Medical Staff Bylaws /

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DEFINITIONS / 1
ARTICLE I / STAFF MEMBERSHIP / 5
ARTICLE II /

CATEGORIES OF THE STAFF

/ 11
ARTICLE III / PROCEDURES FOR APPOINTMENT AND REAPPOINTMENT / 17
ARTICLE IV / DETERMINATION OF CLINICAL PRIVILEGES / 27
ARTICLE V / OFFICERS OF THE STAFF AND DEPARTMENTS / 33
ARTICLE VI / STAFF DEPARTMENTS / 41
ARTICLE VII / COMMITTEES / 43
ARTICLE VIII / MEETINGS / 61
ARTICLE IX / CONFIDENTIALITY, IMMUNITY AND RELEASE / 65
ARTICLE X / CORRECTIVE ACTION / 69
ARTICLE XI / FAIR HEARING PLAN / 77
ARTICLE XII / HEARINGS AND APPELLATE REVIEW / 87
ARTICLE XIII / GENERAL PROVISIONS / 89
ARTICLE XIV / ADOPTION AND AMENDMENT OF BYLAWS / 91
Medical Staff Rules and Regulations
ARTICLE I / ADMISSION AND DISCHARGE OF PATIENTS / 93
ARTICLE II / ALLIED HEALTH PROFESSIONALS / 97
ARTICLE III / ANATOMICAL GIFTS - WHOLE BODY, ORGAN/TISSUE AND EYE DONATION / 113
ARTICLE IV / APPLICATION FEE / 119
ARTICLE V / APPROVED/FORBIDDEN ABBREVIATION LIST / 121
ARTICLE VI / ATTENDANCE REQUIREMENTS / 155
ARTICLE VII / AUTOPSY / 157
ARTICLE VIII / BRAIN DEATH, CRITERIA FOR THE DIAGNOSIS OF / 161
ARTICLE IX / COMPENSATION TO MEDICAL STAFF OFFICERS / 163
ARTICLE X / CONSENT: SURGICAL/INVASIVE PROCEDURES, ADMINISTRATION OF ANESTHESIA, ADMINISTRATION OF BLOOD, BLOOD PRODUCTS AND TRANSFUSION / 165
ARTICLE XI / CONSULTATIONS / 171
ARTICLE XII / CONTINUING MEDICAL EDUCATION / 173
ARTICLE XIII / DEPARTMENT OF ANESTHESIOLOGY / 177
ARTICLE XIV / DEPARTMENT OF DENTISTRY / 181
ARTICLE XV / DEPARTMENT OF EMERGENCY MEDICINE / 185
ARTICLE XVI / DEPARTMENT OF FAMILY MEDICINE / 191
ARTICLE XVII / DEPARTMENT OF INTERNAL MEDICINE / 195
ARTICLE XVIII / DEPARTMENT OF OBSTETRICS AND GYNECOLOGY / 199
ARTICLE XIX / DEPARTMENT OF PATHOLOGY / 203
ARTICLE XX / DEPARTMENT OF PEDIATRICS / 205
ARTICLE XXI / DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL HEALTH SERVICES / 209
ARTICLE XXII / DEPARTMENT OF RADIOLOGY AND DIAGNOSTIC IMAGING / 213
ARTICLE XXIII / DEPARTMENT OF SURGERY / 223
ARTICLE XXIV / DISASTER, CREDENTIALING PRACTITIONERS IN A / 227
ARTICLE XXV / DISCHARGE OF INCOMPETENT ADULT PATIENT / 231
ARTICLE XXVI / DISCHARGE OF MINORS TO ADULT WHO IS NOT A PARENT OR LEGAL
GUARDIAN / 233
ARTICLE XXVII / DO NOT RESUSCITATE / 237
ARTICLE XXVIII / FAILURE TO RETURN REAPPOINTMENT APPLICATION / 243
ARTICLE XXIX / FITNESS FOR DUTY / 247
ARTICLE XXX / HEALTH SCREENING – MEDICAL STAFF/ALLIED HEALTH PROFESSIONALS / 249
ARTICLE XXXI / HOSPITAL DIVERT / 251
ARTICLE XXXII / INITIAL APPLICATION, DEFINITION OF COMPLETE / 253
ARTICLE XXXIII / LABORATORY / 255
ARTICLE XXXIV / LEAVE OF ABSENCE / 257
ARTICLE XXXV / MECHANICAL VENTILATION, INITIATION OF / 259
ARTICLE XXXVI / MEDICAL RECORDS / 261
ARTICLE XXXVII / MONITORING PROTOCOL / 279
ARTICLE XXXVIII / NEW PROCEDURE APPROVAL (NONEXPERIMENTAL) / 283
ARTICLE XXXIX / ORDERS, PHYSICIAN / 285
ARTICLE XL / PEER REVIEW / 289
ARTICLE XLI / PHYSICIAN COMPLAINT PROCESS / 293
ARTICLE XLII / PHYSICIAN DISCHARGE ORDER SHEET - GUIDELINES FOR USE / 295
ARTICLE XLIII / PHYSICIAN HEALTH AND PERFORMANCE / 297
ARTICLE XLIV / REAPPOINTMENT APPLICATION, DEFINITION OF COMPLETE / 301
ARTICLE XLV / SEDATION AND ANALGESIA (CONSCIOUS SEDATION) / 303
ARTICLE XLVI / SMOKING / 321
ARTICLE XLVII / SPECIALTY CARE UNITS / 323
ARTICLE XLVIII / SURGICAL SPECIMENS, ANALYSIS AND STORAGE / 327
ARTICLE XLIX / SURGICAL SUITE RULES AND REGULATIONS / 329
ARTICLE L / TERMINATION OF PREGNANCY / 337
ARTICLE LI / TRANSFER POLICY / 341
ARTICLE LII / REQUEST FOR PERMISSION TO VISIT THE CHAMBERSBURG HOSPITAL UNDER THE TUTELAGE OF THE MEDICAL STAFF / 345
ARTICLE LIII / UNASSIGNED PATIENTS / 347
ARTICLE LIV / VOTING PROCESS - MEDICAL STAFF OFFICER ELECTION / 349
ARTICLE LV / WITHHOLDING/WITHDRAWING LIFE-SUSTAINING TREATMENT / 351
ATTACHMENT A / CLINICAL REPORT TURNAROUND TIMES / 355

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