Oklahoma Administrative Code
Title 310 - Oklahoma State Department of Health
Chapter 667 - Hospital Standards
Subchapter 9 - Medical Staff
Section 310:667-9-9 - Medical staff bylaws
Universal Citation: OK Admin Code 310:667-9-9
Current through Vol. 41, No. 13, March 15, 2024
(a) Bylaws shall be adopted to govern and enable the medical staff to carry out its responsibilities.
(b) The bylaws of the medical staff shall be a precise and clear statement of the policies under which the medical staff regulates itself.
(c) Medical staff bylaws, rules and regulations shall include the following:
(1)
A descriptive outline of medical staff organization.
(2) A statement of the necessary
qualifications which physicians and licensed independent practitioners shall
possess to be eligible for medical staff privileges to work in the hospital,
and/or the duties and privileges of each category of medical staff.
(3) A procedure for granting and withdrawing
privileges to physicians and licensed independent practitioners.
(4) A mechanism for appeal of decisions
regarding medical staff membership and privileges.
(5) A definite and specific statement
forbidding the practice of the division of fees under any guise
whatsoever.
(6) Provision for
regular meetings of the medical staff.
(7) Provision for keeping accurate and
complete medical records.
(8) A
provision that all patient tissue removed in the hospital, except tissue
specifically excluded by medical staff policy, shall be examined by a
pathologist and a report made of this examination.
(9) Provision for performing and documenting
a routine examination of all patients upon admission and recording of
pre-operative diagnosis prior to surgery.
(10) A rule permitting a surgical operation
only on consent of the patient or his or her legal representative, except in
emergencies.
(11) A rule providing
that, except in emergency, consultation is required as outlined
above.
(12) A regulation requiring
physicians' and licensed independent practitioners' orders be recorded and
signed.
(13) If dentists and oral
surgeons, podiatrists, psychologists, or other allied health professionals are
to be admitted to staff membership, the necessary qualifications, status,
privileges, and rights of this group shall be stated in the bylaws.
Added at 12 Ok Reg 1555, eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff 6-26-95; Amended at 20 Ok Reg 1664, eff 6-12-03
Disclaimer: These regulations may not be the most recent version. Oklahoma may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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