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member of the medical staff of the critical access hospital, even though the physician might not be present in the facility, if

(A) a physician who is member of the medical staff of the critical access hospital is notified whenever a patient is admitted to the hospital by a mid-level practitioner;

(B) a physician is available through direct radio or telephone communication for consultation, assistance with medical emergencies, or patient referral;

(C) except in extraordinary circumstances, a physician is present in the facility for sufficient periods of time, at least once every two week period, to provide appropriate medical direction, medical care services, consultation, and supervision; however, a site visit by a physician is not required if no patients have been treated since the latest site visit by a physician; and

(D) any extraordinary circumstances that prevent a site visit by a physician when required under (C) of this paragraph are documented in the records of the hospital;

(3) the mid-level practitioners participate

(A) in the development, execution, and periodic review of the written policies governing the services provided by the hospital; and

(B) in a periodic review of the health records of patients with a physician; and

(4) the mid-level practitioners perform the following functions when the functions are not performed by a physician:

(A) provide services in accordance with the hospital’s policies;

(B) arrange for, or refer patients to, needed services that cannot be furnished at the hospital;

(C) assure that adequate patient health records are maintained and transferred as required if patients are referred or services are arranged under (B) of this paragraph. (Eff. 11/19/83, Register 88; am 5/4/97, Register 142; am 9/1/2000, Register 155; am 6/23/2006, Register 178; am 12/3/2006, Register 180; am 9/30/2007, Register 183; am 5/14/2021, Register 238) Statutory Authority: Authority: AS 47.32.010 AS 47.32.020 AS 47.32.030