Jeffrey S. Fine wrote:
> Dear Emory,
> At least Dr. Goldfrank believes that an on-site attending supervising
> resident fits the bill. An attending at home who later signs off on the
> procedure does not. We don't believe this means that the on-site
> attending needs to be at the bedside of every patient at the moment of
> every procedure.
This sounds like it makes sense, but we are talking the feds here. The language
indicates a need to be present (read, at the bedside or "elbow" of the resident)
for the "key" portion of the procedure. It seems we will need to refine what is
meant by this key portion. For example, would it be sufficient to be at the
bedside at the time when the spinal needle was placed at the right location for a
lumbar puncture? can we place the "key suture" and leave the remainder of the
wound closure to the resident?
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