UNIVERSITY OF MINNESOTA HOSPITALS AND CLINICS ......Thomas F. Ferris Ivan D. Frantz, Jr. Benjamin Fuller, Jr. Joyce L. Funk Stephen J. Gilberstadt Richard F. Gillum Frederick C. Goetz

UNIVERSITY OF MINNESOTA HOSPITALS AND CLINICSBOARD OF GOVERNORS

June 15, 19831:30 P.M.

555 Diehl HallUniversity of Minnesota Campus

Agenda

I. Minutes - May 18, 1983

II. Chairman's Report

Mr. David Cost, Board Chairman

III. Committee Reports

A. l.0..!.n!. ..£o!!.fer~n.£.e_CQ~i!.t~e

1. Credentials Committee Recommendations- Dr. Paul Quie

2. Committee Chairmen Appointments- Dr. Paul Quie

3. Chiefs of Clinical Services Appointment- C. Edward Schwartz

4. Vice Chief of Staff Appointment- Dr. Paul Quie

5. End Stage Renal Disease Policies Update- C. Edward Schwartz

B• !i!!.a!!.c~..£~t!.e~

1. Prospective Reimbursement Overview- Greg Hart, A1 Dees

IV. Personnel/Purchasing Implementation

C. Edward Schwartz

V. Bylaws Review

C. Edward Schwartz

•VI. Hospital Director's Report

C. Edward Schwartz, Hospital Director

(Approval)

(Information)

(Approval)

(Approval)

(Approval)

(Approval)

(Approval)

(Information)

(Discussion)

(Approval)

(Approval)

(Information)

UNIVERSITY OF MINNESOTAT~VIN CITIES

University Hospitals and Cbrtios420 Delaware Street S.E.Minneapolis, Minnesota 55455-:

June 1, 1983

TO:

FROM:

SUBJECT:

Medical Staff-Hospital Council 7~ rJoint Conference Committee fr!,~~~Henry Buchwald, M.D. ~~'Chairman, Credentials Committee r

Credentials Committee Report and Recommendations - 1983/1984

The Credentials Committee having reviewed .recommendations for reappointmentto the Medical/Dental Staff from the clinical chief of each service, includingdocumentation of the required malpractice insurance documentation, herebyrecommend all those included in the Credentials Committee report (pages 1-24), for reappointment to the Medical/Dental Staff for 1983/1984. TheCredentials Committee is recommending the reappointment of severalphysicians who have not submitted the required malpractice information.The names of these physicians can be found on pages 2, 15, 16 and18 of the attached report. Their reappointments are recommended pendingthe submission of the Malpractice Insurance Information Forms by August 30, 1983.

Also included are the Credentials Committee's recommendations for RegularMedical/Dental Staff appofntments (pages 25-26); change in staff category,joint staff appointments (page 27); addition or deletion of clinicalprivileges (page 28); Provisional Medical/Dental Staff appointments andrequests for clinical privileges ·:page 29); termination of medical staffappointments (page 30); and resignations from the Medical/Dental Staff(page 31).

HB/lkAttachment

--t-.-

HEALTH SCIENCES

•

UNIVERSITY OF MINNESOTA HOSPITALS & CLINICS

MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULy 1. 1983 - JUNE 30. 1984

DEPARTMENT OF ANESTIiESIOLOGY

William W. Anderson

Itumar G. Belani

Joseph C. Belshe

Jon F. Berlauk

Joseph Buckley

James F. Cumming

Jorge Estrin

Ian J. Gilmour

John Gordon

Edward Hanisch

Douglas Koehntop

Russell Larsen

Ji-Chia Liao

Josephine N. Lo

Wen Y. Yue

..r-

CATEGORY

Attending

Attending

Clinical

Attending

Attending

Attending

Attending

Attending

Attending

Attending

Attending

Attending

Attending

Attending

Clinical

JOINT APPOINTME~T

Obstetrics & Gyne~ology

UNIVERSITY OF MINNESOTA HOSPITAlS & CLINICS

MEDICAL AND DENTAl STAFF REAPPOINTMENTS JULY I, 1983 - JUNE 3D, 1984

DEPARTMENT OF HOSPITAl DENTISTRY

JUles L. Baker

Carl L. Bandt

Richard R. Bevis

Gerald D. Cavanaugh

James R. Fricton

Daniel J. Gatto

Richard J. Goodkind

Robert J. Gorlin

James E. Hinrichs

Norman C. Holte

Mark Jaspers

James R. Jensen

William H. Kuhlmann

Hak-Joo Kwon

Ronald E. LaBelle

Thomas D. Larson

Michael W. Lehnert

Myer S. Leonard

Andrew T. Morstad

Dale Olson

Allan D. Petersen

Timothy A. Peterson

Bruce L. Pihlstrom

Edgar Rajek

Herbert W. Schulte

Mark S. Simmons,T. Michael Speidel

Kic!fiael J. Till

Rob~rt Vickerst

Dart1el E. Waite

PaulO. Walker

Carl J. Witkop

* Frank W. WormsDouglas H. Yock

CATEGORY

Clinical

Clinical

Attending

Clinical

Attending

Attending

Clinical

Attending

Clinical

Attending

Clinical

Attending

Clinical

Attending

Clinical

Attending

Attending

Attending

Clinical

Clinical

Clinical

Clinical

Attending

Clinical

Attending

Clinical

Attending

Attending

Attending

Attending

Clinical

Attending

Clinical

Clinical

* Malpractice Insurance Information Forms Dot aubmitted.-2-

•UNIVERSITY OF MINNESOTA HOSPITALS & CLINICS

MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULy 1, 1983 - JUNE 3D, 1984

DEPARTMENT OF DERMATOLOGY

Bruce J. Bart

Mark V. Dahl

John Fenyk

William Gentry, Jr.

Robert Goltz

Noel A. Hauge

Maria D. Hordinsky

Willard C. Peterson

Steven E. Prawer

Harold G. Ravits

J. Corwin Vanc'e

C. Gordon Vaughn

Alvin S. Zelickson

--t-

-3"--

CATEGORY

Clinical

Attending

Clinical

Attending

Attending

Clinical

Attending

Clinical

Clinical

Clinical

Attending

Clinical

Clinical

",.•

•UNIVERSITY OF MINNESOTA HOSPITALS &CLINICS

MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULy I, 1983 - JUNE 3D, 1984

(.,DEPARTMENT OF FAMILY PRACTICE CATEGORY

& COMMUNITY HEALTH

Sharon Smith Allen Clinical

Thomas M. Altemeier Attending

James Canine Attending

Edward Ciriacy Attending

Joseph P. Connolly Attending

Michael L. Daly Attending

John T. Kelly Attending

John W. McConnell Attending

John B. O'Leary Clinical

Sharon B. Satterfield Attending

Lei! Solberg Clinical

John E. Verby Attending

JOINT APPOINTMENTt

Psychiatry

-t-

-4-

UNIVERSITY OF MINNESOTA HOSPITALS &CLINICS

MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULY 1, 1983 - JUNE 30, 1984

DEPARTMENT OF LABORATORY MEDICINEIt PATIiOLOGY

Diane C. Arthur

Fritz Bach

Henry Balfour

Ellis Benson

Robert J. Bowman

G. Mary Bradley

David M. Brown

Richard Brunning

Barbara Burke

Donald P. Connelly

Louis P. Dehner

John M. Donhowe

J. Roger Edson

Richard D. Estensen

Glauco Frizzera

K. Gajl-Peczalska

Duane Hasegawa

John K"rsey

Larry C. Lasky

Angeline R. Mastri

John J. McCullough

Robert W. McKenna

James J. O'Leary

Juan Rosai

Richard K. Sibley.,Michael w. SteffesR.~rothy Sundberg

Joo Ho Sung

Le~ w. WattenbergJorge J. Yunis

-5-

CATEGORY

Attending

Attending

Attending

Attending

Clinical

Attending

Attending

Attending

Att~nding

Attending

Attending

Atteonding

Attending

Attending

Attending

Attending

Attending

Attending

Attending

Attending

Attending

Attending

Attending

Attendine

Attending

Attending

Attending

Attending

Attending

Attending

JOINT APPOINTME~T

Pediatrics

Pediatrics

Pediatrics

Pediatrics

Pediatrics

.' UNIVERSITY OF KlNNESOTA HOSPITALS & CLINICSMEDICAL AND DENTAL STAFF REAPPOINTMENTS JULY 1, 1983 - JUNE 30, 1984

DEPAR'I'MENT OF MEDICINE

John I. Allen

Silvia H. Azar

Robert J. Bache

John Bantle

Jose Barbosa

David Benditt

John Bergstrom

Jonathan S. Bishop

Joseph R. Bloomer

Clara Bloomfield

Malcolm N. Blumentha1

John H. Bond, Jr.

Joseph M. Cardamone

Jay N. Cohen

Dennis L. Confer

Walter Dorman

Ronald C. Eggert

Thomas F. Ferris

Ivan D. Frantz, Jr.

Benjamin Fuller, Jr.

