UNIVERSITY OF MINNESOTA HOSPITALS AND CLINICS ......Thomas F. Ferris Ivan D. Frantz, Jr. Benjamin...
Transcript of UNIVERSITY OF MINNESOTA HOSPITALS AND CLINICS ......Thomas F. Ferris Ivan D. Frantz, Jr. Benjamin...
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UNIVERSITY OF MINNESOTA HOSPITALS AND CLINICSBOARD OF GOVERNORS
June 15, 19831:30 P.M.
555 Diehl HallUniversity of Minnesota Campus
Agenda
I. Minutes - May 18, 1983
II. Chairman's Report
Mr. David Cost, Board Chairman
III. Committee Reports
A. l.0..!.n!. ..£o!!.fer~n.£.e_CQ~i!.t~e
1. Credentials Committee Recommendations- Dr. Paul Quie
2. Committee Chairmen Appointments- Dr. Paul Quie
3. Chiefs of Clinical Services Appointment- C. Edward Schwartz
4. Vice Chief of Staff Appointment- Dr. Paul Quie
5. End Stage Renal Disease Policies Update- C. Edward Schwartz
B• !i!!.a!!.c~..£~t!.e~
1. Prospective Reimbursement Overview- Greg Hart, A1 Dees
IV. Personnel/Purchasing Implementation
C. Edward Schwartz
V. Bylaws Review
C. Edward Schwartz
•VI. Hospital Director's Report
C. Edward Schwartz, Hospital Director
(Approval)
(Information)
(Approval)
(Approval)
(Approval)
(Approval)
(Approval)
(Information)
(Discussion)
(Approval)
(Approval)
(Information)
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UNIVERSITY OF MINNESOTAT~VIN CITIES
University Hospitals and Cbrtios420 Delaware Street S.E.Minneapolis, Minnesota 55455-:
June 1, 1983
TO:
FROM:
SUBJECT:
Medical Staff-Hospital Council 7~ rJoint Conference Committee fr!,~~~Henry Buchwald, M.D. ~~'Chairman, Credentials Committee r
Credentials Committee Report and Recommendations - 1983/1984
The Credentials Committee having reviewed .recommendations for reappointmentto the Medical/Dental Staff from the clinical chief of each service, includingdocumentation of the required malpractice insurance documentation, herebyrecommend all those included in the Credentials Committee report (pages 1-24), for reappointment to the Medical/Dental Staff for 1983/1984. TheCredentials Committee is recommending the reappointment of severalphysicians who have not submitted the required malpractice information.The names of these physicians can be found on pages 2, 15, 16 and18 of the attached report. Their reappointments are recommended pendingthe submission of the Malpractice Insurance Information Forms by August 30, 1983.
Also included are the Credentials Committee's recommendations for RegularMedical/Dental Staff appofntments (pages 25-26); change in staff category,joint staff appointments (page 27); addition or deletion of clinicalprivileges (page 28); Provisional Medical/Dental Staff appointments andrequests for clinical privileges ·:page 29); termination of medical staffappointments (page 30); and resignations from the Medical/Dental Staff(page 31).
HB/lkAttachment
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HEALTH SCIENCES
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UNIVERSITY OF MINNESOTA HOSPITALS & CLINICS
MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULy 1. 1983 - JUNE 30. 1984
DEPARTMENT OF ANESTIiESIOLOGY
William W. Anderson
Itumar G. Belani
Joseph C. Belshe
Jon F. Berlauk
Joseph Buckley
James F. Cumming
Jorge Estrin
Ian J. Gilmour
John Gordon
Edward Hanisch
Douglas Koehntop
Russell Larsen
Ji-Chia Liao
Josephine N. Lo
Wen Y. Yue
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CATEGORY
Attending
Attending
Clinical
Attending
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Attending
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Attending
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Clinical
JOINT APPOINTME~T
Obstetrics & Gyne~ology
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UNIVERSITY OF MINNESOTA HOSPITAlS & CLINICS
MEDICAL AND DENTAl STAFF REAPPOINTMENTS JULY I, 1983 - JUNE 3D, 1984
DEPARTMENT OF HOSPITAl DENTISTRY
JUles L. Baker
Carl L. Bandt
Richard R. Bevis
Gerald D. Cavanaugh
James R. Fricton
Daniel J. Gatto
Richard J. Goodkind
Robert J. Gorlin
James E. Hinrichs
Norman C. Holte
Mark Jaspers
James R. Jensen
William H. Kuhlmann
Hak-Joo Kwon
Ronald E. LaBelle
Thomas D. Larson
Michael W. Lehnert
Myer S. Leonard
Andrew T. Morstad
Dale Olson
Allan D. Petersen
Timothy A. Peterson
Bruce L. Pihlstrom
Edgar Rajek
Herbert W. Schulte
Mark S. Simmons,T. Michael Speidel
Kic!fiael J. Till
Rob~rt Vickerst
Dart1el E. Waite
PaulO. Walker
Carl J. Witkop
* Frank W. WormsDouglas H. Yock
CATEGORY
Clinical
Clinical
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Clinical
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Clinical
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Clinical
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Clinical
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Clinical
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Clinical
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Clinical
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Clinical
Clinical
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•UNIVERSITY OF MINNESOTA HOSPITALS & CLINICS
MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULy 1, 1983 - JUNE 3D, 1984
DEPARTMENT OF DERMATOLOGY
Bruce J. Bart
Mark V. Dahl
John Fenyk
William Gentry, Jr.
Robert Goltz
Noel A. Hauge
Maria D. Hordinsky
Willard C. Peterson
Steven E. Prawer
Harold G. Ravits
J. Corwin Vanc'e
C. Gordon Vaughn
Alvin S. Zelickson
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CATEGORY
Clinical
Attending
Clinical
Attending
Attending
Clinical
Attending
Clinical
Clinical
Clinical
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Clinical
Clinical
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•UNIVERSITY OF MINNESOTA HOSPITALS &CLINICS
MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULy I, 1983 - JUNE 3D, 1984
(.,DEPARTMENT OF FAMILY PRACTICE CATEGORY
& COMMUNITY HEALTH
Sharon Smith Allen Clinical
Thomas M. Altemeier Attending
James Canine Attending
Edward Ciriacy Attending
Joseph P. Connolly Attending
Michael L. Daly Attending
John T. Kelly Attending
John W. McConnell Attending
John B. O'Leary Clinical
Sharon B. Satterfield Attending
Lei! Solberg Clinical
John E. Verby Attending
JOINT APPOINTMENTt
Psychiatry
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UNIVERSITY OF MINNESOTA HOSPITALS &CLINICS
MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULY 1, 1983 - JUNE 30, 1984
DEPARTMENT OF LABORATORY MEDICINEIt PATIiOLOGY
Diane C. Arthur
Fritz Bach
Henry Balfour
Ellis Benson
Robert J. Bowman
G. Mary Bradley
David M. Brown
Richard Brunning
Barbara Burke
Donald P. Connelly
Louis P. Dehner
John M. Donhowe
J. Roger Edson
Richard D. Estensen
Glauco Frizzera
K. Gajl-Peczalska
Duane Hasegawa
John K"rsey
Larry C. Lasky
Angeline R. Mastri
John J. McCullough
Robert W. McKenna
James J. O'Leary
Juan Rosai
Richard K. Sibley.,Michael w. SteffesR.~rothy Sundberg
Joo Ho Sung
Le~ w. WattenbergJorge J. Yunis
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CATEGORY
Attending
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Clinical
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Attendine
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JOINT APPOINTME~T
Pediatrics
Pediatrics
Pediatrics
Pediatrics
Pediatrics
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.' UNIVERSITY OF KlNNESOTA HOSPITALS & CLINICSMEDICAL AND DENTAL STAFF REAPPOINTMENTS JULY 1, 1983 - JUNE 30, 1984
DEPAR'I'MENT OF MEDICINE
John I. Allen
Silvia H. Azar
Robert J. Bache
John Bantle
Jose Barbosa
David Benditt
John Bergstrom
Jonathan S. Bishop
Joseph R. Bloomer
Clara Bloomfield
Malcolm N. Blumentha1
John H. Bond, Jr.
Joseph M. Cardamone
Jay N. Cohen
Dennis L. Confer
Walter Dorman
Ronald C. Eggert
Thomas F. Ferris
Ivan D. Frantz, Jr.
Benjamin Fuller, Jr.
Joyce L. Funk
Stephen J. Gilberstadt
Richard F. Gillum
Frederick C. Goetz
Dale E. Hammerschmidt
Daniel Hathaway"
Robert P. Hebbel
L1n~a L. Hedemark
JohQ Hoidalt
Dav;:d C. Homans
Bryon J. Hoogwerf
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CATEGORY
Attendinz
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Clinical
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Clinical
Clinical
Clinical
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Clinical
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Clinical
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UNIVERSITY OF KINNESOTA HOSPITALS & CLINICS
MEDICAl AND DENTAL STAFF REAPPOINTMENTS JULY 1, 1983 - JUNE 30, 1984
DEPARTMENT OF MEDICINE CONTINUED
&Obert Howe
William Hrushesky
Donald Hunninghake
David Hurd
Scot w. HuttonHarry S. Jacob
Fran E. Kaiser
Lawrence Kaplan
Joseph R. Kelly
B. J. Kennedy
Peter Kenyon
David T. Kiang
Richard King
Robert G. Knodell
Thomas E. Kottke
Richard Kronenberg
John W. LaBree
Stuart Lancer
Robert Lasser
Herbert Lauritzen
Wayne F. Leebaw
Irving LeT"Oe:-
Theodore Levine
John I. Levitt
F. Bruce Lewis
Cons~antinos Limas
Michael Lobell
Ph1I11p Wm. Ludwig
R.us~ll Luepker
Ray~nd L. Marecek
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CATEGORY
Attending
Attending
Attending
Attending
Clinical
Attending
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Clinical
Clinical
Attending
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Attending
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Clinical
Attending
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Clinical
Clinical
Clinical
Clinical
Clinical
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Clinical
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Clinical
Attending
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.Clinical
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UNIVERSITY OF MINNESOTA HOSPITALS &CLINICS
MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULY 1, 1983 - JUNE 30, 1984
JOINT APPOINTMENT
LaboratoD' Medicine& Pathology
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UNIVERSITY OF MINNESOTA HOSPITALS & CLINICS
MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULy 1, 1983 - JUNE 30, 1984
DEPARTMENT OF MEDI CINE CONTINUED:
Ph111jp H. Stoltenberg
~anao Takahashi
Joel D. Taurog
Robert J. Tierney
Louis Tobian
Joseph M. Tombers
Naip Tuna
Neal A. Vanselow
Jack A. Vennes
Gregory M. Vercellotti
Yang Wang
John Arnold WAngnes~
Daniel J. Weisdorf
I. Dodd Wilson
Paul C. Winchell
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CATEGORY
Attp.nding
Clinical
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Clinical
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Clinic-al
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UNIVERSITY OF MINNESOTA HOSPITALS & CLINICS
MEDI CAL AND DENTAL STAFF REAPPOINTMENTS JULY 1, 1983 -
DEPARTMEl'T OF NEUROLOGY CATEGORY
Gary Birnbaum Attending
Miguel E. Fiol Clinical
John R. Gates Attending
R.obert J. Gumnit Attending
William R. Kenuedy Attending
Arthur C. Klassen Attending
David Knopman Attending
Myoung C. Lee Attending
110 E. Leppik Attending
Lawrence A. Lockman Attending
James A. Moriarty Attending
Venkat Ramani Attending
Joseph A. Resch Attending
Robert I. Roelofs Attending
Stephen A. Smith Clinical
Kenneth F. Swaiman Attending
Fernando Torres Attending
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JUNE 30, 1984
JOINT APPOINTMENT
Pediatrics
Pediatrics
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UNIVERSITY OF MINNESOTA HOSPITALS & CLINlCS
MEDICAL AND DENTAl STAFF REAPPOINTMENTS JULY 1, 1983 - JUNE 3D, 1984
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DEPARTMENT OF NEUROSURGERY
Shelley N. Chou
Donald Erickson
Lyle A. French
Stephen J. Haines
Robert E. Maxwell
Gay1an L. Rocksw01d
Edward L. Seljeskog
Phudhiphorn Thienprasit
Erich S. Wisi01
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CATEGORY
Attending
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Attending
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Clinical
Attending
Clinical
Clinical
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UNIVERSITY OF HINNESOTA HOSPITALS & CLINICS
MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULY 1, 1983 - JUNE 3D, 1984
DEPARTMENT OF OBSTETRICS & GYNECOLOGY
Leon Adcock
Arthur H. Bearon
Irving C. Bernstein
Doris C. Brooker
Julius Butler, Jr.
