N.J. Admin. Code § 8:43A-7.4

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:43A-7.4 - Medical policies and medical staff bylaws

(a) The medical director shall be responsible for developing, implementing, and reviewing written medical policies, including medical staff bylaws, in cooperation with the medical staff. These shall be approved by the governing authority and shall include, but not be limited to, the following:

1. A plan for medical staff meetings and their documentation through minutes;

2. A mechanism for establishing and implementing procedures relating to credentials review, delineation of qualifications, medical staff appointments and reappointments, evaluation of medical care, and the granting, denial, curtailment, suspension, or revocation of medical staff privileges;

3. Specifications for verbal orders, including who may give verbal orders and who may receive them; and

4. A system for completion of entries in the patient medical record by members of the medical staff, including, but not limited to, specification of a time limit for completion of the medical record, not to exceed 30 days following the patient's last treatment or discharge. Entries shall be signed in accordance with 8:43A-13.4 and the facility's policies and procedures.

N.J. Admin. Code § 8:43A-7.4