Joyce L. Funk

Stephen J. Gilberstadt

Richard F. Gillum

Frederick C. Goetz

Dale E. Hammerschmidt

Daniel Hathaway"

Robert P. Hebbel

L1n~a L. Hedemark

JohQ Hoidalt

Dav;:d C. Homans

Bryon J. Hoogwerf

-6-

CATEGORY

Attendinz

Attending

Attending

Attending

Attending

Attending

Clinical

Attending

Attending

Attending

Clinical

Clinical

Clinical

Attending

Attending

Clinical

Clinical

Attending

Attending

Attending

Attending

Clinical

Attending

Attending

Attending

Clinical

Attending

Attending

Attending

Attending

Attending

UNIVERSITY OF KINNESOTA HOSPITALS & CLINICS

MEDICAl AND DENTAL STAFF REAPPOINTMENTS JULY 1, 1983 - JUNE 30, 1984

DEPARTMENT OF MEDICINE CONTINUED

&Obert Howe

William Hrushesky

Donald Hunninghake

David Hurd

Scot w. HuttonHarry S. Jacob

Fran E. Kaiser

Lawrence Kaplan

Joseph R. Kelly

B. J. Kennedy

Peter Kenyon

David T. Kiang

Richard King

Robert G. Knodell

Thomas E. Kottke

Richard Kronenberg

John W. LaBree

Stuart Lancer

Robert Lasser

Herbert Lauritzen

Wayne F. Leebaw

Irving LeT"Oe:-

Theodore Levine

John I. Levitt

F. Bruce Lewis

Cons~antinos Limas

Michael Lobell

Ph1I11p Wm. Ludwig

R.us~ll Luepker

Ray~nd L. Marecek

-7-

CATEGORY

Attending

Attending

Attending

Attending

Clinical

Attending

Attending

Clinical

Clinical

Attending

Attending

Attending

Attending

Clinical

Attending

Attending

Attending

Clinical

Clinical

Clinical

Clinical

Clinical

Attending

Clinical

Clinical

Attending

Clinical

Attending

Attending

.Clinical

UNIVERSITY OF MINNESOTA HOSPITALS &CLINICS

MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULY 1, 1983 - JUNE 30, 1984

JOINT APPOINTMENT

LaboratoD' Medicine& Pathology

-8-


MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULy 1, 1983 - JUNE 30, 1984

DEPARTMENT OF MEDI CINE CONTINUED:

Ph111jp H. Stoltenberg

~anao Takahashi

Joel D. Taurog

Robert J. Tierney

Louis Tobian

Joseph M. Tombers

Naip Tuna

Neal A. Vanselow

Jack A. Vennes

Gregory M. Vercellotti

Yang Wang

John Arnold WAngnes~

Daniel J. Weisdorf

I. Dodd Wilson

Paul C. Winchell

--i-

-9-

CATEGORY

Attp.nding

Clinical

Attending

Clinical

Attending

Clinical

Attending

Attending

Clinical

Attending

Attending

Clinic-al

Attending

Attending

Attending

"..


MEDI CAL AND DENTAL STAFF REAPPOINTMENTS JULY 1, 1983 -

DEPARTMEl'T OF NEUROLOGY CATEGORY

Gary Birnbaum Attending

Miguel E. Fiol Clinical

John R. Gates Attending

R.obert J. Gumnit Attending

William R. Kenuedy Attending

Arthur C. Klassen Attending

David Knopman Attending

Myoung C. Lee Attending

110 E. Leppik Attending

Lawrence A. Lockman Attending

James A. Moriarty Attending

Venkat Ramani Attending

Joseph A. Resch Attending

Robert I. Roelofs Attending

Stephen A. Smith Clinical

Kenneth F. Swaiman Attending

Fernando Torres Attending

--i-

-10-

JUNE 30, 1984

JOINT APPOINTMENT

Pediatrics

Pediatrics

UNIVERSITY OF MINNESOTA HOSPITALS & CLINlCS

MEDICAL AND DENTAl STAFF REAPPOINTMENTS JULY 1, 1983 - JUNE 3D, 1984

,."

c

•

DEPARTMENT OF NEUROSURGERY

Shelley N. Chou

Donald Erickson

Lyle A. French

Stephen J. Haines

Robert E. Maxwell

Gay1an L. Rocksw01d

Edward L. Seljeskog

Phudhiphorn Thienprasit

Erich S. Wisi01

--r-

-11-

CATEGORY

Attending

Attending

Attending

Attending

Attending

Clinical

Attending

Clinical

Clinical

UNIVERSITY OF HINNESOTA HOSPITALS & CLINICS

MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULY 1, 1983 - JUNE 3D, 1984

DEPARTMENT OF OBSTETRICS & GYNECOLOGY

Leon Adcock

Arthur H. Bearon

Irving C. Bernstein

Doris C. Brooker

Julius Butler, Jr.

Harry F. Farb

John D. Farr

Peter E. Fehr

Howard W. Fisher

Harry Foreman

Marilyn S. Joseph

Thomas M. Julian

Beni Katz

Howard M. Levine

John Wm. Malo

Theodore Nagel

Robert Nordland

PaulL. Ogburn

Takashi Okagaki

Konald A. Prem

John E. Savage

Leslie A. Sharpe

Gaius J. Slosser, II

Charles A. Stegeman

George E. Tagatz

Leo B. Twiggs.-Preston P. Williams

Ernist C. Wynne, III-.-

-12-

CATEGORY

Attending

Clinical

Clinical

Attending

Attending

Clinical

Clinical

Clinical

Clinical

Attending

Attending

Attending

Clinical

Clinical

Attending

Attending

Clinical

Attending

Attending

Attending

Attending

Clinical

Clinical

Clinical

Attending

Attending

Attending

Clinical

."

JOINT APPOINTME~T

Psychiatry

Laboratory Medicine &Pathology

Laboratory Medicine &Pathology


MEDICAL AND DENTAL STAFF REAPPOINTMENTS JUlY 1, 1983 - JUNE 30, 1984

(,DEPARTMENT OF OPHTHALMOLOGY CATEGORY

JUles S. Allen Clinical

J. Douglas Cameron Clinical

Robert C. Campbell Clinical

Herbert L. CantrUl Attending

Richard P. CArroll Clinical

Donald Doughman Attenning

Howard David Gilbert Clinical

William H. Knobloch Attending

Iobert LP.tson Attending

Rjch~rd L. Lindstrom Attending

John Daniel Nelson Attending

Jonathan E. Pederson Attending

Robert C. Ramsay Attending

George T. Tani Clinical

Jonathan Wirt.schafter Attending

C

JOINT APPOINTMENT

Neurology

--r-

-13-

..UNIVERSITY OF MINNESOTA HOSPITALS & CLINICS

MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULY I, 1983 - JUNE 30, 1984

DEPARTMENT OF ORTHOPAEDI C SURGERY

Alfred F. Behrens

David Bradford

James H. House

Robert E. Hunter

John Lonstein

John H. Moe

E. Harvey O'Phelan

James D. Priest

Harry J. Robinson, Jr.

Roby C. Thompson

Francis J. Trost

Robert Winter

, ,

--i-

-14-

'.

CATEGORY

Clinical

Attending

Attending

Attending

Attending

Emeritus

Attending

Clinical

Attending

Attending

Clinical

Attenc!ing

UNlVERSlnr OF MINNESOTA HOSPITALS & CLINICS

(, MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULY 1. 1983 - JUNE 30. 1984

DEPARTMENT OF· OTOLARYNGOLOGY

Georg~ Adams

Norman T. Berlinger

Lawrence R. Boies. Jr.

Arndt J. Duvall

Ekrem Gozum

Peter A. Hilger

Timothy T. K. Jung

*Severin H. Koop

Stephen L. Liston

Robert Maisel

Michael M. Paparella

Kurt Pollak

* Richard A. Schlorf

*Leighton G. Siegel

Melvin E. Sigel

-t-

CATEGORY

Attending

Attending

Clinical

Attending

Clinical

Attending

Attending

Clinical

Attending

Attending

Attending

Attending

Clinical

Clinical

Clinical

* Malpractice Insurance Information Form not submitted.

-15-

UNIVERSITY OF MINNESOTA HOSPITAlS &CLINICS

MEDICAL AND DENTAl STAFF REAPPOINTMENTS JULY 1, 1983 - JUNE 3D, 1984

t DEPARTMENT OF PEDIATRICSDon P. Amren

Arnold S. Anderson

Stuart L. Arey

Sol Austrian

John Bass

Lowell L. Becker

D. Woodrow Benson, Jr.

F. Blanton Bessinger

*David Bloom

Robert WIt. Blum

Stephen J. Boros

Robert H. Bugenstein

Edwin C. Burklund

Blanche M. Chavers

John A. Cich

C. Carlyle Clawson

Richard T. Cushing

AIDod Deinard

Stanley Einzig

Donnell D. Etzwiler

Patricia Ferrieri

Alexandra Filipovich

Robert O. Fisch

Alfred J. Fish

Lloyd Fish

Deborah K. Freese"

Bradley Fuhrman

G. ~cott Giebink

Thomas P. Green

J. &argaret Horrobin

Dana Johnson

Edward L. Kaplan

CATEGORY

Clinical

Clinical

Clinical

Clinical

Clinical

Clinical

Attending

Clinical

Clinical

Attending

Clinical

Clinical

Clinical

Attending

Clinical

Attending

Clinical

Attending

Attending

Clinical

Attending

Attending

Attending

Attending

ClinicalAttending

At tendin~

Attending

Attending

Clinical. Attending

Attending

JOINT APPOINTMENT

Medicine

* Malpractice Insurance Information Form not submitted.

-16-


MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULy 1. 1983 - JUNE 30. 1984

DEPARTMENT OF PEDIATRICS CONTINUED CATEGORY JOINT APPOINTMENT

Youngki Kim Attending

Robert L. Kriel Clinical Neurology

William Krivit Attending

Stanley A. Leonard Clinical

Carolyn J. Levitt Clinical

James Lock Attending

Russell V. Lucas Attending

Raymond P. Lynch Clinical

Richard N. Matus Clinical

S. Michael Mauer Attending

Kenneth L. McClain Attending

Carolyn J. McKay Clinical

}Jfred F. Michael Attending

"Bernard L. Mirkin Attending

James H. Moller Attending

Richard P. Nelson Clinical

Mark E. Nesbit Attending

Thomas Nevins Attending

Robert O'Dea Attending

Karen N. Olness Clinical

Arthur R. Page Attending

Mary Ella Pierpont Attending

Charles E. Pitzele Clinical

John R. Priest Clinical

Paul G. Quie Attending

Nor~'a KC Ramsay Attending

WarTen E. Regelmann Attending

Tho~as F. Rolewicz Clinicalt

ClinicalRic!fard E. Sand

Sylvester Sanfilippo Clinical

~Leon Satran Attending

-17-

UNIVERSITY OF MINNESOTA HOSPITALS , CLINICS


DEDEPARTMENT OF PEDIATRICS CONTINUED

Jon Scheinman

Steven A. Seelig

Barvey L. Sharp

Lewis Sher

Lawrence J. Sholler

Alan R. Sinaiko

*Amarjit Singh

Lawrence J. Singher

Clark M. Smith, 11

Theodore S. Smith

Frederic M. Stone

Edward L. Strem

Robert w. Ten BenselTheodore R. Thompson

Robert A. Ulstrom

R. James Vaccarella

Homer D. Venters

Robert L. Vernier

Norman L. Virnig

Warren J. Warwick

James G. White

Walter L. Wilder

William Woods

CATEGORY

Attending

Attending

Attending

Clinical

Clinical

Attending

Clinical

Clinical

Attending

Clinical

Clinical

Clinical

Attending

Attending

Attending

Clinical

Clinical

Attending

Clinical

Attending

Attending

Clinical

Atte"nding

* Mflpractice Insurance Information Form not submitted.-

-18-


MEDICAL AND DENTAL STAfF REAPPOINTMENTS JULy 1. 1983 - JUNE 30, 1984

DEPARTMENT OF PHYSICAL MEDICINE & PATHOLOGY

James Agre

Thomas P. Anderson

Alan S. Bensman

Dennis D. Dykstra

Glenn Gullickson, Jr.