Harry F. Farb
John D. Farr
Peter E. Fehr
Howard W. Fisher
Harry Foreman
Marilyn S. Joseph
Thomas M. Julian
Beni Katz
Howard M. Levine
John Wm. Malo
Theodore Nagel
Robert Nordland
PaulL. Ogburn
Takashi Okagaki
Konald A. Prem
John E. Savage
Leslie A. Sharpe
Gaius J. Slosser, II
Charles A. Stegeman
George E. Tagatz
Leo B. Twiggs.-Preston P. Williams
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CATEGORY
Attending
Clinical
Clinical
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Clinical
Clinical
Clinical
Clinical
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Clinical
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Clinical
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Clinical
Clinical
Clinical
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Clinical
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JOINT APPOINTME~T
Psychiatry
Laboratory Medicine &Pathology
Laboratory Medicine &Pathology
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UNIVERSITY OF MINNESOTA HOSPITALS & CLINICS
MEDICAL AND DENTAL STAFF REAPPOINTMENTS JUlY 1, 1983 - JUNE 30, 1984
(,DEPARTMENT OF OPHTHALMOLOGY CATEGORY
JUles S. Allen Clinical
J. Douglas Cameron Clinical
Robert C. Campbell Clinical
Herbert L. CantrUl Attending
Richard P. CArroll Clinical
Donald Doughman Attenning
Howard David Gilbert Clinical
William H. Knobloch Attending
Iobert LP.tson Attending
Rjch~rd L. Lindstrom Attending
John Daniel Nelson Attending
Jonathan E. Pederson Attending
Robert C. Ramsay Attending
George T. Tani Clinical
Jonathan Wirt.schafter Attending
C
JOINT APPOINTMENT
Neurology
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..UNIVERSITY OF MINNESOTA HOSPITALS & CLINICS
MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULY I, 1983 - JUNE 30, 1984
DEPARTMENT OF ORTHOPAEDI C SURGERY
Alfred F. Behrens
David Bradford
James H. House
Robert E. Hunter
John Lonstein
John H. Moe
E. Harvey O'Phelan
James D. Priest
Harry J. Robinson, Jr.
Roby C. Thompson
Francis J. Trost
Robert Winter
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CATEGORY
Clinical
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Emeritus
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UNlVERSlnr OF MINNESOTA HOSPITALS & CLINICS
(, MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULY 1. 1983 - JUNE 30. 1984
DEPARTMENT OF· OTOLARYNGOLOGY
Georg~ Adams
Norman T. Berlinger
Lawrence R. Boies. Jr.
Arndt J. Duvall
Ekrem Gozum
Peter A. Hilger
Timothy T. K. Jung
*Severin H. Koop
Stephen L. Liston
Robert Maisel
Michael M. Paparella
Kurt Pollak
* Richard A. Schlorf
*Leighton G. Siegel
Melvin E. Sigel
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Attending
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Clinical
* Malpractice Insurance Information Form not submitted.
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UNIVERSITY OF MINNESOTA HOSPITAlS &CLINICS
MEDICAL AND DENTAl STAFF REAPPOINTMENTS JULY 1, 1983 - JUNE 3D, 1984
t DEPARTMENT OF PEDIATRICSDon P. Amren
Arnold S. Anderson
Stuart L. Arey
Sol Austrian
John Bass
Lowell L. Becker
D. Woodrow Benson, Jr.
F. Blanton Bessinger
*David Bloom
Robert WIt. Blum
Stephen J. Boros
Robert H. Bugenstein
Edwin C. Burklund
Blanche M. Chavers
John A. Cich
C. Carlyle Clawson
Richard T. Cushing
AIDod Deinard
Stanley Einzig
Donnell D. Etzwiler
Patricia Ferrieri
Alexandra Filipovich
Robert O. Fisch
Alfred J. Fish
Lloyd Fish
Deborah K. Freese"
Bradley Fuhrman
G. ~cott Giebink
Thomas P. Green
J. &argaret Horrobin
Dana Johnson
Edward L. Kaplan
CATEGORY
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Attending
Clinical
Clinical
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Clinical
Clinical
Clinical
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Clinical
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Clinical
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Clinical
Attending
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ClinicalAttending
At tendin~
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Clinical. Attending
Attending
JOINT APPOINTMENT
Medicine
* Malpractice Insurance Information Form not submitted.
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UNIVERSITY OF MINNESOTA HOSPITALS & CLINICS
MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULy 1. 1983 - JUNE 30. 1984
DEPARTMENT OF PEDIATRICS CONTINUED CATEGORY JOINT APPOINTMENT
Youngki Kim Attending
Robert L. Kriel Clinical Neurology
William Krivit Attending
Stanley A. Leonard Clinical
Carolyn J. Levitt Clinical
James Lock Attending
Russell V. Lucas Attending
Raymond P. Lynch Clinical
Richard N. Matus Clinical
S. Michael Mauer Attending
Kenneth L. McClain Attending
Carolyn J. McKay Clinical
}Jfred F. Michael Attending
"Bernard L. Mirkin Attending
James H. Moller Attending
Richard P. Nelson Clinical
Mark E. Nesbit Attending
Thomas Nevins Attending
Robert O'Dea Attending
Karen N. Olness Clinical
Arthur R. Page Attending
Mary Ella Pierpont Attending
Charles E. Pitzele Clinical
John R. Priest Clinical
Paul G. Quie Attending
Nor~'a KC Ramsay Attending
WarTen E. Regelmann Attending
Tho~as F. Rolewicz Clinicalt
ClinicalRic!fard E. Sand
Sylvester Sanfilippo Clinical
~Leon Satran Attending
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UNIVERSITY OF MINNESOTA HOSPITALS , CLINICS
MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULy 1, 1983 - JUNE 30, 1984
DEDEPARTMENT OF PEDIATRICS CONTINUED
Jon Scheinman
Steven A. Seelig
Barvey L. Sharp
Lewis Sher
Lawrence J. Sholler
Alan R. Sinaiko
*Amarjit Singh
Lawrence J. Singher
Clark M. Smith, 11
Theodore S. Smith
Frederic M. Stone
Edward L. Strem
Robert w. Ten BenselTheodore R. Thompson
Robert A. Ulstrom
R. James Vaccarella
Homer D. Venters
Robert L. Vernier
Norman L. Virnig
Warren J. Warwick
James G. White
Walter L. Wilder
William Woods
CATEGORY
Attending
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Clinical
Clinical
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Clinical
Clinical
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Clinical
Clinical
Clinical
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Clinical
Clinical
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Clinical
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Clinical
Atte"nding
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UNIVERSITY OF MINNESOTA HOSPITALS & CLINICS
MEDICAL AND DENTAL STAfF REAPPOINTMENTS JULy 1. 1983 - JUNE 30, 1984
DEPARTMENT OF PHYSICAL MEDICINE & PATHOLOGY
James Agre
Thomas P. Anderson
Alan S. Bensman
Dennis D. Dykstra
Glenn Gullickson, Jr.
Hiland E. Knapp
Frederic J. Kottke
John L. Magness
Dennis Matthews
Mary M. Price
Keith B. Sperling
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Attending
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Clinical
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UNIVERSITY OF ~NNESOTA HOSPITALS &CLINICS
MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULY 1, 1983 - JUNE 30. 1984
DEPARTMENT OF PSYCHIATRY CATEGORY
Faruk s. Abuzzahab ClinicalPaula J. Clayton Attending
David W. Cline Clinical
Elke Eckert Attending
William D. Erickson Attending
Floyd Garetz Attending
Lawrence Greenberg Attending
Ronald Groat Clinical
William Hausman Attending
Leonard Heston Attending
John R. Hughes Attending
Jonathan B. Jensen Attending
Allen Josephson Attending
Jerome L. Kroll Attending
~ Richard D. Lentz ClinicalThomas B. Macken?ie Attending
Richard Meisch Attending
Richard Miner Attending
James E. Hi tchell Attending
Michael C. Moore Attending
Joanne M. Pearson Attending
Michael K. Popkin Attending
Richard L. Pyle Attending
George M. Realmuto Attending
Thomes R. Stapleton Clinical
Myron R. Stocking Clinical
Joseph J. Westermeyer Attending
Rona.ld C. Young Attendingt~-'"
JOINT APPOINTMENT
Medicine
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UNIVERSITY OF MINNESOTA HOSPITALS & CLINICS
MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULy 1, 1983 - JUNE 30, 1984
DEPARTMENT OF RADIOLOGY
Kurt Amplatz
Wilfrido R. Castaneda
Samuel B. Feinberg
LeRoy A. Forstrom
Mathis Frick
Eugene Gedgaudas
Lawrence H. A. Gold
Marvin E. Goldberg
Merle Loken
Harry C. Walker, Jr.
