Medical Staff Bylaws - Arkansas Children's Hospital

B. A current license to practice.C. Primary source verification of licensure.D. Identification indicating that the Practitioner is a member of a state or federalDisaster Medical Assistance Team (DMAT), Metropolitan Medical Response Team(MMRS), the Medical Reserve Corps (MRC), the Emergency System for AdvanceRegistration of Volunteer Health Professionals (ESAR-VHP), or other recognizedstate or federal response organization or group.E. Identification indicating that the Practitioner has been granted authority to renderpatient care in disaster circumstances, such authority having been granted by afederal, state, or municipal entity.F. Confirmation by current Hospital or Medical Staff member with personalknowledge of the Practitioner's identity and ability to act as a licensed independentpractitioner during a disaster.8.12.6 The Practitioner granted disaster privileges must complete the Disaster Privilege Form.This form includes the Practitioner’s statement that he/she is licensed, the license number, the stateissuing the license, and his/her area of specialty.8.12.6.1 The Disaster Privilege Form shall be forwarded as soon as possible to theMedical Staff Office to immediately verify as much as information as possible, including verification oflicensure and hospital affiliation, and query of the National Practitioner Data Bank.8.12.6.2 If the Practitioner has exercised the disaster privileges, primary sourceverification of licensure will begin as soon as the immediate situation is under control and is completedwithin 72 hours from the time the volunteer Practitioner presents to the hospital. If circumstancesprevent verifications within 72 hours, the reason for delay should be documented and the verificationscompleted as soon as possible.8.12.7 The volunteer licensed independent practitioners must wear a valid picture ID at all timesthat identifies them as a volunteer practitioner and that distinguishes them from the ACH staff.8.12.8 Medical Staff coordination of disaster privileges is accomplished by the Chief of Staff orMedical Director or his/her designee who will assign Physicians to appropriate areas.8.12.9 Once the immediate situation is under control, the disaster privileges are terminated.Termination of privileges granted in a disaster does not entitle the Practitioner to a fair hearing or appealprocess.8.12.10 Any information gathered that is not consistent with that provided by thePractitioner will be referred to the Medical Director immediately to determine any additional action.28