Hiland E. Knapp

Frederic J. Kottke

John L. Magness

Dennis Matthews

Mary M. Price

Keith B. Sperling

--i-

-19-

CATEGORY

Attending

Attending

Clinical

Attending

Attending

Clinical

Attending

Attending

Attending

Attending

Attending

....

UNIVERSITY OF ~NNESOTA HOSPITALS &CLINICS

MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULY 1, 1983 - JUNE 30. 1984

DEPARTMENT OF PSYCHIATRY CATEGORY

Faruk s. Abuzzahab ClinicalPaula J. Clayton Attending

David W. Cline Clinical

Elke Eckert Attending

William D. Erickson Attending

Floyd Garetz Attending

Lawrence Greenberg Attending

Ronald Groat Clinical

William Hausman Attending

Leonard Heston Attending

John R. Hughes Attending

Jonathan B. Jensen Attending

Allen Josephson Attending

Jerome L. Kroll Attending

~ Richard D. Lentz ClinicalThomas B. Macken?ie Attending

Richard Meisch Attending

Richard Miner Attending

James E. Hi tchell Attending

Michael C. Moore Attending

Joanne M. Pearson Attending

Michael K. Popkin Attending

Richard L. Pyle Attending

George M. Realmuto Attending

Thomes R. Stapleton Clinical

Myron R. Stocking Clinical

Joseph J. Westermeyer Attending

Rona.ld C. Young Attendingt~-'"

JOINT APPOINTMENT

Medicine

-20-



DEPARTMENT OF RADIOLOGY

Kurt Amplatz

Wilfrido R. Castaneda

Samuel B. Feinberg

LeRoy A. Forstrom

Mathis Frick

Eugene Gedgaudas

Lawrence H. A. Gold

Marvin E. Goldberg

Merle Loken

Harry C. Walker, Jr.

"

-t-

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CATEGORY

Attending

Attending

Attending

Attending

Attending

Attending

Attending

Attending

Attending

Attending


MEDICAl AND DENTAL STAFF REAPPOINTMENTS JULy I, 1983 - JUNE 3D, 1984

DEPARTMENT OF SURGERY CATEGORY

Robert W. Anderson AttendingHenry Buchwald AttendingPrank B. Cerra AttendingBruce L. Cunningham ClinicalJohn P. Delaney AttendingJohn E. Foker AttendingVictor A. Gilbertsen Attending

Stanley Goldberg ClinicalRobert L. Goodale AttendingTheodor B. Grage AttendingHovald K. Helseth ClinicalJames N. Karnegis AttendingArnold S. Leonard AttendingFelix A. McParland Clinical

"J. Ernesto Molina AttendingRichard Moore AttendingJohn S. Najarian AttendingSanthat Nivatvongs AttendingAlan R. Shons AttendingRichard L. Simmons AttendingW. Albert Jullivan AttendingDavid E. R. Sutherland Attending

-t-.-

-22-


MEDICAL AND DENTAL STAFF REAPPOINTMENTS JULy 1. 1983 - JUNE 30, 1984

DEPARTMENT OF THERAPEUTIC RADIOLOGY

raehwan Kim

Chung Kyu Kim Lee

Seymour Levitt

Roger A. Potish

--t-

-23-

CATEGORY

Attending

Attending

Attending

Attending


, MEDICAl AND DENTAL STAFF REAPPOINTMENTS JULY 1, 1983 - JUNE 30, 1984

DEPARTMENT UROLOGIC SURGERY

Ralph v. ClaymanElwin E. Fraley

licardo Gonzalez

Paul Lange

--r-.-

-24-

CATEGORY

Clinic.d

Attending

Attending

Clinical

·...


RECOMMENDATIONS FOR REGULAR MEDICAL/DENTAL STAFF APPOINTMENTS

JULy 1, 1983 - JUNE 30, 1984

DEPAR'!'MENT OF ANESTHESIOLOGY

Eugene R. Lucier

DEPARTMENT OF HOSPITAL DENTISTRY

David J. Clay

DEPARTMENT OF DERMATOLOGY

Garrett T. Bayrd

DEPARTMENT OF FAMILY PRACTICE& Community Health

Harold C. Seim

DEPARTMENT OF LABORATORY MEDICINE& PATHOLOGY

Bonnie Bean

Dale Snover

DEPARTME!\T OF MEDICINE

Patrick J. Flynn

Roger 1. Gebhard

Marshall I. Hertz

Charles A. Herzog

Thomas H. Hostetter

Kalle Kang

Mark S. Paller

Claire Pomeroy

Brian H. Rank

Stephen C. Riendl

Peter T. Silbersteinor

Stanley J. Tillinghast

~e L. Trence-.DEP ARTMENT OF NEUROLOGY

Daniel E. Cohen

Hal M. Corwin

Ronald T. Jacobson

CATEGORY

Clinical

Clinical

Clinical

Clinical

Attending

Attending

Attending

Clinical

Attending

Attending

Attending

Attending

Attending

Attending

Attending

Attending

Attending

Attending

Attending

Attending

Attending

Attending

DATE ELIGIBLE

April 20, 1983

January 21, 1983

August 17, 1982

December 16, 1982

February 10, 1983

November 19, 1982

April 20, 1983

April 20, 1983

April 20, 1983

April 20, 1983

April 20, 1983

December 16, 1982

January 21, 1983

January 21, 1983

April 20, 1983

April 20, 1983

April 20, 1983

April 20, 1983

April 20, 1983

January 21, 1983

April 20, 1983

January 21, 1983

.. ..


RECOMMENDATIONS FOR REGULAR MEDICAL/DENTAL STAFF APPOINTMENTS CONTINUED:

DEPARTME~T OF NEUROSURGERY

Dennis A. Turner


Sheila A. Phansey

R.oger C. Toffle

DEPARTMENT OF ORTHOPAEDICS

Edward V. Craig

James W. Ogilvie

DEPARTMENT OF PEDIATRICS

Margaret K. Hostetter

Joseph J. Sockalosky

DEPARTMENT OF PHYSICAL MEDICINE& REHABILITATIO~

Jeffrey Cameron

DEPARTME~T OF PSYCHIATRY

Charles Mac VanValkenburg

DEPARTME~T OF SURGERY

David H. Ahrenholz

Nancy L. Ascher

Ralph M. Bolman, III

DEPARTME~T OF RADIOLOGY

Jeffrey R. Crass

Deborah L. Day

-i-

-26-

£ATEGORY

Attending

Attending

Attending

Attending

Attending

Attending

Clinical

Attending

Attending

Clinical

Attending

Attending

Attending

Attending

DATE ELIGIBLE

January 21, 1983

April 20, 1983

April 20, 1983

April 20, 1983

January 21, 1983

April 20, 1983

April 20, 1983

April 20, 1983

January 21, 1983

January 21, 1983

January 21, 1983

January 21, 1983

April 20, 1983

April 20, 1983

.. ..

UNIVERSITY OF MINNESOTA HOSPITALS & ~_INICS

RECOMMENDATIONS FOR CHANGE IN STAFF CATEGORY

DEPARTMENT OF MEDICINE

Fran E. Kaiser

Patrick J. Flynn


John W. Malo

DEPARTMENT OF PHYSICAL MEDICINE& REHABILITATION

Mary M. Price

DEPARTMENT OF PSYCHIATRY

William Erickson

Alan Josephson

Michael Moore

DEPARTMENT OF ~~IOLOGY

LeRoy A. Forstrom

FROM

Attending

Attending

Attending

Attending

Attending

Attending

Attending

Attending

TO

Clinical

Clinical

Clinical

Clinical

Clinical

Clinical

Clinical

Clinical

RECOMMENDATI0~S FOR JOINT MEDICAL STAFF APPOINTMENTS ANDADDITIONAL CLINICAL PRIVILEGES


Patricia Ferrieri

-DEPARTMENT OF NEUROLOGY-Ron~ld 1. Jacobson

-27-

CHANGE REQUESTED

Primary medical staff appointment fromDepartment of PediatTics to Departmentof Laboratory Medicine & Pathology witha joint appointment in Pediatrics.

Additional clinical privileg~s inLaboratory Medicine & Pathology asrequested with same clinical privilegescurrently held in Fediatrics.

Joint medical staff appointment inPediatrics and clinical privilegesas requested.

.. · ..


RECOMMENDATIONS FOR ADDTION OR DELETION OF CLINICAL PRIVILEGES


Patrick J. Flynn

David C. Homans

Peter D. Kenyon

Phillip H. Stoltenberg


Julius Butler

John W. Malo


Diane C. Arthur

Kenneth L. McClain

DEPARTMENT OF SURGERY

John P. Delaney

--t-

-28-


RECOMMENDATIONS FOR TERMINATION OF MEDICAL STAFF APPOINTMENTS

DEPARTMENT OF FAMILY PRACTICE & COMMUNITY HEALTH

Paul V. Quinn

PaulM. Spilseth


Ronald Falk

Rubin R. Haidan

Marc R. Pritzker

Carolyn A. Rosenberg

-t-

-30-

CATEGORY

Clinical

Clinical

Attending

Attending

Attending

Attending

(E.R.)

(E. R. )

(E. R.)

(E. R.)