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CATEGORY
Attending
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UNIVERSITY OF MINNESOTA HOSPITALS & CLINICS
MEDICAl AND DENTAL STAFF REAPPOINTMENTS JULy I, 1983 - JUNE 3D, 1984
DEPARTMENT OF SURGERY CATEGORY
Robert W. Anderson AttendingHenry Buchwald AttendingPrank B. Cerra AttendingBruce L. Cunningham ClinicalJohn P. Delaney AttendingJohn E. Foker AttendingVictor A. Gilbertsen Attending
Stanley Goldberg ClinicalRobert L. Goodale AttendingTheodor B. Grage AttendingHovald K. Helseth ClinicalJames N. Karnegis AttendingArnold S. Leonard AttendingFelix A. McParland Clinical
"J. Ernesto Molina AttendingRichard Moore AttendingJohn S. Najarian AttendingSanthat Nivatvongs AttendingAlan R. Shons AttendingRichard L. Simmons AttendingW. Albert Jullivan AttendingDavid E. R. Sutherland Attending
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UNIVERSITY OF MINNESOTA HOSPITALS & CLINICS
MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULy 1. 1983 - JUNE 30, 1984
DEPARTMENT OF THERAPEUTIC RADIOLOGY
raehwan Kim
Chung Kyu Kim Lee
Seymour Levitt
Roger A. Potish
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CATEGORY
Attending
Attending
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UNIVERSITY OF MINNESOTA HOSPITALS & CLINICS
, MEDICAl AND DENTAL STAFF REAPPOINTMENTS JULY 1, 1983 - JUNE 30, 1984
DEPARTMENT UROLOGIC SURGERY
Ralph v. ClaymanElwin E. Fraley
licardo Gonzalez
Paul Lange
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Clinic.d
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UNIVERSITY OF MINNESOTA HOSPITALS & CLINICS
RECOMMENDATIONS FOR REGULAR MEDICAL/DENTAL STAFF APPOINTMENTS
JULy 1, 1983 - JUNE 30, 1984
DEPAR'!'MENT OF ANESTHESIOLOGY
Eugene R. Lucier
DEPARTMENT OF HOSPITAL DENTISTRY
David J. Clay
DEPARTMENT OF DERMATOLOGY
Garrett T. Bayrd
DEPARTMENT OF FAMILY PRACTICE& Community Health
Harold C. Seim
DEPARTMENT OF LABORATORY MEDICINE& PATHOLOGY
Bonnie Bean
Dale Snover
DEPARTME!\T OF MEDICINE
Patrick J. Flynn
Roger 1. Gebhard
Marshall I. Hertz
Charles A. Herzog
Thomas H. Hostetter
Kalle Kang
Mark S. Paller
Claire Pomeroy
Brian H. Rank
Stephen C. Riendl
Peter T. Silbersteinor
Stanley J. Tillinghast
~e L. Trence-.DEP ARTMENT OF NEUROLOGY
Daniel E. Cohen
Hal M. Corwin
Ronald T. Jacobson
CATEGORY
Clinical
Clinical
Clinical
Clinical
Attending
Attending
Attending
Clinical
Attending
Attending
Attending
Attending
Attending
Attending
Attending
Attending
Attending
Attending
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DATE ELIGIBLE
April 20, 1983
January 21, 1983
August 17, 1982
December 16, 1982
February 10, 1983
November 19, 1982
April 20, 1983
April 20, 1983
April 20, 1983
April 20, 1983
April 20, 1983
December 16, 1982
January 21, 1983
January 21, 1983
April 20, 1983
April 20, 1983
April 20, 1983
April 20, 1983
April 20, 1983
January 21, 1983
April 20, 1983
January 21, 1983
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UNIVERSITY OF MINNESOTA HOSPITALS & CLINICS
RECOMMENDATIONS FOR REGULAR MEDICAL/DENTAL STAFF APPOINTMENTS CONTINUED:
DEPARTME~T OF NEUROSURGERY
Dennis A. Turner
DEPARTMENT OF OBSTETRICS & GYNECOLOGY
Sheila A. Phansey
R.oger C. Toffle
DEPARTMENT OF ORTHOPAEDICS
Edward V. Craig
James W. Ogilvie
DEPARTMENT OF PEDIATRICS
Margaret K. Hostetter
Joseph J. Sockalosky
DEPARTMENT OF PHYSICAL MEDICINE& REHABILITATIO~
Jeffrey Cameron
DEPARTME~T OF PSYCHIATRY
Charles Mac VanValkenburg
DEPARTME~T OF SURGERY
David H. Ahrenholz
Nancy L. Ascher
Ralph M. Bolman, III
DEPARTME~T OF RADIOLOGY
Jeffrey R. Crass
Deborah L. Day
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£ATEGORY
Attending
Attending
Attending
Attending
Attending
Attending
Clinical
Attending
Attending
Clinical
Attending
Attending
Attending
Attending
DATE ELIGIBLE
January 21, 1983
April 20, 1983
April 20, 1983
April 20, 1983
January 21, 1983
April 20, 1983
April 20, 1983
April 20, 1983
January 21, 1983
January 21, 1983
January 21, 1983
January 21, 1983
April 20, 1983
April 20, 1983
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.. ..
UNIVERSITY OF MINNESOTA HOSPITALS & ~_INICS
RECOMMENDATIONS FOR CHANGE IN STAFF CATEGORY
DEPARTMENT OF MEDICINE
Fran E. Kaiser
Patrick J. Flynn
DEPARTMENT OF OBSTETRICS & GYNECOLOGY
John W. Malo
DEPARTMENT OF PHYSICAL MEDICINE& REHABILITATION
Mary M. Price
DEPARTMENT OF PSYCHIATRY
William Erickson
Alan Josephson
Michael Moore
DEPARTMENT OF ~~IOLOGY
LeRoy A. Forstrom
FROM
Attending
Attending
Attending
Attending
Attending
Attending
Attending
Attending
TO
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
Clinical
RECOMMENDATI0~S FOR JOINT MEDICAL STAFF APPOINTMENTS ANDADDITIONAL CLINICAL PRIVILEGES
DEPARTMENT OF PEDIATRICS
Patricia Ferrieri
-DEPARTMENT OF NEUROLOGY-Ron~ld 1. Jacobson
-27-
CHANGE REQUESTED
Primary medical staff appointment fromDepartment of PediatTics to Departmentof Laboratory Medicine & Pathology witha joint appointment in Pediatrics.
Additional clinical privileg~s inLaboratory Medicine & Pathology asrequested with same clinical privilegescurrently held in Fediatrics.
Joint medical staff appointment inPediatrics and clinical privilegesas requested.
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UNIVERSITY OF MINNESOTA HOSPITALS & CLINICS
RECOMMENDATIONS FOR ADDTION OR DELETION OF CLINICAL PRIVILEGES
DEPARTMENT OF MEDICINE
Patrick J. Flynn
David C. Homans
Peter D. Kenyon
Phillip H. Stoltenberg
DEPARTMENT OF OBSTETRICS & GYNECOLOGY
Julius Butler
John W. Malo
DEPARTMENT OF PEDIATRICS
Diane C. Arthur
Kenneth L. McClain
DEPARTMENT OF SURGERY
John P. Delaney
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UNIVERSITY OF MINNESOTA HOSPITALS & CLINICS
RECOMMENDATIONS FOR TERMINATION OF MEDICAL STAFF APPOINTMENTS
DEPARTMENT OF FAMILY PRACTICE & COMMUNITY HEALTH
Paul V. Quinn
PaulM. Spilseth
DEPARTMENT OF MEDICINE
Ronald Falk
Rubin R. Haidan
Marc R. Pritzker
Carolyn A. Rosenberg
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CATEGORY
Clinical
Clinical
Attending
Attending
Attending
Attending
(E.R.)
(E. R. )
(E. R.)
(E. R.)
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UNIVERSITY OF MINNESOTA HOSPITALS & CLINICS
RESIGNATIONS FROM THE MEDICAL/DENTAL STAFF
DEPARTMENT OF ANESTHESIOLOGY
Thomas A. Polta
DEPARTMENT OF HOSPITAl DENTISTRY
Douglas H. Yock
DEPARTME},"T OF MEDI CINE
Brian C. Barne~
Richard Branda
Thaddeus Chao
Vincent R. Collins
Robert Gill
Hi chael Goodman
Robert D. Mackie
Craig J. McClain
Leopoldo Raij
Christina H. Y. Shih
Athanasios Theologides
DEPARTMENT OF PHYSICAL MEDICINE & REHABILITATION
Essam Awad
Rita Bistevins
Sarah Gault
DEPARTMENT OF RADIOLOGY
David Tubman
DEPARTME~T OF UROLOGY
Keith W. Kaye-
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·.J•• r 8
NAME & DEPAltTM!NT CATEGORY FACULTY RANK
APPLICANTS TO TH:8...ICAL/DENTAL STAFFJUN, .•. 3
SPEC'tALLY MEDICAL SClfOOL-COMPLETION DATE
INTERNSHIP, RESIDENCY &FELLOWSHIP-COMPLETION DATES
~LAST POSITIOlf
DEPARTMENT OF HOSPITAL DENTISTRY
Richard T. Ford Clinical
'l'I~1 I '.
Instructor Dentistry Dental SchoolUniversity of Minnesota 1961
Private PracticeMedical Arts Bldg.Vermillion. S.D.1971-1982
Ja.ea R. Jenaen, Jr. Clinical AssistantProfessor
Periodontics Dental SchoolUniversity of Minnesota 1979
Residency in PeriodonticsUniversity of Minnesota1979-1982
Private Practice5201 BloomingtonAve. S.Mpls., MN1/82-present
DEPARTMENT OF NEUROLOGY
Neurology ResidencyUniv. of Miami Medical SchoolMiami, FL 1971-1972
Phyllis It. Sher Attending AssistantProfessor
PediatricNeurology
University of MiamiMiami, Florida
1970 InternshipMontefioreBronx, NY
U.S. PublicHospital & Med. Ctr. 'Health Service
1970-1971 NIHBethesda, MD1980-1982
DEPARTMENT OF OTOLARYNGOLOGY
Pediatric Neurology ResidencyUniv. of Miami Medical SchoolMiami, FL 1972-1974
John S. Huff Clinical ClinicalAssociateProfessor
Otolaryngology University of Minnesota 1953 General Rotating InternshipMemorial HospitalPheonix. Arizona 1953-1957
EMT ResidencyUniv. of Minnesota Hospitals
1959-1962
Private PracticeENT ProfessionalAssociatesMed. Arts. Bldg.MpIs., MN1962-present
.~ u
Postgraduate Course in MyoplastyColumbia University 1963
\J
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'.- Page 2
8NAME " DEPARntENT CATEGORY PACULn RANK
APPLICANTS TO THftICAL/DEMTAL STAFF
JUN, 3
SPECIALITY MEDICAL SCHOOL-COMPLETION DATEINTERNSHIP, RESIDENCY "FELLOWSHIP-COMPLETION DATES "LAST POSITION
DEPARTMENT OF PEDIATRICS
David R. Brown Clinical
','1"', I'~
ClinicalAssistantProfessor
. Pediatric University of Minnesota 1968Endocrinology
Internship & ResidencyUniversity of Michigan1968-1970
Endocrinology FellowshipUniversity of Minnesota1972-1975 Hospitals
Solo Practice2545 Chicago S.Hp1a •• MN
Active StaffMinneapolisChildrens Hosp.Hpls. 8/75-present
DEPARTMENT OF SURGERY
William D. Payne
~
Clinical Instructor Transplantation St. Louis School of MedicineVascular Surgery St. Louis, HO 1972
y
InternshipUniversity of Minnesota1972-1973 Hospitals
ResidencyUniversity of Minnesota1973-1979 Hospitals
Transplantation FellowshipUniversity of Minnesota1980 Hospitals
VA Medical Ctr.TransplantationSectionHpls •• MN1979-present
4)
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MEDICAL STAFF-HOSPITAL COUNCIL COMMITTEE CHAIRMEN APPOINTMENTS
1983/1984
1. Bed Allocation Committee
I. Dodd Wilson, M.D.
2. Bylaws Committee
Glenn Gullickson, M.D.
