Regulation .11 Policies and Procedures.

A hand and upper extremity trauma center shall maintain written policies and protocols for:

Emergency triage and protocol for massive upper extremity injuries and replantation;

Preoperative and postoperative orders for replantations and free flaps;

Care and treatment of a upper extremity injuries;

The physician on-call schedule for the hand and upper extremity trauma center;

The interhospital transfer protocol;

House staff privileges for:

(1)

Educational activities;

(2)

Responsibilities; and

(3)

Grievances;

The scope of care for the hand and upper extremity trauma center; and

Extramural hospital house staff program agreements for rotation in the hand and upper extremity trauma center.