RESIGNATIONS FROM THE MEDICAL/DENTAL STAFF

DEPARTMENT OF ANESTHESIOLOGY

Thomas A. Polta

DEPARTMENT OF HOSPITAl DENTISTRY

Douglas H. Yock

DEPARTME},"T OF MEDI CINE

Brian C. Barne~

Richard Branda

Thaddeus Chao

Vincent R. Collins

Robert Gill

Hi chael Goodman

Robert D. Mackie

Craig J. McClain

Leopoldo Raij

Christina H. Y. Shih

Athanasios Theologides

DEPARTMENT OF PHYSICAL MEDICINE & REHABILITATION

Essam Awad

Rita Bistevins

Sarah Gault

DEPARTMENT OF RADIOLOGY

David Tubman

DEPARTME~T OF UROLOGY

Keith W. Kaye-

-31-

·.J•• r 8

NAME & DEPAltTM!NT CATEGORY FACULTY RANK

APPLICANTS TO TH:8...ICAL/DENTAL STAFFJUN, .•. 3

SPEC'tALLY MEDICAL SClfOOL-COMPLETION DATE

INTERNSHIP, RESIDENCY &FELLOWSHIP-COMPLETION DATES

~LAST POSITIOlf

DEPARTMENT OF HOSPITAL DENTISTRY

Richard T. Ford Clinical

'l'I~1 I '.

Instructor Dentistry Dental SchoolUniversity of Minnesota 1961

Private PracticeMedical Arts Bldg.Vermillion. S.D.1971-1982

Ja.ea R. Jenaen, Jr. Clinical AssistantProfessor

Periodontics Dental SchoolUniversity of Minnesota 1979

Residency in PeriodonticsUniversity of Minnesota1979-1982

Private Practice5201 BloomingtonAve. S.Mpls., MN1/82-present

DEPARTMENT OF NEUROLOGY

Neurology ResidencyUniv. of Miami Medical SchoolMiami, FL 1971-1972

Phyllis It. Sher Attending AssistantProfessor

PediatricNeurology

University of MiamiMiami, Florida

1970 InternshipMontefioreBronx, NY

U.S. PublicHospital & Med. Ctr. 'Health Service

1970-1971 NIHBethesda, MD1980-1982

DEPARTMENT OF OTOLARYNGOLOGY

Pediatric Neurology ResidencyUniv. of Miami Medical SchoolMiami, FL 1972-1974

John S. Huff Clinical ClinicalAssociateProfessor

Otolaryngology University of Minnesota 1953 General Rotating InternshipMemorial HospitalPheonix. Arizona 1953-1957

EMT ResidencyUniv. of Minnesota Hospitals

1959-1962

Private PracticeENT ProfessionalAssociatesMed. Arts. Bldg.MpIs., MN1962-present

.~ u

Postgraduate Course in MyoplastyColumbia University 1963

\J

'.- Page 2

8NAME " DEPARntENT CATEGORY PACULn RANK

APPLICANTS TO THftICAL/DEMTAL STAFF

JUN, 3

SPECIALITY MEDICAL SCHOOL-COMPLETION DATEINTERNSHIP, RESIDENCY "FELLOWSHIP-COMPLETION DATES "LAST POSITION


David R. Brown Clinical

','1"', I'~

ClinicalAssistantProfessor

. Pediatric University of Minnesota 1968Endocrinology

Internship & ResidencyUniversity of Michigan1968-1970

Endocrinology FellowshipUniversity of Minnesota1972-1975 Hospitals

Solo Practice2545 Chicago S.Hp1a •• MN

Active StaffMinneapolisChildrens Hosp.Hpls. 8/75-present

DEPARTMENT OF SURGERY

William D. Payne

~

Clinical Instructor Transplantation St. Louis School of MedicineVascular Surgery St. Louis, HO 1972

y

InternshipUniversity of Minnesota1972-1973 Hospitals

ResidencyUniversity of Minnesota1973-1979 Hospitals

Transplantation FellowshipUniversity of Minnesota1980 Hospitals

VA Medical Ctr.TransplantationSectionHpls •• MN1979-present

4)

MEDICAL STAFF-HOSPITAL COUNCIL COMMITTEE CHAIRMEN APPOINTMENTS

1983/1984

1. Bed Allocation Committee

I. Dodd Wilson, M.D.

2. Bylaws Committee

Glenn Gullickson, M.D.

3. Biomedical Ethics Committee

Theodore Thompson, M.D.Diane Bartels, R.N. Co-Chair

4. Cardio-Respiratory Advisory Committee

Russell H. Larsen, M.D.

9. Operating Room Committee

Roby Thompson, M.D.

10. Outpatient Committee

Amos Deinard, M.D.

11. Pharmacy & Therapeutics Committee

Russell Lucas,M.D.

12. Product Evaluation & StandardizationCommittee

Bradley Fuhrman, M.D.

5. Credentials Committee

Henry Buchwald, M.D.

13. Quality Assurance Steering Committee

Paul G. Quie, M.D.;~......•....

6. Disaster Committee

Michael Daly, M.D.

7. Emergency Department Committee

David Hurd, M.D.

8. Infection Control Committee

Frank Rhame, M.D.

14. Tissue & Procedure Review Committee

Clara Bloomfield, M.D.

15. Transfusion Therapeutics Committee

Jeffrey McCullough, M.D.

16. Utilization-Medical Records Committee

George Tagatz, M.D.

MEDICAL STAFF-HOSPITAL COUNCIL COMMITTEE CHAIRMEN APPOINTMENTS

1983/1984

1. Bed Allocation Committee

I. Dodd Wilson, M.D.

2. Bylaws Committee

Glenn Gullickson, M.D.

3. Biomedical Ethics Committee

Theodore Thompson, M.D.Diane Bartels, R.N. Co-Chair

4. Cardio-Respiratory Advisory Committee

Russell H. Larsen, M.D.

9. Operating Room Committee

Roby Thompson, M.D.

10. Outpatient Committee

Amos Deinard, M.D.

11. Pharmacy & Therapeutics Committee

Russell Lucas.M.D.

12. Product Evaluation & StandardizationCommittee

Bradley Fuhrman, M.D.

~5.

6.

Credentials Committee

Henry Buchwald, M.D.

Disaster Committee

Michael Daly, M.D.

13.

14.

Quality Assurance Steering Committee

Paul G. Quie, M.D.

Tissue &Procedure Review CommitteeClara Bloomfield, M.D.

7. Emergency Department Committee

David Hurd, M. D.

8. Infection Control Committee

Frank Rhame, M.D.

15. Transfusion Therapeutics Committee

Jeffrey McCullough, M.D.

16. Utilization-Medical Records Committee

George Tagatz, M.D.

'1'

UNIVERSITY OF MINNESOTATWIN CITIES

University Hospitals and Clinics420 Delaware Street S.E.

, Minneapolis, Minnesota 55455

June 7, 1983

TO:

FROM:

RE:

Joint Conference CommitteeBoard of Governors

C. Edward Schwartz, Hospital DirectorPaul Quie, Chief of Staff

Annual Reappointments of Chief of Clinical Services

The Bylaws of the Board of Governors - University of Minnesota Hospitalsand Clinics were amended in November, 1982, requiring the following:

Article V. Section 5 (B)

After consultation with the Joint Conference Committee, at itsJune meeting each year, the Board of Governors shall appointthe chief of each clinical service of the Medical Staff to serveat the discretion of the Board for an initial term of three years,except in the case of a chief of a clinical service who is anindividual other than the Head of the corresponding medical ordental school clinical department, in which case the initialappointment shall be for one year. Reappointment thereafterby the Board of Governors shall be yearly. Vacancies in theoffice of the chief of a clinical service may be filled at anytime by the Board. In the event that a chief of a clinicalservice is appointed at some time other than the June meeting,and if the appointment is made no later than December, for pur-poses of determining the time of reappointment the appointmentshall be deemed to have commenced the preceding June. In theevent that the appointment is made after December, for purposesof determining the time of reappointment the computation of times~all be deemed to commence at the next succeeding June.

The Hospital Director in consultation with the Chief of Staff herebyrecommends the reappointment of the following Clinical Chiefs for1983-84.

The following persons are subject to re-appointment:

NAME

Dr. Ellis BensonDr. Joseph BuckleyDr. Shelley ChouDr. Edward CiriacyDr. Donald Doughman

DEPARMENT

Laboratory Medicine & PathologyAnesthesiologyNeurosurgeryFamily PracticeOphthalmology

HEALTH SCIENCES

Dr. Thomas FerrisDr. Elwin FraleyDr. Eugene GedgaudasDr. Robert GoltzDr. Glenn GullicksonDr. Arthur KlassenDr. William KrivitDr. Seymour LevittDr. John NajarianDr. Michael PaparellaDr. Konald PremDr. Roby ThompsonDr. Daniel Waite

2

MedicineUrologyRadiologyDermatologyPhysical Medicine & RehabilitationNeurologyPediatricsTherapeutic RadiologySurgeryOtolaryngologyObstetrics & GynecologyOrthopedic SurgeryDentistry

Other Chiefs of Service have been appointed subsequent to the initialorganization of the Board, and their reappointments will be timely uponthe completion of their initial term of three years. Those Chiefs andthe date of their re-appointments are as follows:

Dr. Paul Clayton

CES/sds

Enclosure

Psychiatry 6/20/84

..,. ...

., .\ .

FUNCTION OF CLINICAL CHIEFS*

1. Be accountable for all p~ofessional and administrative activitieswith his or her service.

2. Be a member of the Council of Chiefs of Clinical Services givingguidance on the overall medical policies of the hospital and makingspecific recommendations and suggestions regarding his or her own servicein oTd~r to assure a hi~h quality of patient care.

3. Maintain continuing review of the professional performance of allindividuals with clinical privileges in his or her service and reportthereon to the Credentials Committee as necessary.

4. Be responsible for enforcement within his or her service of the hospitalbylaws, policies and directives and of these medical staff bylaws,rules and regulations.

5. Be responsible for implementation within his or her service of actionstaken and policies set by the Board, the Council of Chiefs ofClinical Services and the Medical Staff/Hospital Council.

6. Transmit to the Credentials Committee his recommendations concerningthe appointment, reappointment, and delineation of clinical privilegesfor all individuals in an applicants to his or her service.

7. Participate in every phase of administration of his or her service withthe hospital management in matters affecting patient care, includingpersonnel, supplies, special regulations, standing orders andtechniques.

8. Assist in the preparation of such annual reports, including budgetaryplanning, pertaining to his or her service as may be required by the Chiefof Staff or the Board.

*Article 3, Section 5 of the Bylaws of the Medical and Dental Staff -University of Minnesota Hospitals and Clinics.