3. Biomedical Ethics Committee
Theodore Thompson, M.D.Diane Bartels, R.N. Co-Chair
4. Cardio-Respiratory Advisory Committee
Russell H. Larsen, M.D.
9. Operating Room Committee
Roby Thompson, M.D.
10. Outpatient Committee
Amos Deinard, M.D.
11. Pharmacy & Therapeutics Committee
Russell Lucas,M.D.
12. Product Evaluation & StandardizationCommittee
Bradley Fuhrman, M.D.
5. Credentials Committee
Henry Buchwald, M.D.
13. Quality Assurance Steering Committee
Paul G. Quie, M.D.;~......•....
6. Disaster Committee
Michael Daly, M.D.
7. Emergency Department Committee
David Hurd, M.D.
8. Infection Control Committee
Frank Rhame, M.D.
14. Tissue & Procedure Review Committee
Clara Bloomfield, M.D.
15. Transfusion Therapeutics Committee
Jeffrey McCullough, M.D.
16. Utilization-Medical Records Committee
George Tagatz, M.D.
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MEDICAL STAFF-HOSPITAL COUNCIL COMMITTEE CHAIRMEN APPOINTMENTS
1983/1984
1. Bed Allocation Committee
I. Dodd Wilson, M.D.
2. Bylaws Committee
Glenn Gullickson, M.D.
3. Biomedical Ethics Committee
Theodore Thompson, M.D.Diane Bartels, R.N. Co-Chair
4. Cardio-Respiratory Advisory Committee
Russell H. Larsen, M.D.
9. Operating Room Committee
Roby Thompson, M.D.
10. Outpatient Committee
Amos Deinard, M.D.
11. Pharmacy & Therapeutics Committee
Russell Lucas.M.D.
12. Product Evaluation & StandardizationCommittee
Bradley Fuhrman, M.D.
~5.
6.
Credentials Committee
Henry Buchwald, M.D.
Disaster Committee
Michael Daly, M.D.
13.
14.
Quality Assurance Steering Committee
Paul G. Quie, M.D.
Tissue &Procedure Review CommitteeClara Bloomfield, M.D.
7. Emergency Department Committee
David Hurd, M. D.
8. Infection Control Committee
Frank Rhame, M.D.
15. Transfusion Therapeutics Committee
Jeffrey McCullough, M.D.
16. Utilization-Medical Records Committee
George Tagatz, M.D.
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'1'
UNIVERSITY OF MINNESOTATWIN CITIES
University Hospitals and Clinics420 Delaware Street S.E.
, Minneapolis, Minnesota 55455
June 7, 1983
TO:
FROM:
RE:
Joint Conference CommitteeBoard of Governors
C. Edward Schwartz, Hospital DirectorPaul Quie, Chief of Staff
Annual Reappointments of Chief of Clinical Services
The Bylaws of the Board of Governors - University of Minnesota Hospitalsand Clinics were amended in November, 1982, requiring the following:
Article V. Section 5 (B)
After consultation with the Joint Conference Committee, at itsJune meeting each year, the Board of Governors shall appointthe chief of each clinical service of the Medical Staff to serveat the discretion of the Board for an initial term of three years,except in the case of a chief of a clinical service who is anindividual other than the Head of the corresponding medical ordental school clinical department, in which case the initialappointment shall be for one year. Reappointment thereafterby the Board of Governors shall be yearly. Vacancies in theoffice of the chief of a clinical service may be filled at anytime by the Board. In the event that a chief of a clinicalservice is appointed at some time other than the June meeting,and if the appointment is made no later than December, for pur-poses of determining the time of reappointment the appointmentshall be deemed to have commenced the preceding June. In theevent that the appointment is made after December, for purposesof determining the time of reappointment the computation of times~all be deemed to commence at the next succeeding June.
The Hospital Director in consultation with the Chief of Staff herebyrecommends the reappointment of the following Clinical Chiefs for1983-84.
The following persons are subject to re-appointment:
NAME
Dr. Ellis BensonDr. Joseph BuckleyDr. Shelley ChouDr. Edward CiriacyDr. Donald Doughman
DEPARMENT
Laboratory Medicine & PathologyAnesthesiologyNeurosurgeryFamily PracticeOphthalmology
HEALTH SCIENCES
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Dr. Thomas FerrisDr. Elwin FraleyDr. Eugene GedgaudasDr. Robert GoltzDr. Glenn GullicksonDr. Arthur KlassenDr. William KrivitDr. Seymour LevittDr. John NajarianDr. Michael PaparellaDr. Konald PremDr. Roby ThompsonDr. Daniel Waite
2
MedicineUrologyRadiologyDermatologyPhysical Medicine & RehabilitationNeurologyPediatricsTherapeutic RadiologySurgeryOtolaryngologyObstetrics & GynecologyOrthopedic SurgeryDentistry
Other Chiefs of Service have been appointed subsequent to the initialorganization of the Board, and their reappointments will be timely uponthe completion of their initial term of three years. Those Chiefs andthe date of their re-appointments are as follows:
Dr. Paul Clayton
CES/sds
Enclosure
Psychiatry 6/20/84
..,. ...
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., .\ .
FUNCTION OF CLINICAL CHIEFS*
1. Be accountable for all p~ofessional and administrative activitieswith his or her service.
2. Be a member of the Council of Chiefs of Clinical Services givingguidance on the overall medical policies of the hospital and makingspecific recommendations and suggestions regarding his or her own servicein oTd~r to assure a hi~h quality of patient care.
3. Maintain continuing review of the professional performance of allindividuals with clinical privileges in his or her service and reportthereon to the Credentials Committee as necessary.
4. Be responsible for enforcement within his or her service of the hospitalbylaws, policies and directives and of these medical staff bylaws,rules and regulations.
5. Be responsible for implementation within his or her service of actionstaken and policies set by the Board, the Council of Chiefs ofClinical Services and the Medical Staff/Hospital Council.
6. Transmit to the Credentials Committee his recommendations concerningthe appointment, reappointment, and delineation of clinical privilegesfor all individuals in an applicants to his or her service.
7. Participate in every phase of administration of his or her service withthe hospital management in matters affecting patient care, includingpersonnel, supplies, special regulations, standing orders andtechniques.
8. Assist in the preparation of such annual reports, including budgetaryplanning, pertaining to his or her service as may be required by the Chiefof Staff or the Board.
*Article 3, Section 5 of the Bylaws of the Medical and Dental Staff -University of Minnesota Hospitals and Clinics.
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CLINICAL CHIEFS BIOGRAPHICAL SUMMARIES
1. Ellis S. Benson, M.D.Professor & HeadLaboratory Medicine & Pathology
Medical School: University of Minnesota Medical SchoolInternship: Cincinnati General HospitalResidency: Veterans Administration Hospital, Minneapolis, MInnesotaCertified: American Board of Pathologists
2. Jospeh J. Buckley, M.D.Professor and HeadDepartment of Anesthesiology
Medical School: New York Medical CollegeInternship: U.S. Laval Hospita, Chelsea (Boston), MassachussettsResidency: University of Minnesota Medical SchoolCertified: American Board of Anesthesiology
3. Shelley Chou, M.D., M.S., PHDProfessor and HeadDepartment of Neurosurgery
Medical School: University of Utah Medical SchoolInternship: Providence Hospital, Detroit, MichiganResidency: University of Minnesota Hospitals, Minneapolis, MinneostaCertified: American Board of Neurosurgery
4. Edward W. Ciriacy, M.D.Professor and HeadFamily Practice & Community Health
Medical School: Temple University Medical SchoolInternship: Frankford HospitalResidency: Frankford Hospital and Temple HospitalCertified: American Board of Family Physicians
5. Donald J. Doughman, M.D.Professor and HeadDepartment of Ophthalmology
Medical School: University of Iowa College of MedicineInternship: Los Angeles County General Hospital, Los Angeles, CaliforniaResidency: University Hospital, Iowa City, IowaCertified: American Board of Ophthalmology
6. Thomas F. Perris, M.D.Professor and HeadDepartment of Medicine
Medical School: Yale UniversityInternship: Osler Service, John Hopkins HospitalResidency: Yale-New Haven HospitalCertified: American Board Of Internal Medicine
~..
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7. Elwin E. Fraley, M.D.Professor and HeadDepartment of Urologic Surgery
Medical School: Harvard Medical SchoolInternship: Massachusetts General Hospital, Boston,Residency: Massachusetts General Hospital, Boston,Certified: American Board of Urology
8. Eugene Gedgaudas. M.D.Professor and HeadDepartment of Diagnostic Radiology
Medical School: University of Munich, GermanyInternship: St. Boniface General Hospital, CanadaResidency: St. Boniface General Hospital, CanadaCertified: The American Board of Radiology
9. Robert W. Goltz, M.D.Professor and HeadDepartment of Dermatology
MassachusettsMassachusetts
Medical School: University of MinnesotaInternship: Ancker Hospital, St Paul, MinnesotaResidency: University of Minnesota, Minneapolis, MN, School of MedicineCertified: American Board of Dermatology
10. Arthur C. Klassen, M.D.Professor and Acting Head,Department of Neurology
Medical School: University of Manitoba Medical SchoolInternship: Winnipeg General Hospital, Winnipeg, CanadaResidency: University of MinnesotaCertified: American Board of Psychiatry and Neurology
11. Glenn Gullickson, Jr •• M.D.Professor and Interim Head,Department of Physical Medicine and Rehabilitation
Medical School: University of MinnesotaInternship: Gallinger Municipal HospitalResidency: University of MinnesotaCertified: American Board of Physical Medicine and Rehabilitation
12, William Krivit, M.D. Ph.DProfessor and HeadDepartment of Pediatrics
Medical School: Tulane University Medical SchoolInternship: Charity Hospital, New OrleansResidency: Utah School of MedicineCertified: Diplomat of the American Board of Pediatrics
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3
!3. Seymour H. Levitt, M.D.Professor and HeadDepartment of Therapeutic Radiology
Medical School: University of ColoradoInternship: Philadelphia General HospitalResidency: University of CaliforniaCertified: American Board of Radiology
14. John S. Najarian. M.D.Professor and HeadDepartment of Surgery
Medical School: University of California, San FranciscoInternship: University of California Medical SchoolResidency: University of California Medical SchoolCertified: American Board of Surgery Diplomate
15. Michael M. Paparella, M.D.Professor and HeadDepartment of Otolaryngology
Medical School: University of MichiganInternship: Emanuel Hospital, Portland, OhioResidency: Henry Ford Hospital, Detroit, MichiganCertified: American Board of Otolaryngology
16, Konald A. Prem, M.D.Professor and HeadDepartment of Obstetrics and Gynecology
Medical School: University of MinnesotaInternship: Minneapolis General Hospital, Minneapolis, MinnesotaResidency: University of Minnesota Medical SchoolCertified: American Board of Obstetrics and Gynecology
17. ~Roby C. Thompson, Jr., M.D.Professor and HeadDepartment of Orthopaedic Surgery
Medical School: University of Virginia School of MedicineInternship: Columbia Presbyterian Medical Center, New YorkResidency: Columbia Presbyterian Medical Center, New YorkCertified: American Board of Orthopaedic Surgeons
18. Daniel E. Waite, D.D.S., M.S.Professor and HhadDepartment of Oral and Maxillofacial Surgery, School of Denistry
Dental School: State College of University of IowaResidency Certificate: State University of IowaCertified: American Board of Oral Maxillofacial Surgery
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4
19. Paula J. Clayton, M.D.Professor and HeadDepartment of Psychiatry
Medical School: Washington University, St. Louis, MissouriInternship: St. Luke's Hospital, St. Louis, MissouriResidency: Barnes and Rehard HospitalsCertified: American College of Neuropsychopharmacology
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UNIVERSITY OF MINNESOTATWIN CITIES
Office of the Chief of Staff
University Hospitals and ClinicsBox 707 Mayo Memorial Building420 Delaware Street S.E.Minneapolis, Minnesota 55455
June 9, 1983
TO: Joint Conference CommitteeBoard of Governors
FROM: Paul G. Quie, M.D. ;,(J:f&/Chief of Staff fl/
SUBJECT: Vice Chief of Staff Appointment
The Bylaws of the Medical and Dental Staff, Article V, Part A:,Section 4. (a) states "Election: The Vice Chief of Staff shallbe elected by a plurality vote of the staff voting by mail ballot.His or her election shall become effective as soon as approved bythe Board. The Vice Chief of Staff shall serve a three year termand is not eligible for re-election but in any event shall serveuntil a successor has been elected and his or her election approvedby the Board."
