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Virginia Administrative Code (Last Updated: January 10, 2017) |
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Title 12. Health |
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Agency 5. Department of Health |
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Chapter 410. Regulations for the Licensure of Hospitals in Virginia |
Section 1180. Medical staff
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Article 3. Staffing
A. The size and organizational structure of the medical staff will vary depending on the scope of service.
1. Professional and clinical services shall be supervised by a physician licensed to practice medicine or surgery in Virginia.
2. Surgical procedures shall be performed by a physician licensed to perform such procedures in Virginia.
3. Clinical privileges of physician and nonphysician practitioners shall be clearly defined.
4. Credentials including education and experience shall be reviewed and privileges identified, established, and approved for each person allowed to diagnose, treat patients or perform surgical procedures in accordance with guidelines, policies or bylaws adopted by the governing body and approved by the medical staff.
B. No medication or treatment shall be given except on the signed order of a person lawfully authorized by state statute.
1. Outpatient surgical hospital personnel, as designated in medical staff bylaws, rules and regulations, or policies and procedures, may accept emergency telephone and other verbal orders for medication or treatment for outpatient surgical hospital patients from physicians and other persons lawfully authorized by state statute to give patient orders.
2. As specified in the hospital's medical staff bylaws, rules and regulations, or hospital policies and procedures, emergency telephone and other verbal orders shall be signed within a reasonable period of time not to exceed 72 hours by the person giving the order, or, when such person is not available, cosigned by another physician or other person authorized to give the order.
Historical Notes
Derived from VR355-33-500 § 4.4, eff. July 28, 1993; amended, Volume 11, Issue 08, eff. April 1, 1995; Volume 19, Issue 01, eff. November 1, 2002.