CLINICAL CHIEFS BIOGRAPHICAL SUMMARIES

1. Ellis S. Benson, M.D.Professor & HeadLaboratory Medicine & Pathology

Medical School: University of Minnesota Medical SchoolInternship: Cincinnati General HospitalResidency: Veterans Administration Hospital, Minneapolis, MInnesotaCertified: American Board of Pathologists

2. Jospeh J. Buckley, M.D.Professor and HeadDepartment of Anesthesiology

Medical School: New York Medical CollegeInternship: U.S. Laval Hospita, Chelsea (Boston), MassachussettsResidency: University of Minnesota Medical SchoolCertified: American Board of Anesthesiology

3. Shelley Chou, M.D., M.S., PHDProfessor and HeadDepartment of Neurosurgery

Medical School: University of Utah Medical SchoolInternship: Providence Hospital, Detroit, MichiganResidency: University of Minnesota Hospitals, Minneapolis, MinneostaCertified: American Board of Neurosurgery

4. Edward W. Ciriacy, M.D.Professor and HeadFamily Practice & Community Health

Medical School: Temple University Medical SchoolInternship: Frankford HospitalResidency: Frankford Hospital and Temple HospitalCertified: American Board of Family Physicians

5. Donald J. Doughman, M.D.Professor and HeadDepartment of Ophthalmology

Medical School: University of Iowa College of MedicineInternship: Los Angeles County General Hospital, Los Angeles, CaliforniaResidency: University Hospital, Iowa City, IowaCertified: American Board of Ophthalmology

6. Thomas F. Perris, M.D.Professor and HeadDepartment of Medicine

Medical School: Yale UniversityInternship: Osler Service, John Hopkins HospitalResidency: Yale-New Haven HospitalCertified: American Board Of Internal Medicine

~..

2

7. Elwin E. Fraley, M.D.Professor and HeadDepartment of Urologic Surgery

Medical School: Harvard Medical SchoolInternship: Massachusetts General Hospital, Boston,Residency: Massachusetts General Hospital, Boston,Certified: American Board of Urology

8. Eugene Gedgaudas. M.D.Professor and HeadDepartment of Diagnostic Radiology

Medical School: University of Munich, GermanyInternship: St. Boniface General Hospital, CanadaResidency: St. Boniface General Hospital, CanadaCertified: The American Board of Radiology

9. Robert W. Goltz, M.D.Professor and HeadDepartment of Dermatology

MassachusettsMassachusetts

Medical School: University of MinnesotaInternship: Ancker Hospital, St Paul, MinnesotaResidency: University of Minnesota, Minneapolis, MN, School of MedicineCertified: American Board of Dermatology

10. Arthur C. Klassen, M.D.Professor and Acting Head,Department of Neurology

Medical School: University of Manitoba Medical SchoolInternship: Winnipeg General Hospital, Winnipeg, CanadaResidency: University of MinnesotaCertified: American Board of Psychiatry and Neurology

11. Glenn Gullickson, Jr •• M.D.Professor and Interim Head,Department of Physical Medicine and Rehabilitation

Medical School: University of MinnesotaInternship: Gallinger Municipal HospitalResidency: University of MinnesotaCertified: American Board of Physical Medicine and Rehabilitation

12, William Krivit, M.D. Ph.DProfessor and HeadDepartment of Pediatrics

Medical School: Tulane University Medical SchoolInternship: Charity Hospital, New OrleansResidency: Utah School of MedicineCertified: Diplomat of the American Board of Pediatrics

3

!3. Seymour H. Levitt, M.D.Professor and HeadDepartment of Therapeutic Radiology

Medical School: University of ColoradoInternship: Philadelphia General HospitalResidency: University of CaliforniaCertified: American Board of Radiology

14. John S. Najarian. M.D.Professor and HeadDepartment of Surgery

Medical School: University of California, San FranciscoInternship: University of California Medical SchoolResidency: University of California Medical SchoolCertified: American Board of Surgery Diplomate

15. Michael M. Paparella, M.D.Professor and HeadDepartment of Otolaryngology

Medical School: University of MichiganInternship: Emanuel Hospital, Portland, OhioResidency: Henry Ford Hospital, Detroit, MichiganCertified: American Board of Otolaryngology

16, Konald A. Prem, M.D.Professor and HeadDepartment of Obstetrics and Gynecology

Medical School: University of MinnesotaInternship: Minneapolis General Hospital, Minneapolis, MinnesotaResidency: University of Minnesota Medical SchoolCertified: American Board of Obstetrics and Gynecology

17. ~Roby C. Thompson, Jr., M.D.Professor and HeadDepartment of Orthopaedic Surgery

Medical School: University of Virginia School of MedicineInternship: Columbia Presbyterian Medical Center, New YorkResidency: Columbia Presbyterian Medical Center, New YorkCertified: American Board of Orthopaedic Surgeons

18. Daniel E. Waite, D.D.S., M.S.Professor and HhadDepartment of Oral and Maxillofacial Surgery, School of Denistry

Dental School: State College of University of IowaResidency Certificate: State University of IowaCertified: American Board of Oral Maxillofacial Surgery

4

19. Paula J. Clayton, M.D.Professor and HeadDepartment of Psychiatry

Medical School: Washington University, St. Louis, MissouriInternship: St. Luke's Hospital, St. Louis, MissouriResidency: Barnes and Rehard HospitalsCertified: American College of Neuropsychopharmacology

~ "..

UNIVERSITY OF MINNESOTATWIN CITIES

Office of the Chief of Staff

University Hospitals and ClinicsBox 707 Mayo Memorial Building420 Delaware Street S.E.Minneapolis, Minnesota 55455

June 9, 1983

TO: Joint Conference CommitteeBoard of Governors

FROM: Paul G. Quie, M.D. ;,(J:f&/Chief of Staff fl/

SUBJECT: Vice Chief of Staff Appointment

The Bylaws of the Medical and Dental Staff, Article V, Part A:,Section 4. (a) states "Election: The Vice Chief of Staff shallbe elected by a plurality vote of the staff voting by mail ballot.His or her election shall become effective as soon as approved bythe Board. The Vice Chief of Staff shall serve a three year termand is not eligible for re-election but in any event shall serveuntil a successor has been elected and his or her election approvedby the Board."

The term of office of Dr. Richard Kronenberg, Vice Chief of Staff,will come to an end on June 30, 1983. The Nominating CommittEeappointed by the Medical Staff-Hospital Council selected Dr. RobertHowe to run for election for the office of Vice Chief of Staff andthe Council approved the recommendation. Elections were held inMay and the tabulated results indicate that Dr. Robert Howe haswon the election by plurality. I hereby request your approval ofDr. Robert Howe as Vice Chief of Staff.

Thank you for your consideration of this request.

PGQ/lk

HEALTH SCIENCES

l·

..

CURRICULUM VITAE

Name: Robert Bruce Howe

Present Address: 135 Chevy Chase DriveWayzata, Minnesota 55391

Date and Place of Birth: February 13, 1936; Elgin, Illinois

Marital Status: Married, 1961; three children

Education:

1954 - Graduated from Little Falls High School, New York1958 - B.S., Union College1962 - M.D., Harvard Medical School

Brief Chronology of Employment:

1956-57

1958

1962-63

1963-66

1964-65

1966-67

1967-70

1967-70

1970-73

1973-80

1980

Research Assistant, Mount Desert Island BiologicalLaboratory, Salisbury Cove, Maine

Research Assistant, Karolinska Institute, Stockholm, Sweden

Intern, University of Minnesota Hospitals,Minneapolis, Minnesota

Resident, Internal Medicine, University of MinnesotaHospitals, Minneapolis, Minnesota

U.S. Public Health Service Trainee in Hematology,University of Minnesota Hospitals, Minneapolis,Minnesota

Instructor, Internal Medicine, University of MinnesotaMedical School, Minneapolis, Minnesota

Assistant Clinical Director, National Cancer Institute,National Institutes of Health, Bethesda, Maryland

Admitting Officer, National Cancer Institute,National Institutes of Health, Bethesda, Maryland

Assistant Professor of Medicine, University of MinnesotaMedical School, Minneapolis, Minnesota

Associate Professor of Medicine, University of MinnesotaMedical School, Minneapolis, Minnesota

Professor of Medicine, University of MinnesotaMedical School, Minneapolis, Minnesota

" Military Service:

u.S. Public Health Service - June 1967 - June 1969

Societies:

American Association for the Advancement of ScienceAmerican Federation for Clinical ResearchAmerican Society of HematologyInternational Society of Hematology - FellowAssociation of American Medical Colleges - Panel Member -

Division of Educational Resources and ProgramsAmerican College of Physicians - FellowSociety for Research and Education in Primary Care Internal Medicine

Honors and Other Recognition:

New York State Regents Scholarship for CollegeSchenectady County Medical Society ScholarshipSigma XiNew York State Regents Scholarship in MedicineHarvard Medical School ScholarshipM.D. cum laude, Harvard Medical SchoolDiplomate, American Board of Internal Medicine, 1968

(Recertified, 1974)

COURSES TAUGHT, COURSE AND PROGRAM DEVELOPMENT,ADVISING AND COUNSELING

Course Director, Medicine 5-528---Clinical Hematology

Course Director, Medicine 5-590---Preceptorships in Internal Medicine

Course Director, Medicine 5-591--lnternal Medicine for the AmbulatoryOutpatient

Course Director, Medicine 5-592---Rural Physicians Associate Program in InternalMedicine

Phase B---Student as Physician---tutor

Phase D, Medicine 5-502 and 5-503---Medicine Externship I & II--tutor. Recently developed new tutorial for Medicine 5-503 students atUniversity Hospitals

Phase B---Blood lecturer and tutor

Phase B---Gut---Iecturer

Continuation Course---Internal Medicine Review---coordinator and lecturerfor hematology

Continuation Course---Family Practice Review and Update---lecturer in hematology

Continuation Course---Topics in Geriatric Medicine---lecturer in hematology

Continuation Course--Surgery of the Liver, Biliary Tree and Pancreas---lecturer in hematology

Department of Medicine Weekly Hematology Morphology and Biopsy Conference--course director and lecturer

Department of Medicine Joint Hematology-Oncology Conference---co-chairman

Department of Family Practice---weekly tutorial in Internal Medicine---director and participant

Section of Hematology---Weekly Grand Rounds, Malignancy Rounds, ClinicalConference, and Research Conference

Rural Physician Associate Program---Internal Medicine---Director

Track lA student advisor

Department of Medicine---intern advisor

SPECIAL SERVICES AND CONTRIBUTIONS TO THE DEPARTMENT, COLLEGE,UNIVERSITY AND PROFESSIONALLY RELATED SERVICES TO THE COMMUNITY

American College of Physicians---Committee on Associates

Phase D Track Committee---Family Practice (Track 5)

Chairman, Undergraduate Education Committee---Department of Medicine

Intern Selection Committee--Department of Medicine

Executive Committee---Internal Medicine Associates

Director--Medicine Clinic

Chairman--Building B-C Task Force

Outpatient Committee---Departmental representative (former chairman)

Outpatient Space Allocation Committee

Medical Staff---Hospital Council

" University Senate

Admitting Officer---University Hospitals

Ambulatory Care Reorganization Committee

Search Committee---Hospital Public Relations Director

Rural Physicians Associate Program---Family Practice and Internal Medicine

Consultant for Division of Educational Resources and Programs---Association of American Medical Colleges

Consulting Physician---Minneapolis Veterans Administration Hospital

Invited Speaker---International Symposium on Chemistry and Physiology of BilePigments, National Institutes of Health, Bethesda, Maryland

Invited Lecturer--The Kawasaki Medical School, Kurashiki, Japan

BIBLIOGRAPHY

Robert Bruce Howe, M.D.