The term of office of Dr. Richard Kronenberg, Vice Chief of Staff,will come to an end on June 30, 1983. The Nominating CommittEeappointed by the Medical Staff-Hospital Council selected Dr. RobertHowe to run for election for the office of Vice Chief of Staff andthe Council approved the recommendation. Elections were held inMay and the tabulated results indicate that Dr. Robert Howe haswon the election by plurality. I hereby request your approval ofDr. Robert Howe as Vice Chief of Staff.
Thank you for your consideration of this request.
PGQ/lk
HEALTH SCIENCES
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l·
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CURRICULUM VITAE
Name: Robert Bruce Howe
Present Address: 135 Chevy Chase DriveWayzata, Minnesota 55391
Date and Place of Birth: February 13, 1936; Elgin, Illinois
Marital Status: Married, 1961; three children
Education:
1954 - Graduated from Little Falls High School, New York1958 - B.S., Union College1962 - M.D., Harvard Medical School
Brief Chronology of Employment:
1956-57
1958
1962-63
1963-66
1964-65
1966-67
1967-70
1967-70
1970-73
1973-80
1980
Research Assistant, Mount Desert Island BiologicalLaboratory, Salisbury Cove, Maine
Research Assistant, Karolinska Institute, Stockholm, Sweden
Intern, University of Minnesota Hospitals,Minneapolis, Minnesota
Resident, Internal Medicine, University of MinnesotaHospitals, Minneapolis, Minnesota
U.S. Public Health Service Trainee in Hematology,University of Minnesota Hospitals, Minneapolis,Minnesota
Instructor, Internal Medicine, University of MinnesotaMedical School, Minneapolis, Minnesota
Assistant Clinical Director, National Cancer Institute,National Institutes of Health, Bethesda, Maryland
Admitting Officer, National Cancer Institute,National Institutes of Health, Bethesda, Maryland
Assistant Professor of Medicine, University of MinnesotaMedical School, Minneapolis, Minnesota
Associate Professor of Medicine, University of MinnesotaMedical School, Minneapolis, Minnesota
Professor of Medicine, University of MinnesotaMedical School, Minneapolis, Minnesota
-
" Military Service:
u.S. Public Health Service - June 1967 - June 1969
Societies:
American Association for the Advancement of ScienceAmerican Federation for Clinical ResearchAmerican Society of HematologyInternational Society of Hematology - FellowAssociation of American Medical Colleges - Panel Member -
Division of Educational Resources and ProgramsAmerican College of Physicians - FellowSociety for Research and Education in Primary Care Internal Medicine
Honors and Other Recognition:
New York State Regents Scholarship for CollegeSchenectady County Medical Society ScholarshipSigma XiNew York State Regents Scholarship in MedicineHarvard Medical School ScholarshipM.D. cum laude, Harvard Medical SchoolDiplomate, American Board of Internal Medicine, 1968
(Recertified, 1974)
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COURSES TAUGHT, COURSE AND PROGRAM DEVELOPMENT,ADVISING AND COUNSELING
Course Director, Medicine 5-528---Clinical Hematology
Course Director, Medicine 5-590---Preceptorships in Internal Medicine
Course Director, Medicine 5-591--lnternal Medicine for the AmbulatoryOutpatient
Course Director, Medicine 5-592---Rural Physicians Associate Program in InternalMedicine
Phase B---Student as Physician---tutor
Phase D, Medicine 5-502 and 5-503---Medicine Externship I & II--tutor. Recently developed new tutorial for Medicine 5-503 students atUniversity Hospitals
Phase B---Blood lecturer and tutor
Phase B---Gut---Iecturer
Continuation Course---Internal Medicine Review---coordinator and lecturerfor hematology
Continuation Course---Family Practice Review and Update---lecturer in hematology
Continuation Course---Topics in Geriatric Medicine---lecturer in hematology
Continuation Course--Surgery of the Liver, Biliary Tree and Pancreas---lecturer in hematology
Department of Medicine Weekly Hematology Morphology and Biopsy Conference--course director and lecturer
Department of Medicine Joint Hematology-Oncology Conference---co-chairman
Department of Family Practice---weekly tutorial in Internal Medicine---director and participant
Section of Hematology---Weekly Grand Rounds, Malignancy Rounds, ClinicalConference, and Research Conference
Rural Physician Associate Program---Internal Medicine---Director
Track lA student advisor
Department of Medicine---intern advisor
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SPECIAL SERVICES AND CONTRIBUTIONS TO THE DEPARTMENT, COLLEGE,UNIVERSITY AND PROFESSIONALLY RELATED SERVICES TO THE COMMUNITY
American College of Physicians---Committee on Associates
Phase D Track Committee---Family Practice (Track 5)
Chairman, Undergraduate Education Committee---Department of Medicine
Intern Selection Committee--Department of Medicine
Executive Committee---Internal Medicine Associates
Director--Medicine Clinic
Chairman--Building B-C Task Force
Outpatient Committee---Departmental representative (former chairman)
Outpatient Space Allocation Committee
Medical Staff---Hospital Council
" University Senate
Admitting Officer---University Hospitals
Ambulatory Care Reorganization Committee
Search Committee---Hospital Public Relations Director
Rural Physicians Associate Program---Family Practice and Internal Medicine
Consultant for Division of Educational Resources and Programs---Association of American Medical Colleges
Consulting Physician---Minneapolis Veterans Administration Hospital
Invited Speaker---International Symposium on Chemistry and Physiology of BilePigments, National Institutes of Health, Bethesda, Maryland
Invited Lecturer--The Kawasaki Medical School, Kurashiki, Japan
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BIBLIOGRAPHY
Robert Bruce Howe, M.D.
1. Berglund, F., Helander, C-G., and Howe, R.B.: Inorganic sulfate andthiosulfate: transport and competition in renal tubules of the dog. Am. J.Physiol. 198:586, 1960.
2. Howe, R.B., and Pinto, S. de T.: Studies on ether-soluble bilirubin. Univ.Minn. Med. Bull. 37:324, 1966.
3. Howe, R.B., and Pinto, S. de T.: Ether-soluble bilirubin. Medicine 45:523,1966.
4. Howe, R.B.: Ether-soluble bilirubin: a an unusual complex of bilirubin inhuman serum. Ikterus, 79, ed. by K. Beck, F.K. Schattauer Verlag, Stuttgart,New York, 1968.
5. Berlin, N.I., Berk, P.O., and Howe, R.B.: Bilirubin metabolism. Chapt. 12 inDuncan's Diseases of Metabolism, 6th edition, ed. by P. Bondy, W.B. Saunders,Philadelphia, 1969, pp. 636-653.
6. Williams, R.C., Jr., Bailly, R.C., and Howe, R.B.: Studies of "benign" serumM-components. Am. J. Med. Sci. 257:275, 1969.
7. Berk, P.O., Howe, R.B., Bloomer, J.R., and Berlin, N.I.: Studies of bilirubinkinetics in normal adults. J. Clin. Invest. 48:2176, 1969.
8. Howe, R.B., Berk, P.O., Bloomer, J.R., and Berlin, N.I.: Preparation andproperties of specifically labeled radio-chemically stable 3H-bilirubin. J.Lab. Clin. Med. 75:499, 1970.
9. Bloomer, J.R., Berk, P.O., Howe, R.B., Waggoner, J.G., and Berlin, N.I.:Comparison of fecal urobilinogen excretion with bilirubin production innormal volunteers and patients with increased bilirubin production. Clin.Chim. Acta. 29:463, 1970.
10. Berk, P.O., Bloomer, J.R., Howe, R.B., and Berlin, N.I.: Constitutionalhepatic dysfunction (Gilbert's Syndrome): A new definition based on kineticstudies with unconjugated radiobilirubin. Am. J. Med. 49:296, 1970.
11. Berk, P.O., Bloomer, J.R., Howe, R.B., and Berlin, N.I.: The life span of thered cell as determined with labelled bilirubin. Formation and destruction ofblood cells. Ed. by: G.A. Jamieson and T.J. Greenwalt, Lippincott,Philadelphia, 1970, pp. 91-107.
12. Barth, R.F., Grimley, P.M., Berk, P.O., Bloomer, J.R., and Howe, R.B.:Excess lipofuscin accumulation in constitutional hepatic dysfunction(Gilbert's Syndrome): Light and electron microscopic observations. Arch.Path. 91:41, 1971.
...,.,'
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13. Bloomer, J.R., Berk, P.D., Howe, R.B., and Berlin, N.I.: Bilirubin metabolismin congenital nonhemolytic jaundice. Pede Res. 2,:256, 1971.
14. Bloomer, J.R., Berk, P.D., Howe, R.B., and Berlin, N.I.: Interpretation ofplasma bilirubin levels based on studies with radiobilirubin, J.A.M.A. 218:216,1971. -
15. Berk, P.D., Bloomer, J.R., Howe, R.B., and Berlin, N.I.: Bilirubin productionas a measure of red cell life span. J. Lab. Clin. Med. 79:364, 1972.
16. Yawata, Y., Kjellstrand, C., Buselmeier, T., Howe, R., and Jacob, H.:, Hemolysis in dialyzed patients: Tap water-induced red blood cell metabolicdeficiency. Trans. Am. Soc. Artif. Int. Org. 18:301, 1972.
17. Jones, E.A., Shrager, R., Bloomer, J.R., Berk, P.D., Howe, R.B., and Berlin,N.I.: Quantitative studies of the delivery of hepatic-synthesized bilirubin toplasma utilizing -aminolevulinic acid-4 14C and bilirubin-3H in man. J.Clin. Invest. 51:2450, 1972.
