Ala. Admin. Code r. 420-4-3-.05

Current through Register Vol. 42, No. 12, September 30, 2024

Section 420-4-3-.05 - Internal Department Review

The internal Department review will confirm the diagnosis and determine if invasive procedures are being performed.

(a) If the IHCW is determined NOT to perform invasive procedures, a letter will be sent to him or her stating the following information:

(1) No review panel shall be established.

(2) No restrictions shall be placed on his or her practice.

(3) All information obtained in the investigation shall be confidential as provided for in Section 10 of the IHCWMA.

(4) Should his or her job duties change at any time requiring invasive procedures to be performed, he or she shall by law (Sections 3 and 13 of the IHCWMA) notify the SHO prior to performing or assisting in the performance of an invasive procedure.

(5) Upon notification by the HCW of job duty changes, a new internal review will be conducted and actions taken according to new findings. The IHCW shall agree to cooperate with any investigation authorized in Section 4 of the IHCWMA and any necessary practice modification.

(b) If the IHCW IS determined to perform invasive procedures, the SHO shall cause an expert review panel to be formed. The SHO shall, as the situation requires, issue orders temporarily limiting the IHCW's practice as to performing invasive procedures since such could constitute a direct threat to the patients he (or she) is serving. The IHCW shall comply with such orders.

Author: Charlotte E. Crysel, Director, Division of Infection Control, Alabama Department of Public Health

Ala. Admin. Code r. 420-4-3-.05

New Rule: Filed: November 18, 1994; effective December 23, 1994.

Statutory Authority:Code of Ala. 1975, Sections 22-2-2(6), 22-11A-2, 22-11A-7, 22-11A-13, 22-11A-14(g), 22-11A-70.