1. Berglund, F., Helander, C-G., and Howe, R.B.: Inorganic sulfate andthiosulfate: transport and competition in renal tubules of the dog. Am. J.Physiol. 198:586, 1960.

2. Howe, R.B., and Pinto, S. de T.: Studies on ether-soluble bilirubin. Univ.Minn. Med. Bull. 37:324, 1966.

3. Howe, R.B., and Pinto, S. de T.: Ether-soluble bilirubin. Medicine 45:523,1966.

4. Howe, R.B.: Ether-soluble bilirubin: a an unusual complex of bilirubin inhuman serum. Ikterus, 79, ed. by K. Beck, F.K. Schattauer Verlag, Stuttgart,New York, 1968.

5. Berlin, N.I., Berk, P.O., and Howe, R.B.: Bilirubin metabolism. Chapt. 12 inDuncan's Diseases of Metabolism, 6th edition, ed. by P. Bondy, W.B. Saunders,Philadelphia, 1969, pp. 636-653.

6. Williams, R.C., Jr., Bailly, R.C., and Howe, R.B.: Studies of "benign" serumM-components. Am. J. Med. Sci. 257:275, 1969.

7. Berk, P.O., Howe, R.B., Bloomer, J.R., and Berlin, N.I.: Studies of bilirubinkinetics in normal adults. J. Clin. Invest. 48:2176, 1969.

8. Howe, R.B., Berk, P.O., Bloomer, J.R., and Berlin, N.I.: Preparation andproperties of specifically labeled radio-chemically stable 3H-bilirubin. J.Lab. Clin. Med. 75:499, 1970.

9. Bloomer, J.R., Berk, P.O., Howe, R.B., Waggoner, J.G., and Berlin, N.I.:Comparison of fecal urobilinogen excretion with bilirubin production innormal volunteers and patients with increased bilirubin production. Clin.Chim. Acta. 29:463, 1970.

10. Berk, P.O., Bloomer, J.R., Howe, R.B., and Berlin, N.I.: Constitutionalhepatic dysfunction (Gilbert's Syndrome): A new definition based on kineticstudies with unconjugated radiobilirubin. Am. J. Med. 49:296, 1970.

11. Berk, P.O., Bloomer, J.R., Howe, R.B., and Berlin, N.I.: The life span of thered cell as determined with labelled bilirubin. Formation and destruction ofblood cells. Ed. by: G.A. Jamieson and T.J. Greenwalt, Lippincott,Philadelphia, 1970, pp. 91-107.

12. Barth, R.F., Grimley, P.M., Berk, P.O., Bloomer, J.R., and Howe, R.B.:Excess lipofuscin accumulation in constitutional hepatic dysfunction(Gilbert's Syndrome): Light and electron microscopic observations. Arch.Path. 91:41, 1971.

...,.,'

13. Bloomer, J.R., Berk, P.D., Howe, R.B., and Berlin, N.I.: Bilirubin metabolismin congenital nonhemolytic jaundice. Pede Res. 2,:256, 1971.

14. Bloomer, J.R., Berk, P.D., Howe, R.B., and Berlin, N.I.: Interpretation ofplasma bilirubin levels based on studies with radiobilirubin, J.A.M.A. 218:216,1971. -

15. Berk, P.D., Bloomer, J.R., Howe, R.B., and Berlin, N.I.: Bilirubin productionas a measure of red cell life span. J. Lab. Clin. Med. 79:364, 1972.

16. Yawata, Y., Kjellstrand, C., Buselmeier, T., Howe, R., and Jacob, H.:, Hemolysis in dialyzed patients: Tap water-induced red blood cell metabolicdeficiency. Trans. Am. Soc. Artif. Int. Org. 18:301, 1972.

17. Jones, E.A., Shrager, R., Bloomer, J.R., Berk, P.D., Howe, R.B., and Berlin,N.I.: Quantitative studies of the delivery of hepatic-synthesized bilirubin toplasma utilizing -aminolevulinic acid-4 14C and bilirubin-3H in man. J.Clin. Invest. 51:2450, 1972.

18. Jacob, H., Yawata, Y., and Howe, R.: Red cell hexosemonophosphate shuntdeficiency in uremia. Hemoglobin and Red Cell Structure and Function, ed.by George J. Brewer. Plenum Publishing Corporation, New York, 1972,pp.133-143.

19. Yawata, Y., Howe, R., and Jacob, H.: Acquired deficiency ofhexosemonophosphate shunt metabolism in uremic red cells. Erythrocytes,Thrombocytes & Leukocytes, ed. by E. Gerlach, K. Maser, E. Deutsch & W.Wilmans, Geo. Thieme Publishers, Stuttgart, 1973, pp. 191-194.

20. Yawata, Y., Howe, R., and Jacob, H.: Abnormal red cell metabolism causinghemolysis in uremia: A defect potentiated by tap water hemodialysis. Ann.Int. Med. 79:362, 1973.

21. Jacob, H., Yawata, Y., Craddock, P., Hebbel, R., Howe, R., and Silvis, S.:Hyperalimentation hypophosphatemia: Hematologic-neurologic dysfunctiondue to ATP depletion. Trans. Assn. Amer. Phys. 86:143, 1973.

22. Yawata, Y., Craddock, P., Hebbel, R., Howe, R., Silvis, S., and Jacob, H.:Pancytopathic dysfunction in hyperalimentation hypophosphatemia, VIIinternational symposium on structure and function of erythrocytes. ScienceAcademy of the German Democratic Republic, 1973, p. 391.

23. Berk, P.D., Howe, R.B. and Berlin, N.I.: Bilirubin Metabolism, Chapter 13 inDuncan's Diseases of Metabolism, 7th Edition, ed. by P. Bondy and L.Rosenberg, W.B. Saunders, Philadelphia 1974. pp. 825-880.

24. Bloomer, J.R., Berk, P.D., and Howe, R.B.: Hepatic clearance ofunconjugated bilirubin in cholestatic liver diseases. Am. J. Digest. Dis. 19:9,1974.

25. Yawata, Y., Hebbel, R.P., Silvis, S., Howe, R., and Jacob, H.: Blood cellabnormalities complicating the hypophosphatemia of hyperalimentation:Erythrocyte and platelet ATP deficiency associated with hemolytic anemiaand bleeding in hyperalimented dogs. J. Lab. Clin. Med. 84:643, 1974.

26. Howe, R.B., Berlin, N.I., and Berk, P.D.: Estimation of bilirubin production inman, Chapter 9 in International Symposium on Chemistry and Physiology ofBile Pigments, DHEW Publication No. (NIH) 77-11 00, 1977, pp. 105-115.

27. Branda, R.F., Ackerman, S.K., Handwerger, B.S., Howe, R.B., and Douglas,S.D.: Lymphocyte studies in familial chronic lymphocytic leukemia. Am. J.of Med. 64:508, 1978.

28. Priluck, I.A., Howe, R.B., Eifrig, D.E., Edson, J.R. and Miller, K.: Retinalsurgery complicated by a spontaneously-acquired Factor VIII inhibitor. Amer.J. Ophthalmol. 86:27, 1978.

29. Howe, R.B., Hadland, C. and Engel, R.: Effect of phototherapy on serumbilirubin levels and red blood cell survival in congenitally jaundiced Gunnrats. J. Lab. Clin. Med. 92:221, 1978.

30. Petryka, 2.J., and Howe, R.B.: Historical and Clinical Aspects of BilePigments, Chapter 12 in The Porphyrins, ed. by D. Dolphin, Vol. VI, AcademicPress, New York, 1979, pp. 805-837.

31. Howe, R.B., Branda, R.F., Douglas, S.D., and Brunning, R.D.: Hereditarydyserythropoiesis, with abnormal membrane folate transport. Blood 54:1080,1979.

32. Howe, R.B.: Tips on diagnosing and treating anemia in the aging. Geriatric34:29, 1979.

33. Berk, P.D., Jones, E.A., Howe, R.B., and Berlin, N.I.: Disorders of BilirubinMetabolism, Chapter 14 in Metabolic Control and Disease. 8th Edition, ed.by P. Bondy and L. Rosenberg, W.B. Saunders, Philadelphia. 1980, pp. 1009-1088.

34. Howe, R.B.: Staging laparotomy in the management of lymphoma. In:Hepatic, Biliary, and Pancreatic Surgery. ed. by J.S. Najarian and J.P.Delaney, Year Book Med. Pub., Chicago. 1980, pp. 211-225.

35. Howe, R.B.: Claves para el diagnostico y tratamiento de la anemia en lasenectud. Medicina Geriatrica 1:2, 1981.

36. Howe, R.B., Bloomfield, C.D., and McKenna, R.: Hypocellular acuteleukemia in adults. Am. J. Med. 72:391, 1982.

37. Rushing, D., Goldman, A. Gibbs, G., Howe, R., and Kennedy, B.J.:Hydroxyurea versus busulfan in the treatment of chronic myelogenousleukemia. Am. J. Oncol. 5:307, 1982.