18. Jacob, H., Yawata, Y., and Howe, R.: Red cell hexosemonophosphate shuntdeficiency in uremia. Hemoglobin and Red Cell Structure and Function, ed.by George J. Brewer. Plenum Publishing Corporation, New York, 1972,pp.133-143.
19. Yawata, Y., Howe, R., and Jacob, H.: Acquired deficiency ofhexosemonophosphate shunt metabolism in uremic red cells. Erythrocytes,Thrombocytes & Leukocytes, ed. by E. Gerlach, K. Maser, E. Deutsch & W.Wilmans, Geo. Thieme Publishers, Stuttgart, 1973, pp. 191-194.
20. Yawata, Y., Howe, R., and Jacob, H.: Abnormal red cell metabolism causinghemolysis in uremia: A defect potentiated by tap water hemodialysis. Ann.Int. Med. 79:362, 1973.
21. Jacob, H., Yawata, Y., Craddock, P., Hebbel, R., Howe, R., and Silvis, S.:Hyperalimentation hypophosphatemia: Hematologic-neurologic dysfunctiondue to ATP depletion. Trans. Assn. Amer. Phys. 86:143, 1973.
22. Yawata, Y., Craddock, P., Hebbel, R., Howe, R., Silvis, S., and Jacob, H.:Pancytopathic dysfunction in hyperalimentation hypophosphatemia, VIIinternational symposium on structure and function of erythrocytes. ScienceAcademy of the German Democratic Republic, 1973, p. 391.
23. Berk, P.D., Howe, R.B. and Berlin, N.I.: Bilirubin Metabolism, Chapter 13 inDuncan's Diseases of Metabolism, 7th Edition, ed. by P. Bondy and L.Rosenberg, W.B. Saunders, Philadelphia 1974. pp. 825-880.
24. Bloomer, J.R., Berk, P.D., and Howe, R.B.: Hepatic clearance ofunconjugated bilirubin in cholestatic liver diseases. Am. J. Digest. Dis. 19:9,1974.
25. Yawata, Y., Hebbel, R.P., Silvis, S., Howe, R., and Jacob, H.: Blood cellabnormalities complicating the hypophosphatemia of hyperalimentation:Erythrocyte and platelet ATP deficiency associated with hemolytic anemiaand bleeding in hyperalimented dogs. J. Lab. Clin. Med. 84:643, 1974.
-
26. Howe, R.B., Berlin, N.I., and Berk, P.D.: Estimation of bilirubin production inman, Chapter 9 in International Symposium on Chemistry and Physiology ofBile Pigments, DHEW Publication No. (NIH) 77-11 00, 1977, pp. 105-115.
27. Branda, R.F., Ackerman, S.K., Handwerger, B.S., Howe, R.B., and Douglas,S.D.: Lymphocyte studies in familial chronic lymphocytic leukemia. Am. J.of Med. 64:508, 1978.
28. Priluck, I.A., Howe, R.B., Eifrig, D.E., Edson, J.R. and Miller, K.: Retinalsurgery complicated by a spontaneously-acquired Factor VIII inhibitor. Amer.J. Ophthalmol. 86:27, 1978.
29. Howe, R.B., Hadland, C. and Engel, R.: Effect of phototherapy on serumbilirubin levels and red blood cell survival in congenitally jaundiced Gunnrats. J. Lab. Clin. Med. 92:221, 1978.
30. Petryka, 2.J., and Howe, R.B.: Historical and Clinical Aspects of BilePigments, Chapter 12 in The Porphyrins, ed. by D. Dolphin, Vol. VI, AcademicPress, New York, 1979, pp. 805-837.
31. Howe, R.B., Branda, R.F., Douglas, S.D., and Brunning, R.D.: Hereditarydyserythropoiesis, with abnormal membrane folate transport. Blood 54:1080,1979.
32. Howe, R.B.: Tips on diagnosing and treating anemia in the aging. Geriatric34:29, 1979.
33. Berk, P.D., Jones, E.A., Howe, R.B., and Berlin, N.I.: Disorders of BilirubinMetabolism, Chapter 14 in Metabolic Control and Disease. 8th Edition, ed.by P. Bondy and L. Rosenberg, W.B. Saunders, Philadelphia. 1980, pp. 1009-1088.
34. Howe, R.B.: Staging laparotomy in the management of lymphoma. In:Hepatic, Biliary, and Pancreatic Surgery. ed. by J.S. Najarian and J.P.Delaney, Year Book Med. Pub., Chicago. 1980, pp. 211-225.
35. Howe, R.B.: Claves para el diagnostico y tratamiento de la anemia en lasenectud. Medicina Geriatrica 1:2, 1981.
36. Howe, R.B., Bloomfield, C.D., and McKenna, R.: Hypocellular acuteleukemia in adults. Am. J. Med. 72:391, 1982.
37. Rushing, D., Goldman, A. Gibbs, G., Howe, R., and Kennedy, B.J.:Hydroxyurea versus busulfan in the treatment of chronic myelogenousleukemia. Am. J. Oncol. 5:307, 1982.
38. Howe, R.B., Kay, N. and Douglas,S.: Effect of therapy on T-cellsubpopulations in patients with chronic lymphocytic leukemia 6:345-348, 1982.
39. Yunis, J.J., Oken, M., Kaplan, M.E., Ensrud, K.M., Howe, R.B., andTheologides, A. Distinctive Chromosomal Abnormalities in HistologicSubtypes of Non-Hodgkins Lymphoma. N. Engl. J. Med. 307, 1231-1236, 1982.
-
. .•
40. Howe, R.B. Anemia in the elderly; common causes and suggested diagnosticapproach. Postgrad. Med. 73, 153-160, 1983.
41. Miller, W.J., Branda, R.F., Flynn, P.J., Howe, R.B., Ramsay, N.K.C., Condie,R.M., and Jacob, H.S.: Antithymocyte globulin treatment of severe aplasticanemia. (Submitted).
,,'. ;~
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, I~ I UNIVERSITYOFMINNESOTA\.;III TWIN CITIESJune 9, 1983
University Hospitals and Clinics420 Delaware Street S.E.Minneapolis, Minnesota 55455
TO: University Hospitals Board of Governors
FROM: C. Edward Schwartz, Hospital Oirector??'~~SUBJECT: End-Stage Renal Disease Program
The regulations pertaining to the End-Stage Renal Disease programrequire that the Hospitals' governing body annually review and approvethe policies, procedures and organizational structure which apply tothe services provided under this program. Such review and approvalis slated for June 1983.
Attached, for your consideration, are:
• New policies which have been developed since the last Boardof Governors review.
• An index of existing policies and procedures.
• A revised organizational chart which relates to the servicesprovided under the End-Stage Renal Disease program.
These items have been considered by the Medical Staff-Hospital Counciland the Joint Conference Committee and are thereby submitted foryour approval.
/kj
attachments
HEALTH SCIENCES
-
RENAL DIALYSIS UNIT POLICIES
I ND E X
Documentation of Approval of Board of GovernorsGuidlines for Renal Unit Policies - Organizational ChartNetwork No. 7 Membership AgreementMedicare CertificationAffiliation Agreement with Methodist HospitalMedical Director PoliciesRole of Residents and FellowsPolicy for Shunt ServiceInteraction of Transplantation and Renal ServicesPhysician Signature PolicyPurpose, Philosophy, ObjectiveGeneral PoliciesPersonnel PoliciesOvertime PolicyChronic Maintenance DialysisAcute DialysisAdmission PolicyDischarge PolicyMedical Records PolicyStanding Orders PolicyPatient Rights and ResponsibilitiesAssessment of Quality CareCommunications and Staff Development PolicyCommunication PolicySpecifications for Performing ProceduresInsertion of Fistual Needles by Kidney Dialysis TechniciansCharting by Kidney Dialysis TechniciansMedication Administration PoliciesCompressed Air PolicyPolicy on Drugs and Equipment for Emergency ProceduresNotifying Physician of Patient Problems and EmergenciesChecking Emergency CartHandling of EmergenciesPreventative Maintenance of Kidney Dialysis EquipmentFunctional Failure of Reverse Osmosis MachineElectrical Safety PolicyFire PolicyCoordination with Internal and External Disaster PlansInfection Control and Cleaning PolicyVentilation Requirements for Isolation ProcedureTraffic ControlHerpes Simplex PrecautionsPregnant Personnel PolicyHandling and Disposal of Wastes and ContaminantsPolicy for the Maintenance of Quality WaterStorage of Food and BiologicalsHepatitis Surveillance and ManagementEmployment Related HepatitisNeedle Stick/Injury PolicyMasks in DialysisPolicy for HandwashingWearing of Sterile or Protective GlovesDress Code for Dialysis
Allocation of Dialysis Social Worker
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POLICY NUMBER;
0" . . .••,.....I..~
POLICY AND PROCEDURES MANUAL SECTION:,()..... 'NIVERSITY OF MINNESOTA HOSPITALS AND CLINICS
VOL.:Department of Nursing Services
EFFECTIVE: 5/5/83
1m SUBJECT: R~VISION. ~_~.:.:.;NU:::.:..R::::.S:.:.IN:.::.G--:C~A;.:.:RE;....:..,,:PL:.:.:A~N_-...lD~I..u.AIII..lY...¥.s;&.aJ' S'-w.LlUNlooIoll"T".p__!;; : ·f .......SOURCE: REVIEWED:PAT JACOBBERGER, HEAD NURSE
GUIDELINES FOR COMPLETION AND UPDATINGOF THE NURSING CARE PLAN TOOLS
A. General Points
1. All entries to the Care Plan must be made in black ink exceptfor the allergies section where entries are to be made inred ink.
2. All entries must be dated as to month/day/year,3. All records are permanent. Do not erase or cross out any entry.
When data changes tt is to be colored over with a Hi-Liter Marker.4. Primary Nurses are responsible for Monthly Care Plan review,
updating and SOAP Charting.5. Primary Nurses are responsible for shartnq the Care Plan with
the pati-ent and/or family as well as for seeking fnput fromthe patient and/or fami1y in generating the Care Plan.
B. Nursing Care Plan Tool
,. Demographic Information
- Note the name of the Primary Nurse and the date this Care Planwas started.
- Note the date of the patient's first hemodialysis treatmentat the University of Minnesota. If he started dialysis in anotherinstitution, indicate the date of his first treatment at thatinstitution.
- Addresses and telephone numbers, both local and out-of-townmust be noted.- The name, address and telephone number of who to notify in
emergencies ;s to be provided.- Note the patientJs religion, birth date, current and previous
occ~atton.
~A~P.:.PR~O~V~E:::D:,;,.:.!f.~U~~/!,~:::
-
f •...•.
GUIDELINES FOR COMPLETION AND UPDATINGNursing Care Plan Tool
Page 2
- Provide the name and telephone number of the referriig dialysisunit and/or referring physician.
2. Adjustment Information- Interview the patient to obtain answers to the questions in
this section regarding scheduling, transportation, etc.
