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Credential & Previlage Clinical Assistant

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Aniruddha Koparkar
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110 views2 pages

Credential & Previlage Clinical Assistant

Uploaded by

Aniruddha Koparkar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Clinical Privilege For Clinical Assistant

Name: Date:

Applicant: In the first columns below, place a check in the appropriate box for each privilege
listed below.
A yes or no response must be entered for every item.
Chairperson: Place your initials in the appropriate column. An entry must be made for every item.

CLINICAL CORE PRIVILEGES Granted with


Yes No Grant Supervision Denied
ed

  Receives, screens, interviews, and registers patients or clinical research


subjects; takes and records vital signs, as appropriate to clinic
operations; may assist with routine medical procedures, as appropriate
to training and/or certification.
  Answers telephone inquiries from patients and others; screens calls to
determine nature and urgency of inquiry, refers calls as appropriate,
and/or schedules appointments with practitioners; instructs patients as
needed regarding administrative and/or logistical procedures.
  Arranges for prescribed laboratory tests, specialist referrals, and/or
diagnostic procedures; orders, and may transport, drugs and/or other
prescribed patient care aids as directed; performs or assists in the
performance of basic clinical and/or laboratory procedures, as
appropriate to the activities of the unit.
  Obtains patient histories, and insurance approvals as
appropriate; prepares and updates medical charts and associated
records, and enters patient data into files and automated
databases.
  Collects, verifies, records, and maintains data on clinical activity and/or
research; prepares associated reports as required.
  Assists in maintaining the cleanliness and serviceability of unit facilities
and equipment; arranges for maintenance and repair as needed.
  May supervise student employees, volunteers and/or interns; may lead
lower-graded staff.
  Provides day-to-day staff support for the unit, to include preparing
documents and reports, providing office services, scheduling and
facilitating meetings and travel arrangements, and/or providing
dictation or transcription services.
I hereby certify that I am sound by physical & mental health

__________________________________ ____________
_______________
Signature of Applicant Regn. Number Code Number Date

Do not write below this line

RECOMMENDED BY:

______________________________________
MEDICAL SUPERINTENDENT

DATE:______________________

APPROVED BY:

___________________________________________________
Chairman, Credentialing & Privileging Committee

DATE:______________________

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