OAC 310:667-9-9
Medical staff bylaws
Cite as Okla. Admin. Code § 310:667-9-9
(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
OAC 310:667
OKLAHOMA STATE DEPARTMENT OF HEALTH
21
September 13, 2019
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.