3. Allergies- Entries in this section are to be made in red ink.- Note the generic and brand name of the drug or substance that
the patient is allergic to.4. Patient's Rights
- Each patient is to receive a University of Minnesota Patient'sRights Booklet.- The patient must read the booklet (or the nurse must read it
to him). Comprehension should be evaluated and questionsanswered or referred.
- The patient or guardian must sign on the line provided atthe bottom of that page to indicate that he received the information.
5. Medical History- Note whether or not the patient is a diabetic.- Complete this section by patient interview and chart review.
6. Surgtcal History- Note the dates of and describe all surgical procedures and
pregnancies. May only be able to date by year.- As new surgical procedures are performed, they are to be noted here.
7. Pattent Teaching- All patients (families of children) are to receive teaching,
without exception in the following:Access Care and EmergenciesDiet and Fluid IntakeMedicationsWhat lab Values Mean
- These and other topics of patient teaching are to be dated.- Review dates are to be indicated.
~ ...
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;, .,... .•.
GUIDELINES FOR COMPLETION AND UPDATINGNursing Care Plan Tool
Page 3
8. Dialysis Information ,- Indicate the type of access, needle size, dialysis schedule,
dialyzer, bath, water, heparinization, priming solution, andblood lines used for dialysis.- Note the patient's dry weight and diet prescription.- Note if the patient is awaiting transplant and if so, whether
it is LRD or Cadaver.- Note the patient's hepatitis antigen and antibody status:
If the patient was given Heptavax vaccine, note the three dose dates.9. Access History
- Note the date of and describe all access procedures includingsubclavian and femoral catheterizations.
10. Nursing Care Plan- Based on your interview and chart review, first formulate a
,~ problem list for the patient.- Using the patient problem list, complete the patient Care Plan
for each problem.- Indicate the date of the problem's documentation, the short
term and long term goals, plan of care and intervention and theactual outcome.- Indicate the date of review and the date of care conference review.- As problems resolve they are to be colored over with a Hi-Liter Marker.
c. Patient Problem List1. Each problem should have a number.2. Title each problem descriptively.3. Indicate the date of onset, the date the problem was
the date the problem inactivated (was resolved).4. When a problem resolves, color over the entry with a
recorded and
Hi-Liter Marker.
-
D. Dialysis Patient Medication Record
1. This is a cumulative record. When a drug is discont1nYed.color over it with a Hi-Liter Marker.
2. The start and stop dates must be indicated as well as the name.dose. route and frequency of the medication.
3. Each patient's medication record should be reviewed by the nurse,with the patient. monthly.
4. Indicate the date of review and initial.
GUIDELINES FOR COMPLETION AND UPDATING Page 4
E. Nursing Notes
1. Charting of patient progress will be done in the form of a SOAPNote on the Health Professional Progress Notes.
2. The Monthly Care Plan Review Note should be titled as suchwith a SOAP Note made on each problem.
3. Interim notes should be titled as such and a SOAP Note writtenwhere a new problem is added, a change occurs in the patient'sstatus (i.e., arrests, serious complications, transplant received),or if the patient transfers out.
4. All Notes must be dated, written in black ink and signed by thePrimary Nurse.
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. _0 ~u," nu.:>t'.l JAL~
. ". DIALYSIS PATIENT DATA BASEAND
NURSING CARE PLAN TOOL
( All Entries Are To Be Made In Black Ink Name Plate
! •
-4 ~imary Nurse. -:Date Care Plan Started,...... _Date of First Dialysis at U. of M. ---:Elsewhere ....o.- _
• Home Address --t1HOME
~ • -:PHONE--.....l(""---.J-) _-i Local Address -tLOCAL~ PHONE~('____") _-
occupation ' ....;Previous Occupation __
Add ress Phone-! ) _
Rel igion ...;Birth Date _
= Who To Notify In Emergencies _:z:::l..:z:t:!',f..,;)
Referring Dialysis Unit ~Phone__~(__~) _
Referring Physician Phone__(~_~) _
do you regard as your support system? _
ho depends on you? _
hat are your transportation problems? __
hat days/times are best for your dialysis? _
o you have any financial concerns? ___
o you have help at home? -.;Who? _
o you expect to return to your job? __
hat ;s your activity level? ~What is your endurance level? _
o you require help in your home? __
ave you any special interests or hobbies? ___
hat else do you want us to know about you? _
~LLERGIES (in red)
~Patient Given Patient's Rights Booklet On, _
I have been given the U. of M. Patient's Rights Bookletand have had any questions about its contents explained.
Patient Signature or Guardian
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3.. •Date SUBJECT Review Date Review Date Review Date Review Date.,
Access Care &EmergenciesDiet and Fluid Intake
( ~ MedicationWhat Lab Values Mean . -..
C)
E::I:Ue:(LiJt-
t-ZLiJ-t-e:(c-
Access--------------- NOTE DATE &DESCRIBE ALL ACCESS PROCEDURES
Yes NO LRD CAD___Positive NegativePositive Negative
zo-iEXo\..I-z:-
Needle Size-------------Dialysis Schedule __Dialyzer _
Bath: K+ Na+ Ca++--_-.: ---- ----Gl uc o Phos 0 _
Bicarb Other---- ---------Water: RIO Distilled Other-------Heparinization _
Priming Solution _
Blood Lines _
Dry Weight _
Diet~ _
Awaiting Transplant?epatitis Antibody
Hepatitis Antigen
Received Heptavax on----------
>-a::ot-en-:%:enenI.l.JuUe:(
Date Procedure
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:-"
POLICY AND PROCEDURES MANUALUNIVERSITY OF MINNESOTA HOSPITALS AND CLINICS
~ Departaent of Nursing Services
EFFECTIVE: 5/5/83
".
VOL.: POlICY NUMBER:
REVISION:
REVIEWED:
SECTION:
SUBJECT:PRIMARY NURSING - DIALYSIS UNIT
S()URCE'PAT JACOBBERGER, HEAD NURSE:tmPRIMARY NURSING POLICIES AND PROCEDURES
UNIVERSITY OF MINNESOTA HOSPITALS DIALYSIS UNIT
Dialysis patients pose a special problem in the maintenance ofcontinuity of health care because of their multiple-system complicationsand because of their repeated visits. Since assignments vary fromday to day between nurses, it becomes especially difficult toassure a consistent approach to problem identification and solution.Therefore, it seems reasonable to institute a plan of Pri~ry Nursingin order to facilitate and ~intain continuity of health care for ourdialysis patient population.
The goals of the Pri~ry Nursing System of Assignment include:1. To establish and implement with input from the patient,
a plan of care that meets his/her physical and psycho-logical needs.
2. To establish and maintain a working rapport with the patientin order to accurately assess his/her physical anc psycho-logical status.
3. To establish and ~intain channels of nurse/patientcOrrtTluni ca tion.
4. To become aware of and communicate specific patient needsto the appropriate service of the health care team,e.g., physician, nursing staff (both Unit and hospital-wide),dietitian and Social Services.
S. To develop and implement a patient education program specificto the patient.
6. To assist the patient in the establishment and attainmentof realistic goals.
7. To promote active participation in health care by the patient. ....' ...
. ...
~A~P~P~RO::::.V~E~D~:..!-l!Lt!f,,4~L!!:~#A~/~r~...~,.~-~.!!:::!.~~-----......JTITlE: HEAD NU~E _ DIAL1SIS·UNIT DATE: 5/5/83
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..• "'=
PRIMARY NURSING POLICIES AND PROCEDURES Page 2
Assignment of primary patients will be carried out in thefollowing manner:
1. Each chronic dialysis patient (i.e., those patients whoI
~peatedly receive their dialysis treatments at the .University of Minnesota Hospital) will have one primary nurse.
2. Dialysis patients who are here for transplantation work-up,transplantation, and/or surgery prepatory to transplantation,will have a primary nurse assigned if they are here fordialysis longer than two weeks from the date of their firstdialysis for that current admission. Upon readmission afterdischarge, the patient will be assigned to their previousprimary nurse.
3. New patients who are identified as chronic dialysis patientsthat will receive their dialysis on a repeated basis hereat the University of Minnesota, will be assigned a primary nursewithin two weeks of their initial dialysis.
4. Patients being treated for acute renal failure (i.e., reversablefailure) will not be assigned a primary nurse by thisDialysis Unit.
5. Registered Nurses working 75% or better, will be assignedup to five patients for the purposes of Primary Nursingwith the exception of the Head Nurse, Assistant Head Nurse,Permanent Relief Charge Nurse and Station Instructor{s).In the latter cases, each will be assigned one patient.
6. Registered Nurses working 50% to 74% will be assignedup to three patients and Registered Nurses working10% to 49% will be assigned only one patient for thepurposes of Primary Nursing.
7. New R.N.'s to the Unit will receive their primary patientassignment three months after the nurse's start date.
8. Primary Nurses may barter with each other for patient assignmentsevery January and June. If conflicts which seem unresolvableoccur, the Primary Nurse may request a change of patient aftera conference with the Assistant Head Nurse.
9. Patients of Primary Nurses who terminate employment orare on an LOA of more than two months, will be reassignedto other nurses.
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PRIMARY NURSING POLICIES AND PROCEDURES Page 3
The nesponsibilities of each Primary Nurse include:1. To develop, meintain and communicate to the patient and the
health care team a written on-going dialysis care planwithin'two weeks of assignment.
2. To revise and update the written care plan on a monthly basisor more frequently if there is a major change in the patient'sstatus (e.g., hospitalization, surgery, etc.).
3. To plan and lead patient care conferences with the inter-disciplinary health team members and patient and family,if available, and to communicate verbally and in writing theoutcome of those care conferences on a bi-yearly basis.
4. To develop, maintain and communicate to other health teammembers a patient problem list.
5. To develop and maintain a cumulative medication list.6. To monthly document the patients' status, problem resolution
and progress on the patient care plan.7. To monthly document the patients' status in the progress notes
in the outpatient chart, using the problems list and theSOAP charting method.
8. To complete the Patient Transfer Protocol when a primarypatient is transfered to or visiting another Unit.
9. To update or make certain the dialysis orders for a primarypatient are updated when a change in d.ialysis orders is made.
10. To request specific primary patient assignment for dialysiswhen the need arises.
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IPRIMARY NURSING POLICIES AND PROCEDURES Page 4
.i
Auditing of compliance with Primary Nursing Policy and Procedure..
will occur along the following guidelines:1. The Assistant Head Nurse will audit each patient's chart
the first week of every month for the previous month'scharting.
2. If components are incomplete or missing, the Primary Nursewill be informed and expected to complete the chart withinseven days. Incomplete charts will be reaudited for complianceseven days after informing the Primary Nurse.
3. Failure to complete the chart after two requests or failureto complete a chart or charts three months in a row willresult in a disciplinary conference.
4. Assignment of primary patients will be done by the! Assistant Head Nurse. All changes during the month of~ January or June will be made with the approval of the
Assistant Head Nurse.5. Care Conferences will be scheduled and noticed to the Primary
Nurse and staff by the Assistant Head Nurse.
~ ...
