SCAN FOR CALCIUM SCORING AND CORONARY ARTERY ANATOMY IN RAPID SCAN PRIVILEGE CRITERIA 06/02/2011
184 MAKO – ROBOTIC ASSISTED ORTHOPEDIC PROCEDURES 12/19/2011
85 MALPRACTICE INSURANCE COVERAGE AMOUNT POLICY 06/02/2011
105 MEDICAL DIRECTORS 06/02/2011
63 MEDICAL RECORD COMPLETION 06/02/2011
65 MEDICAL STAFF FUNDS: ANNUAL DONATIONS 06/02/2011
88 MEDICAL STAFF FUNDS: SOURCE AND ALLOCATION 06/02/2011
183 MEDICAL STAFF PROFESSIONAL PERFORMANCE COUNCIL 06/02/2011
30 MEDS AS LISTED ON THE NURSING PROFILE SHEET 06/02/2011
4 NEW TECHNIQUES/ ENHANCEMENT OF PROCEDURES 06/02/2011
138 NUCLEAR CARDIOLOGY 06/02/2011
151 OBSTETRIC PRIVILEGE CRITERIA 06/02/2011
94 OCCURRENCE MONITORING AND PEER REVIEW (MEDICAL STAFF) 06/02/2011
157 ONGOING PREFESSIONAL PRACTICE EVALUATION 06/02/2011
164 OSTEOPATHIC PHYSCIAN PRIVILEGE CRITERIA 06/02/2011
171 PATENT FORAMEN OVALE (PFO) IN ADULTS 06/02/2011
83 PATIENT PRIVACY AND CONFIDENTIALITY POLICY 06/02/2011
128 PENETRATING KERATOPLASTY PRIVILEGE CRITERIA 06/02/2011
177 PERCUTANEOUS ROTATIONAL CORONARY ATHRECTOMY 06/02/2011
99 PERCUTANEOUS VERTEBROPLASTY PRIVILEGE CRITERIA 06/02/2011
103 PERIPHERAL VASCULAR PRIVILEGE CRITERIA 10/12/2011
139 PERMANENT IMPLANTATION OF ELECTRIC DORSAL COLUMN STIMULATORS AND INFUSION PUMPS 06/02/2011
169 PERMANENT PACEMAKERS INCLUDING SINGLE/DUAL CHAMBER NON-RESYNCHRONIZATION DEVICES 10/12/2011
89 PHYSICIAN ASSISTANT CENTRAL LINE AND CHEST TUBE PLACEMENTPRIVILEGE CRITERIA 06/02/2011
173 PHYSICIAN TERMINATION BY PATIENT 06/02/2011
126 PLACEMENT OF EXTERNAL RADIOTHERAPEUTIC SOURCE 06/02/2011
159 PODIATRISTS AND WOUND CARE 06/02/2011
161 PRACTITIONER PARTICIPATION IN THE PEER REVIEW PROCESS 06/02/2011
84 PROCTORING POLICY AND PROCEDURE (MEDICAL STAFF) 06/02/2011
1 PROSTATIC RADIOACTIVE SEED IMPLANTING PRIVILEGE CRITERIA 06/02/2011
134 RADIAL KERATOTOMY PRIVILEGE CRITERIA 06/02/2011
187 REQUESTS FOR REPORTS OR DATA POLICY AND PROCEDURE 12/19/2011
13 RESIDENTS (PERFORMANCE OF PROCEDURES BY OUTSIDE RESIDENTS) 06/02/2011
153 RETINAL DETACHMENT SURGERY 06/02/2011
140 SACRAL NERVE STIMULATOR FOR URINARY CONTROLPRIVILEGE CRITERIA 06/02/2011
182 SEDATION (DEEP) PRIVILEGE CRITERIA 10/12/2011
96 SEDATION (MODERATE) PERFORMED BY NON-ANESTHESIOLOGISTS 10/12/2011
300 Sedation ASA Guidelines & Hospital Policy 08/09/2011
104 SLEEP STUDIES INTERPRETATION PRIVILEGE CRITERIA 06/02/2011
7 STRESS TEST PRIVILEGE CRITERIA 06/02/2011
142 SURGICAL ASSISTING BY A PHYSICIAN PRIVILEGE CRITERIA 06/02/2011
64 SWAN GANZ CATHETERIZATION CREDENTIALING AND PROCTORING 06/02/2011
74 TB TESTING (MEDICAL STAFF) 06/02/2011
45 TEMPORARY PRIVILEGES CREDENTIALING 06/02/2011
100 THERMAL RADIOFREQUENCY TUMOR ABLATION THERAPY PRIVILEGE CRITERIA 06/02/2011
119 TISSUES EXEMPTED FOR PATHOLOGICAL EXAM 06/02/2011
168 TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) 06/02/2011
141 TRANSILLIMINATED POWERED PHLEBECTOMY PRIVILEGE CRITERIA 06/02/2011
120 TRANSMYOCARDIAL REVASCULARIZATION USING THE HOLMIUM-YAG AND, OR CO2 LASERPRIVILEGE CRITERIA 06/02/2011
23 TRAUMA VICTIM CARE “CAPTAINCY” POLICY 06/02/2011
98 UTERINE AND HEPATIC ARTERY EMBOLIZATION PRIVILEGE CRITERIA 06/02/2011
137 VAGUS NERVE STIMULATOR IMPLANTATION PRIVILEGE CRITERIA 06/02/2011
95 VOLUNTEER PHYSICIANS BOARD CERTIFICATION EXEMPTION POLICY 06/02/2011
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Saint Joseph Regional Medical Center  |  5215 Holy Cross Parkway, Mishawaka, IN 46545  |  574-335-5000
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