Medical Staff Bylaws - Arkansas Children's Hospital

4.2.6.4 If the H&P has been written by a physician who is not a member of the ACHmedical staff, the update at the time of admission must be by a member of the Medical Staff or otherpractitioner who has the privilege to do so.4.2.6.5 When the H&P is not recorded before an operation or any potentiallyhazardous diagnostic procedure, the procedure shall be canceled, unless the primary physician states thatsuch delay would be life threatening to the patient. The reason for the decision shall be documented.4.2.6.6 If a patient is initially admitted as observation status but remains in thehospital for greater than 24 hours and if a limited H&P was performed at the time of admission toobservation status, the physician should note the change of status in the progress notes and documentadditional information or findings necessary for a complete inpatient H&P.4.2.6.7 The clinical attending physician will countersign the inpatient H&P whenrecorded by a member of the house staff or by affiliated staff with appropriate privileges.4.3 Courtesy Medical Staff Membership4.3.1 Courtesy Medical Staff members may not admit, treat, or write orders for patients at anACH site. They may visit patients and document data from their own patients in the ACH progressnotes.4.3.2 Courtesy Medical Staff members may order outpatient diagnostic testing. The orderingphysician retains responsibility for care, management, and follow-up of the patient.4.3.3 Courtesy Medical Staff Members may have access to ACH data for patients for whomthey provide treatment in their own practice.4.3.4 Courtesy Medical Staff members are eligible for membership on the MSEC.4.3.5 Courtesy Medical Staff members are not required to serve on Medical Staff committeesor to attend the annual meeting of the Medical Staff.4.3.6 Courtesy Medical Staff members who meet the criteria for active status will be changedto active.4.4 The Honorary/Emeritus Medical Staff4.4.1 The Honorary/Emeritus Medical Staff shall consist of Physicians and Dentists who arenot active in the Hospital but are honored by emeritus positions. These may be Physicians, Dentists, andothers who have retired from active hospital practice or who are of outstanding reputation, notnecessarily residing in the community.4.4.2 Honorary/Emeritus Medical Staff are nominated to this emeritus position by an ActiveMedical Staff member and approved by the MSEC and approved by the Board of Directors.6