38. Howe, R.B., Kay, N. and Douglas,S.: Effect of therapy on T-cellsubpopulations in patients with chronic lymphocytic leukemia 6:345-348, 1982.

39. Yunis, J.J., Oken, M., Kaplan, M.E., Ensrud, K.M., Howe, R.B., andTheologides, A. Distinctive Chromosomal Abnormalities in HistologicSubtypes of Non-Hodgkins Lymphoma. N. Engl. J. Med. 307, 1231-1236, 1982.

. .•

40. Howe, R.B. Anemia in the elderly; common causes and suggested diagnosticapproach. Postgrad. Med. 73, 153-160, 1983.

41. Miller, W.J., Branda, R.F., Flynn, P.J., Howe, R.B., Ramsay, N.K.C., Condie,R.M., and Jacob, H.S.: Antithymocyte globulin treatment of severe aplasticanemia. (Submitted).

,,'. ;~

, I~ I UNIVERSITYOFMINNESOTA\.;III TWIN CITIESJune 9, 1983

University Hospitals and Clinics420 Delaware Street S.E.Minneapolis, Minnesota 55455

TO: University Hospitals Board of Governors

FROM: C. Edward Schwartz, Hospital Oirector??'~~SUBJECT: End-Stage Renal Disease Program

The regulations pertaining to the End-Stage Renal Disease programrequire that the Hospitals' governing body annually review and approvethe policies, procedures and organizational structure which apply tothe services provided under this program. Such review and approvalis slated for June 1983.

Attached, for your consideration, are:

• New policies which have been developed since the last Boardof Governors review.

• An index of existing policies and procedures.

• A revised organizational chart which relates to the servicesprovided under the End-Stage Renal Disease program.

These items have been considered by the Medical Staff-Hospital Counciland the Joint Conference Committee and are thereby submitted foryour approval.

/kj

attachments

HEALTH SCIENCES

RENAL DIALYSIS UNIT POLICIES

I ND E X

Documentation of Approval of Board of GovernorsGuidlines for Renal Unit Policies - Organizational ChartNetwork No. 7 Membership AgreementMedicare CertificationAffiliation Agreement with Methodist HospitalMedical Director PoliciesRole of Residents and FellowsPolicy for Shunt ServiceInteraction of Transplantation and Renal ServicesPhysician Signature PolicyPurpose, Philosophy, ObjectiveGeneral PoliciesPersonnel PoliciesOvertime PolicyChronic Maintenance DialysisAcute DialysisAdmission PolicyDischarge PolicyMedical Records PolicyStanding Orders PolicyPatient Rights and ResponsibilitiesAssessment of Quality CareCommunications and Staff Development PolicyCommunication PolicySpecifications for Performing ProceduresInsertion of Fistual Needles by Kidney Dialysis TechniciansCharting by Kidney Dialysis TechniciansMedication Administration PoliciesCompressed Air PolicyPolicy on Drugs and Equipment for Emergency ProceduresNotifying Physician of Patient Problems and EmergenciesChecking Emergency CartHandling of EmergenciesPreventative Maintenance of Kidney Dialysis EquipmentFunctional Failure of Reverse Osmosis MachineElectrical Safety PolicyFire PolicyCoordination with Internal and External Disaster PlansInfection Control and Cleaning PolicyVentilation Requirements for Isolation ProcedureTraffic ControlHerpes Simplex PrecautionsPregnant Personnel PolicyHandling and Disposal of Wastes and ContaminantsPolicy for the Maintenance of Quality WaterStorage of Food and BiologicalsHepatitis Surveillance and ManagementEmployment Related HepatitisNeedle Stick/Injury PolicyMasks in DialysisPolicy for HandwashingWearing of Sterile or Protective GlovesDress Code for Dialysis

Allocation of Dialysis Social Worker

POLICY NUMBER;

0" . . .••,.....I..~

POLICY AND PROCEDURES MANUAL SECTION:,()..... 'NIVERSITY OF MINNESOTA HOSPITALS AND CLINICS

VOL.:Department of Nursing Services

EFFECTIVE: 5/5/83

1m SUBJECT: R~VISION. ~_~.:.:.;NU:::.:..R::::.S:.:.IN:.::.G--:C~A;.:.:RE;....:..,,:PL:.:.:A~N_-...lD~I..u.AIII..lY...¥.s;&.aJ' S'-w.LlUNlooIoll"T".p__!;; : ·f .......SOURCE: REVIEWED:PAT JACOBBERGER, HEAD NURSE

GUIDELINES FOR COMPLETION AND UPDATINGOF THE NURSING CARE PLAN TOOLS

A. General Points

1. All entries to the Care Plan must be made in black ink exceptfor the allergies section where entries are to be made inred ink.

2. All entries must be dated as to month/day/year,3. All records are permanent. Do not erase or cross out any entry.

When data changes tt is to be colored over with a Hi-Liter Marker.4. Primary Nurses are responsible for Monthly Care Plan review,

updating and SOAP Charting.5. Primary Nurses are responsible for shartnq the Care Plan with

the pati-ent and/or family as well as for seeking fnput fromthe patient and/or fami1y in generating the Care Plan.

B. Nursing Care Plan Tool

,. Demographic Information

- Note the name of the Primary Nurse and the date this Care Planwas started.

- Note the date of the patient's first hemodialysis treatmentat the University of Minnesota. If he started dialysis in anotherinstitution, indicate the date of his first treatment at thatinstitution.

- Addresses and telephone numbers, both local and out-of-townmust be noted.- The name, address and telephone number of who to notify in

emergencies ;s to be provided.- Note the patientJs religion, birth date, current and previous

occ~atton.

~A~P.:.PR~O~V~E:::D:,;,.:.!f.~U~~/!,~:::

f •...•.

GUIDELINES FOR COMPLETION AND UPDATINGNursing Care Plan Tool

Page 2

- Provide the name and telephone number of the referriig dialysisunit and/or referring physician.

2. Adjustment Information- Interview the patient to obtain answers to the questions in

this section regarding scheduling, transportation, etc.

3. Allergies- Entries in this section are to be made in red ink.- Note the generic and brand name of the drug or substance that

the patient is allergic to.4. Patient's Rights

- Each patient is to receive a University of Minnesota Patient'sRights Booklet.- The patient must read the booklet (or the nurse must read it

to him). Comprehension should be evaluated and questionsanswered or referred.

- The patient or guardian must sign on the line provided atthe bottom of that page to indicate that he received the information.

5. Medical History- Note whether or not the patient is a diabetic.- Complete this section by patient interview and chart review.

6. Surgtcal History- Note the dates of and describe all surgical procedures and

pregnancies. May only be able to date by year.- As new surgical procedures are performed, they are to be noted here.

7. Pattent Teaching- All patients (families of children) are to receive teaching,

without exception in the following:Access Care and EmergenciesDiet and Fluid IntakeMedicationsWhat lab Values Mean

- These and other topics of patient teaching are to be dated.- Review dates are to be indicated.

~ ...

;, .,... .•.

GUIDELINES FOR COMPLETION AND UPDATINGNursing Care Plan Tool

Page 3

8. Dialysis Information ,- Indicate the type of access, needle size, dialysis schedule,

dialyzer, bath, water, heparinization, priming solution, andblood lines used for dialysis.- Note the patient's dry weight and diet prescription.- Note if the patient is awaiting transplant and if so, whether

it is LRD or Cadaver.- Note the patient's hepatitis antigen and antibody status:

If the patient was given Heptavax vaccine, note the three dose dates.9. Access History

- Note the date of and describe all access procedures includingsubclavian and femoral catheterizations.

10. Nursing Care Plan- Based on your interview and chart review, first formulate a

,~ problem list for the patient.- Using the patient problem list, complete the patient Care Plan

for each problem.- Indicate the date of the problem's documentation, the short

term and long term goals, plan of care and intervention and theactual outcome.- Indicate the date of review and the date of care conference review.- As problems resolve they are to be colored over with a Hi-Liter Marker.

c. Patient Problem List1. Each problem should have a number.2. Title each problem descriptively.3. Indicate the date of onset, the date the problem was

the date the problem inactivated (was resolved).4. When a problem resolves, color over the entry with a

recorded and

Hi-Liter Marker.

D. Dialysis Patient Medication Record

1. This is a cumulative record. When a drug is discont1nYed.color over it with a Hi-Liter Marker.

2. The start and stop dates must be indicated as well as the name.dose. route and frequency of the medication.

3. Each patient's medication record should be reviewed by the nurse,with the patient. monthly.

4. Indicate the date of review and initial.

GUIDELINES FOR COMPLETION AND UPDATING Page 4

E. Nursing Notes

1. Charting of patient progress will be done in the form of a SOAPNote on the Health Professional Progress Notes.

2. The Monthly Care Plan Review Note should be titled as suchwith a SOAP Note made on each problem.

3. Interim notes should be titled as such and a SOAP Note writtenwhere a new problem is added, a change occurs in the patient'sstatus (i.e., arrests, serious complications, transplant received),or if the patient transfers out.

4. All Notes must be dated, written in black ink and signed by thePrimary Nurse.

. _0 ~u," nu.:>t'.l JAL~

. ". DIALYSIS PATIENT DATA BASEAND

NURSING CARE PLAN TOOL

( All Entries Are To Be Made In Black Ink Name Plate

! •

-4 ~imary Nurse. -:Date Care Plan Started,...... _Date of First Dialysis at U. of M. ---:Elsewhere ....o.- _

• Home Address --t1HOME

~ • -:PHONE--.....l(""---.J-) _-i Local Address -tLOCAL~ PHONE~('____") _-

occupation ' ....;Previous Occupation __

Add ress Phone-! ) _

Rel igion ...;Birth Date _

= Who To Notify In Emergencies _:z:::l..:z:t:!',f..,;)

Referring Dialysis Unit ~Phone__~(__~) _

Referring Physician Phone__(~_~) _

do you regard as your support system? _

ho depends on you? _

hat are your transportation problems? __

hat days/times are best for your dialysis? _

o you have any financial concerns? ___

o you have help at home? -.;Who? _

o you expect to return to your job? __

hat ;s your activity level? ~What is your endurance level? _

o you require help in your home? __

ave you any special interests or hobbies? ___

hat else do you want us to know about you? _

~LLERGIES (in red)

~Patient Given Patient's Rights Booklet On, _

I have been given the U. of M. Patient's Rights Bookletand have had any questions about its contents explained.

