Regulation .03 Medical Staff.
Regulation .03 Medical Staff.LinkCopy Citation
A.
The hospital shall have a hand and upper extremity physician trauma team that shall include at least eight physicians who are Board-eligible or Board-certified in the following specialties:
(1)
General surgery;
(2)
Plastic surgery; or
(3)
Orthopedic surgery.
B.
A member of the hand and upper extremity physician trauma team shall be on call 24 hours a day with a response time of 30 minutes or less.
C.
As back-up, a second member of the hand and upper extremity physician trauma team shall be on call 24 hours a day with a response time of 30 minutes or less.
D.
The physicians who satisfy §A of this regulation shall also hold or be eligible to hold a Certificate of Added Qualifications in Hand Surgery through:
(1)
The American Board of Orthopedic Surgery;
(2)
The American Board of Plastic Surgery; or
(3)
The American Board of Surgery.
E.
Each member of the hand and upper extremity trauma physician trauma team shall be competent in:
(1)
Microsurgery of the upper extremity;
(2)
Neurovascular surgery of the upper extremity;
(3)
Emergency skeletal reconstruction;
(4)
Emergency soft tissue reconstruction; and
(5)
Upper limb replantation.
F.
A call roster for the hand and upper extremity physician trauma team shall be published and available in the emergency department and operating room.