Tenn. Comp. R. & Regs. 1200-08-03-.02 - MEDICAL STAFF

(1) through (6) Repealed.
(a) through (c) Repealed
(d) Critical Access Hospital.
1. Every patient may be under the care of a physician or under the care of a practitioner supervised by a physician.
2. Whenever a patient is admitted to the facility by a practitioner, the supervising physician shall be notified of that fact, by phone or otherwise, and within 24 hours the supervising physician shall examine the patient or before discharge if discharged within 24-hours, and a plan of care be placed in the patient's chart, unless the patient is transferred to a higher level of care within 24-hours.
3. A physician, a practitioner or a registered nurse shall be on duty and physically available in the facility when there are inpatients.
4. A physician on staff shall:
(i) Provide medical direction to the facility's health care activities and consultation for non-physician health care providers.
(ii) In conjunction with the practitioner staff members, participate in developing, executing, and periodically reviewing the facility's written policies and the services provided to patients.
(iii) Review and sign the records of each patient admitted and treated by a practitioner no later than fifteen (15) days after the patient's discharge from the facility.
(iv) Provide health care services to the patients in the facility, whenever needed and/or requested.
(v) Prepare guidelines for the medical management of health problems, including conditions requiring medical consultation and/or patient referral.
(vi) At intervals no more than two (2) weeks apart, be physically present in the facility for a sufficient time to provide medical direction, medical care services, and staff consultation as required.
(vii) When not physically present in the facility, either be available through direct telecommunication for consultation and assistance with medical emergencies and patient referral, or ensure that another physician is available for this purpose.
(viii) The physical site visit for a given two week period is not required if, during that period, no inpatients have been treated in the facility.
5. A practitioner on staff shall:
(i) Participate in the development, execution, and periodic review of the guidelines and written policies governing treatment in the facility.
(ii) Participate with a physician in a review of each patient's health records.
(iii) Provide health care services to patients according to the facility's policies.
(iv) Arrange for or refer patients to needed services that are not provided at the facility.
(v) Assure that adequate patient health records are maintained and transferred as necessary when a patient is referred.


Tenn. Comp. R. & Regs. 1200-08-03-.02
Original rule certified June 7, 1974. Amendment filed November 30, 1984; effective December 30, 1984. Repeal and new rule filed May 22, 1986; effective June 21, 1986. Amendment filed January 30, 1989; effective March 16, 1989. Amendment filed April 1, 1992; effective May 16, 1992. Amendment filed December 4, 1992; effective January 19, 1993. Amendment filed November 30, 1999; effective February 6, 2000. Amendment filed March 18, 2000; effective May 30, 2000.

Authority: T.C.A. ยงยง 4-5-202, 4-5-209, 68-11-201 et seq., 68-11-202, 68-11-203, 68-11-209, and 68-11-303.

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No prior version found.