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VOL.: POLICY NUMBER:
REVIEWED:
SECTION:
SOURCE:·"Pat Jacobberger, R.N. Head Nursl
EFFECTIVE: June 8. 1983r------------------,.REVISION:
POLICY AND PROCEDURES MANUALUNIVERSITY OF MINNESOTA HOSPITALS AND CLINICS
l5i1 SUBJECT: Food Trays from Hepatitis Posi-I+~" ... n';"'\1"~" D,.+': __ 4-~f~ Department of Nursing Services
FOOD TRAYS FROM HEPATITIS POSITIVE DJ~LYSIS PATIENTS
Removal of food trays from the rooms of Hepatitis PositiveDialysis Patients will follow the guidelines establishedin the following Memo dated 11/09/81.
,
>,.
~A-P-PR...:O;;...V-F._D-:-..h&.::;~~2.;t.::;"';;.;;;:' ':...::~:.....;IA._...I"....,:,t,,~i:It-:..:.:;;-e.Jc:;...;.;:;;~ --i DATE:TITLE: Head (~se - Oia4ysis Unit June 10, 1983
-
POLICY AND PROCEDURES MANUAL SECTION:UNIVERSITY OF MINNESOTA HOSPITALS AND CLINICS
f~
l5TIDepartment of Nursing Services
SUBJECT: HEPATITIS B CONTROL IN DIALYSIS
SOURCE:PAT JACOBBERGER, HEAD NURSE
VOL.: POLICY NUMBER:
EFFECTIVE: May 20,· 1982
REVISION: June 8, 1983
REVIEWED:
REPATITIS B CONTROL IN DIALYSIS
The Dialysis Unit will follow the Hospital Policy and Procedures Manual,Procedure Number 33~6, with regard to Hepatitis B surveillance with thefollowing additions:
~ New patients on dialysis (~hronic or acute) will be screened forHepatitis B (HBsAg and antt~HBs) at their first dialysis and thenonce per month during their period of treatment in this facility~
~ Patients who have dialyzed elsewhere will present their Hepatitis BStatus when possible, prior to their first dialysis in this facility.If the patient has not been screened for Hepatitis B within thepast month, blood will be obtained for screening at the firsttreatment here and then once per month during their period oftreatment in this facility.
~ All patients who permanently dialyze in this facility will beoffered Heptavax~B vaccine. Patients who are vaccinated will bescreened for HBsAg and anti~HBs every month during the innoculationperiod and then every six months thereafter.
- Patients who refuse vaccination with Heptavax-B will be screenedevery month.
}! ...
~A~P~PR~O~V~F~D~:Lf.~~ft.L,~,.~'-~j.~~'.Lt;._-::"~e:::. ---1 DATE:TITLE: Head6(urse ~ Dialysis Unit
June 10, 1983
-
POLICY AND PROCEDURES MANUAL SECTION:UNIVERSITY OF MINNESOTA HOSPITALS AND CLINICS
SUBJECT: HEMOD IAL YS IS UN IT DRESS CODE REVISION: June 6 ~ 1983
SOURCE: PAT JACOBBERGER, R.N. Head Nurse REVIEWED:
EFFECTIVE: 2/14/83f"l5i1
Department of Nursing ServicesVOL.: POLICY NUMBER:
HEMODIALYSIS UNIT DRESS CODE
Employees will follow the estab1 ished Hospital Dress Codein the Department of Nursing Services Policy and Procedures Manualwith the following additions:
1. Booties will be worn over shoes when cari'ng forHBsAg positive pati~nts.
2, Isolation gowns will be worn, tied over uniformswhen caring for patients and di~carded when leavingthe Unit.
3, Technicians are expected to follow the same guidelines.
.:-.t-.--
~A~P~PR~O~V~F~.::D:.J:A~~-f:;l.:l.~~1.~",n~,~~...J./!.J~ ~ DATE:TITLE: H~ Nurse -' Di a1ys i s Unit June 10, 1983
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POLICY AND PROCEDURES MANUAL SECTION:UNIVERSITY OF MINNESOTA HOSPITALS AND CLINICS
June 6~ 1983
POLICY NUMBER:VOL.:
EFFECTIVE:
Department of Nursing Servicesf~
l5i1 SUBJECT: Hepatitis Screening and Yaccin- REVISION:I-~at.!::.l~·o~n~~fo::!.!r~D..!.!i a~l!.J!v~s..!.is:...:.S~ta.!..ff:""- --I '----.....------------1SOURCE: Pat Jacobberger, R.N. and REVIEWED:N::Inrv V::In .... 0 '"
HEPATITIS SCREENING AND VACCINATION FOR DIALYSIS STAFF
1. At the time of hire, new employees will be screened for HBsAg andAnti-HBs.
--if new employees are Anti-HBs negative they will beoffered Heptavax-B.
--if new employees are Anti-HBs positive, they are protectedand do not require Heptavax-B.
--if new employees are positive for HBsAg, they will not beallowed to work in the Dialysis Uni't.
--if new employees do not wtsh to take advantage of Heptavax-Band are Anth·HBs negative, they will be screened every twomonths thereafter.
2. personnel who have received Heptavax-B will be screened 6 monthsafter their last tnocculation to determine the presence of the expectedAnti-HBs.
--Personnel who have completed two of the vaccination series willbe screened to determi ne the presence of Ant i-HBs.,
3. Currently employed personnel who are Anti-HBs negative because they eitherrefused vaccination wi'th Heptavax-B or did not develop Anti-HBsfollowing vaccination will be screened for HBsAg and Anti -HBs everytwo months.
4, Employees will include nurses, technicians, housekeeping personnel,nurses aides and secretaries.
~A~P:!:P~RO:::V~F~D~:LAU~~A',,~.i~-I.~-'I~L~,(A)~~ ~ DATE:TITLE: Head6furse - Dialysis Unit June 10, 1983
-
POLICY AND PROCEDURES MANUAL SECTION:UNIVERSITY OF MINNESOTA HOSPITALS AND CLINICS
Department of Nursing ServicesVOL.: POLICY NUMBER:
EFFECTIVE: June 8, 1983
l5TI SUBJECT: Training and Assimilation of REVISION:k-~~-=-.1lNlelII.OL...JCI;.mj:"'''''W.'i~""~~'~jl.,\i''''~-------11----~-----------1SOURCE: REVIEWED:Pat Jacobberger, Head Nurse
TRAINING AND ASSIMILATION OF NEW EMPLOYEES
REGISTERED NURSES
Orientation for the new employee {R.N. trainee} will be approximately2-3 months. During this time the trainee will learn to operate dialysisand dialysis related equipment, nursing care of the chronic adult andpediatric dialysis patient and nursing care of the acutely ill adult andpediatric dialysis patient.
After an appropriate period of classroom learning, the new employee'sclinical experience will start with the dialysis of chronic stable adultpatients. Gradually, as dictated by the new employee's progress, care ofthe more acutely ill adult and pediatric patient will be fntroduced. TheStation Instructors will evaluate the new emp10yee"s progress on anongoing basis. The new nursing employee will proceed at a pace consistentwith her/his fncreasing expertise.
During the orientation process, the Station Instructors will communicatewith the Leadership Group on the new emp10yee~s progress.
When orientation is complete, the new R.N. staff member will beassigned a normal rotation of hours (a.m./p.m. and weekends).
Independent Assignment will be made based on the individual ~s levelof expertness and ability by the Head Nurse, Assistant Head Nurse orCharge Nurse. Gradually, assignments will be increased to include ahigher level of acui'ty and a more vari'ed cross ..secti'On of patients.
When the new employee has worked in the Dfa1ysis Unit for six monthsthe Head Nurse and/or Assistant Head Nurse will meet with the StationInstructors to determfne if the new employee is clinically ready to be placedon the call rotation. New employees will not be teamed with new employeeson ca11.
TECHNICIANS
Orientation for the technician trainee will be approximately 2-3 months.During this time the trainee will learn to operate, prepare and maintaindialysis and dialysis related equipment.
After an appropriate period of classroom learning, clinical experience willstart with the set-up of equipment for chronic stable adult patients, under theguidance of a trained technician. Gradually, as dictated by the trainee'sprogress, set-up of equipment for more acutely ill adult and pedfatric patients
~ will be introduced. The trafnee~s progress will be evaluated on an ongoing ~.•~ basis and the trainee will proceed at a pace consistent with his/her increasing
expertise., ~ \
a.:.A.::..,P:...:.PR,:,:O:...:,V.:..:FD:";':..:.!:J/w-::::::::';4-/t.::.j.~::.:..;:.::.u.::;:::?'/";;.:,~~;..:.MJ;.;;.::·:..---------1 DATE:TITLE: He~ 'Nurse - Dialysis Unit June 10, 1983
-
SECTION.
VOL: IPOLICY NUMBER'SUBJECT: T .• d A •.raln1ng an sSlmllatic n
of New Emnlovpes
TECHNICIANS (continued)
When orientation is complete, the new technician staff member will beassigned a normal rotati'on of hours (a.m.'s, p.m.'s and weekends).
Independent assignment will be made based on the individual's levelof expertness and ability by the Head Nurse, Assistant Head Nurse orCharge Nurse, with input from the Chief Technicians. Gradually, assignmentswill be increased to include more stations and more difficult set-upsand break reliefs.
When the new employee has worked in the Dialysis Unit for six months,the Head Nurse and/or Assistant Head Nurse will meet with the ChiefTechnician to determine if the new employee is clinically ready to beplaced on the call rotation. New employees will not be teamed withnew employees on call.
In the training of new employees, experienced Station Instructorsand Dialysis Technicians will be utilized and all clinical experienceswill be closely observed and supervised until the trainee exhibitscompetency.
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J' "I
University of Minnesota Hospitals and Clinics
Chart of OrganizationEnd-Stage Renal Disease Progra.
Renal Transplant Service and Dialysis Unit
Board of Governors,
Network Coordinating Council Members ~eneral Director/CEODr. ThOmas f. Ferris :Mr. C. Edward SchwartzMr. R. Edward HowellMs. Patricia Jacobberger
r
Medical Review Board MembersDr. Thomas F. FerrisMs. Patricia Jacobberge~
1Chief of Staff and ChairmanMedical Staff Hospital Councilor. Paul G. Quie
~,Hedicil Director~Unit
• s F. ferrisMedical DirectorRenal Transplant ServiceDr. John Najarian
AlternateMs. Barbara Tebbitt
Sr. Associate Director andDirector of Nursing Services
. ~~Renal Transplant ServiceAs~t. Director, NursingMs. Susln Plppas-Vlrco
IAttending StiffHousestlff
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Attending StaffHousestaffTrlnspllnt Coordinator
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Head NurseNursing Stiff
Head Nurse
Nursing StaffOill1sts Techntctlns
Q
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l5il UNIVERSITY OF MINNESOTATWIN CITIES University Hospitals and Clinics420 Delaware Street S.E.Minneapolis. Minnesota 55455
June 9, 1983
TO: Board of Governors
FROM: C. Edward Schwartz ~-~~.s;;d~
SUBJECT: Personnel/Purchasing Implementation
At its May meeting the Board of Governors reviewed plans approved byVice Presidents Vanselow, Bohen, and Hasselmo relative to Personneland Purchasing implementation. The Board tabled action on the matterwishing more time to review the subject.
We noted at the May meeting that abbreviated versions of these planswere being developed as background material f