The Incapacitated Physician or Staff Member


 
POLICY:
 
It is our policy that all employees and professional staff 
members practice in a competent, ethical manner, with 
judgment and/or skills uncompromised by physical and/or 
emotional illness.  Appropriate emergency care and support 
will be provided to any professional staff member, surgeon, 
or employee who becomes incapacitated in the performance of 
his/her duties.
 
PROCEDURE:
 
1.  911 will be called immediately.  Meanwhile, appropriate 
    emergency care will be instituted, including initiation 
    of CPR procedures or other supportive measures.
 
2.  SHOULD THE SURGEON PERFORMING A PROCEDURE BECOME 
    INCAPACITATED IN THE MIDST OF A PROCEDURE,  the 
    anesthesia provider will assume responsibility for the 
    care of the patient while assisting the senior clinical 
    person on site with the care of the incapacitated 
    surgeon.  If another qualified surgeon is on site, or has 
    been designated to be called in the event of such an 
    emergency, that person shall assume responsibility for
    the care of the patient.  If there is no other surgeon
    or anesthesia provider on site, the senior clinical
    person on site, in the normal chain of command for care
    of our patients, will direct the care of both the patient
    and the incapacitated surgeon.
 
    If there is not a surgeon on site qualified to complete 
    the procedure underway on the patient, that patient will 
    be stabilized and transported, as appropriate.  If the 

 patient's condition does not require transfer to another 
    level of care, the senior clinical person on site will 
    assure that the patient has been appropriately evaluated 
    before allowing that patient to leave the premises.
 
3.  SHOULD THE ANESTHESIA PROVIDER PERFORMING A PROCEDURE 
    BECOME INCAPACITATED IN THE MIDST OF A PROCEDURE, the 
    surgeon will determine if the procedure can be completed 
    without additional assistance by an anesthesia 
    provider.  At the request of the surgeon or senior 
    clinical person attending the anesthesia provider, 911 
    will be notified to supplement care by transporting.  The 
    Circulator will be responsible to monitor patient 
    vital signs during the interval while other staff may be 
    distracted by the needs of the anesthesia provider. 
 
4.  Documentation of care delivered to each patient will be 
    completed.
 
5.  Staff will support other patients who may be present and 
    accommodate changes in the schedule as necessary.
 
6.  An Incident Report form will be completed.
 
Approved By Governing Board    
FD.2    
Control #51.0
GUPTA GASTRO