15 Miss. Code. R. 16-1-52.4.9

Current through December 10, 2024

Rule 15-16-1-52.4.9 - Professional Staff Bylaws

The professional staff shall develop and adopt bylaws, rules and regulations to establish a framework of self-government and a means of accountability to the governing body. The bylaws, rules and regulations shall be subject to the approval of the governing body.

1. The professional staff shall regulate itself by its bylaws, rules and regulations.

2. The professional staff bylaws, rules and regulations shall reflect current staff practices, shall be enforced, and shall be periodically reviewed and revised as necessary.

3. The professional staff bylaws, rules and regulations shall include a requirement for an ethical pledge from each practitioner.

4. The professional staff bylaws, rules and regulations shall describe the specific role of each discipline represented on the professional staff or exercising clinical privileges in the care of patients.

5. The professional staff bylaws, rules and regulations shall include the following patient record requirements.

6. Symbols and abbreviations shall be used only when they have been approved by the professional staff and when there is an explanatory legend;

7. The categories of personnel who are qualified to accept and transcribe verbal orders, regardless of the mode of transmission of the orders, shall be specifically identified;

8. The period of time following admission to the facility within which a history and physical examination must be entered in the patient record shall be specified;

9. The time period in which patient records must be completed following discharge shall be specified and shall not exceed fourteen (14) days; and

10. The entries in patient records that must be dated and authenticated by the responsible practitioner shall be specified.

11. The professional staff bylaws, rules and regulations shall specify mechanisms for review, evaluation, and monitoring of professional staff practices.

12. The professional staff bylaws, rules and regulations shall specify mechanisms for the denial of staff appointments and reappointments, as well as for denial, curtailment, suspension, or revocation of clinical privileges.

13. When appropriate, this procedure shall provide for a practitioner to be heard, upon request, at some stage of the process.

15 Miss. Code. R. 16-1-52.4.9

Miss. Code Ann. § 41-9-17