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MMCR Medical Staff Policies and Procedures


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Medical Executive Comittee Policies and Procedures Links


Table of Contents

I. Committee/Section Descriptions/Responsibilities/Composition
   Medical Staff Executive Committee MS-001
   Section Committees MS-002
   Interdisciplinary Practice Committee MS-003
   Library/CME Committee MS-004
   Radiation Safety Committee MS-005
   P&T Committee MS-006
   Trauma Committee MS-007
   Health & Well Being Committee MS-008
   Special Studies Committee MS-009
   Data Trends Council MS-010
   Perinatal M&M Committee MS-011

II. Policies/Guidelines
    Observer at C-Section MS-101
    Graduate Medical Education Program Supervision of a Resident Policy MS-102
    OB/GYN ER Call Guidelines MS-103
    IM/Neurosurgical Consults for Residency Service MS-104
    Peer Review Policy MS-105
          o Expectations for General Competency Attach A
          o Case Review Process and Timeframe Attach B
          o Case Review Rating Form Attach C
          o Medical Staff Indicator and Targets Attach D
    EMTALA Policy MS-106
    Perioperative Services NPO Guidelines MS-107
    Cardiology Response to ED Guidelines MS-108
    History & Physicals (Content & Abbreviated) MS-109
    Unacceptable Abbreviations Guidelines MS-110
    Vaginal Delivery After C-Section (Patient Letter) MS-111
    Children in the Workplace Guidelines MS-112
    Cellular Telephone Use in the Hospital MS-113

III. Procedures OB/Neonatal Transfer Criteria MS-202
     Outpatient/Inpatient EEGs MS-203
     Medical Records Completions Procedure MS-204
     New Technologies & Procedures MS-205

 

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