- a) Surgical privileges shall be delineated for each member of the medical staff (i.e., a Doctor of Medicine, M.D.; Doctor of Osteopathy, D.O.; Doctor of Podiatric Medicine, D.P.M.; or Doctor of Dental Surgery, D.D.S.) who has been granted surgical privileges in accordance with the competence of each such member of the medical staff. A file specifying the surgical privileges of each of these members shall be available in the operating room and in the files of the Hospital's medical staff credentialing and administration Department.
- b) Policies and procedures shall identify which surgical procedures necessitate a second hospital-credentialed physician to assist in the surgical procedure.
(Source: Amended at 49 Ill. Reg. 14395, effective October 27, 2025)