Patient Signature or Guardian

3.. •Date SUBJECT Review Date Review Date Review Date Review Date.,

Access Care &EmergenciesDiet and Fluid Intake

( ~ MedicationWhat Lab Values Mean . -..

C)

E::I:Ue:(LiJt-

t-ZLiJ-t-e:(c-

Access--------------- NOTE DATE &DESCRIBE ALL ACCESS PROCEDURES

Yes NO LRD CAD___Positive NegativePositive Negative

zo-iEXo\..I-z:-

Needle Size-------------Dialysis Schedule __Dialyzer _

Bath: K+ Na+ Ca++--_-.: ---- ----Gl uc o Phos 0 _

Bicarb Other---- ---------Water: RIO Distilled Other-------Heparinization _

Priming Solution _

Blood Lines _

Dry Weight _

Diet~ _

Awaiting Transplant?epatitis Antibody

Hepatitis Antigen

Received Heptavax on----------

>-a::ot-en-:%:enenI.l.JuUe:(

Date Procedure

:-"

POLICY AND PROCEDURES MANUALUNIVERSITY OF MINNESOTA HOSPITALS AND CLINICS

~ Departaent of Nursing Services

EFFECTIVE: 5/5/83

".

VOL.: POlICY NUMBER:

REVISION:

REVIEWED:

SECTION:

SUBJECT:PRIMARY NURSING - DIALYSIS UNIT

S()URCE'PAT JACOBBERGER, HEAD NURSE:tmPRIMARY NURSING POLICIES AND PROCEDURES

UNIVERSITY OF MINNESOTA HOSPITALS DIALYSIS UNIT

Dialysis patients pose a special problem in the maintenance ofcontinuity of health care because of their multiple-system complicationsand because of their repeated visits. Since assignments vary fromday to day between nurses, it becomes especially difficult toassure a consistent approach to problem identification and solution.Therefore, it seems reasonable to institute a plan of Pri~ry Nursingin order to facilitate and ~intain continuity of health care for ourdialysis patient population.

The goals of the Pri~ry Nursing System of Assignment include:1. To establish and implement with input from the patient,

a plan of care that meets his/her physical and psycho-logical needs.

2. To establish and maintain a working rapport with the patientin order to accurately assess his/her physical anc psycho-logical status.

3. To establish and ~intain channels of nurse/patientcOrrtTluni ca tion.

4. To become aware of and communicate specific patient needsto the appropriate service of the health care team,e.g., physician, nursing staff (both Unit and hospital-wide),dietitian and Social Services.

S. To develop and implement a patient education program specificto the patient.

6. To assist the patient in the establishment and attainmentof realistic goals.

7. To promote active participation in health care by the patient. ....' ...

. ...

~A~P~P~RO::::.V~E~D~:..!-l!Lt!f,,4~L!!:~#A~/~r~...~,.~-~.!!:::!.~~-----......JTITlE: HEAD NU~E _ DIAL1SIS·UNIT DATE: 5/5/83

..• "'=

PRIMARY NURSING POLICIES AND PROCEDURES Page 2

Assignment of primary patients will be carried out in thefollowing manner:

1. Each chronic dialysis patient (i.e., those patients whoI

~peatedly receive their dialysis treatments at the .University of Minnesota Hospital) will have one primary nurse.

2. Dialysis patients who are here for transplantation work-up,transplantation, and/or surgery prepatory to transplantation,will have a primary nurse assigned if they are here fordialysis longer than two weeks from the date of their firstdialysis for that current admission. Upon readmission afterdischarge, the patient will be assigned to their previousprimary nurse.

3. New patients who are identified as chronic dialysis patientsthat will receive their dialysis on a repeated basis hereat the University of Minnesota, will be assigned a primary nursewithin two weeks of their initial dialysis.

4. Patients being treated for acute renal failure (i.e., reversablefailure) will not be assigned a primary nurse by thisDialysis Unit.

5. Registered Nurses working 75% or better, will be assignedup to five patients for the purposes of Primary Nursingwith the exception of the Head Nurse, Assistant Head Nurse,Permanent Relief Charge Nurse and Station Instructor{s).In the latter cases, each will be assigned one patient.

6. Registered Nurses working 50% to 74% will be assignedup to three patients and Registered Nurses working10% to 49% will be assigned only one patient for thepurposes of Primary Nursing.

7. New R.N.'s to the Unit will receive their primary patientassignment three months after the nurse's start date.

8. Primary Nurses may barter with each other for patient assignmentsevery January and June. If conflicts which seem unresolvableoccur, the Primary Nurse may request a change of patient aftera conference with the Assistant Head Nurse.

9. Patients of Primary Nurses who terminate employment orare on an LOA of more than two months, will be reassignedto other nurses.

PRIMARY NURSING POLICIES AND PROCEDURES Page 3

The nesponsibilities of each Primary Nurse include:1. To develop, meintain and communicate to the patient and the

health care team a written on-going dialysis care planwithin'two weeks of assignment.

2. To revise and update the written care plan on a monthly basisor more frequently if there is a major change in the patient'sstatus (e.g., hospitalization, surgery, etc.).

3. To plan and lead patient care conferences with the inter-disciplinary health team members and patient and family,if available, and to communicate verbally and in writing theoutcome of those care conferences on a bi-yearly basis.

4. To develop, maintain and communicate to other health teammembers a patient problem list.

5. To develop and maintain a cumulative medication list.6. To monthly document the patients' status, problem resolution

and progress on the patient care plan.7. To monthly document the patients' status in the progress notes

in the outpatient chart, using the problems list and theSOAP charting method.

8. To complete the Patient Transfer Protocol when a primarypatient is transfered to or visiting another Unit.

9. To update or make certain the dialysis orders for a primarypatient are updated when a change in d.ialysis orders is made.

10. To request specific primary patient assignment for dialysiswhen the need arises.

• ;

IPRIMARY NURSING POLICIES AND PROCEDURES Page 4

.i

Auditing of compliance with Primary Nursing Policy and Procedure..

will occur along the following guidelines:1. The Assistant Head Nurse will audit each patient's chart

the first week of every month for the previous month'scharting.

2. If components are incomplete or missing, the Primary Nursewill be informed and expected to complete the chart withinseven days. Incomplete charts will be reaudited for complianceseven days after informing the Primary Nurse.

3. Failure to complete the chart after two requests or failureto complete a chart or charts three months in a row willresult in a disciplinary conference.

4. Assignment of primary patients will be done by the! Assistant Head Nurse. All changes during the month of~ January or June will be made with the approval of the

Assistant Head Nurse.5. Care Conferences will be scheduled and noticed to the Primary

Nurse and staff by the Assistant Head Nurse.

~ ...

VOL.: POLICY NUMBER:

REVIEWED:

SECTION:

SOURCE:·"Pat Jacobberger, R.N. Head Nursl

EFFECTIVE: June 8. 1983r------------------,.REVISION:

POLICY AND PROCEDURES MANUALUNIVERSITY OF MINNESOTA HOSPITALS AND CLINICS

l5i1 SUBJECT: Food Trays from Hepatitis Posi-I+~" ... n';"'\1"~" D,.+': __ 4-~f~ Department of Nursing Services

FOOD TRAYS FROM HEPATITIS POSITIVE DJ~LYSIS PATIENTS

Removal of food trays from the rooms of Hepatitis PositiveDialysis Patients will follow the guidelines establishedin the following Memo dated 11/09/81.

,

>,.

~A-P-PR...:O;;...V-F._D-:-..h&.::;~~2.;t.::;"';;.;;;:' ':...::~:.....;IA._...I"....,:,t,,~i:It-:..:.:;;-e.Jc:;...;.;:;;~ --i DATE:TITLE: Head (~se - Oia4ysis Unit June 10, 1983

POLICY AND PROCEDURES MANUAL SECTION:UNIVERSITY OF MINNESOTA HOSPITALS AND CLINICS

f~

l5TIDepartment of Nursing Services

SUBJECT: HEPATITIS B CONTROL IN DIALYSIS

SOURCE:PAT JACOBBERGER, HEAD NURSE

VOL.: POLICY NUMBER:

EFFECTIVE: May 20,· 1982

REVISION: June 8, 1983

REVIEWED:

REPATITIS B CONTROL IN DIALYSIS

The Dialysis Unit will follow the Hospital Policy and Procedures Manual,Procedure Number 33~6, with regard to Hepatitis B surveillance with thefollowing additions:

~ New patients on dialysis (~hronic or acute) will be screened forHepatitis B (HBsAg and antt~HBs) at their first dialysis and thenonce per month during their period of treatment in this facility~

~ Patients who have dialyzed elsewhere will present their Hepatitis BStatus when possible, prior to their first dialysis in this facility.If the patient has not been screened for Hepatitis B within thepast month, blood will be obtained for screening at the firsttreatment here and then once per month during their period oftreatment in this facility.

~ All patients who permanently dialyze in this facility will beoffered Heptavax~B vaccine. Patients who are vaccinated will bescreened for HBsAg and anti~HBs every month during the innoculationperiod and then every six months thereafter.

- Patients who refuse vaccination with Heptavax-B will be screenedevery month.

}! ...

~A~P~PR~O~V~F~D~:Lf.~~ft.L,~,.~'-~j.~~'.Lt;._-::"~e:::. ---1 DATE:TITLE: Head6(urse ~ Dialysis Unit

June 10, 1983


SUBJECT: HEMOD IAL YS IS UN IT DRESS CODE REVISION: June 6 ~ 1983

SOURCE: PAT JACOBBERGER, R.N. Head Nurse REVIEWED:

EFFECTIVE: 2/14/83f"l5i1

Department of Nursing ServicesVOL.: POLICY NUMBER:

HEMODIALYSIS UNIT DRESS CODE

Employees will follow the estab1 ished Hospital Dress Codein the Department of Nursing Services Policy and Procedures Manualwith the following additions:

1. Booties will be worn over shoes when cari'ng forHBsAg positive pati~nts.

2, Isolation gowns will be worn, tied over uniformswhen caring for patients and di~carded when leavingthe Unit.

3, Technicians are expected to follow the same guidelines.

.:-.t-.--

~A~P~PR~O~V~F~.::D:.J:A~~-f:;l.:l.~~1.~",n~,~~...J./!.J~ ~ DATE:TITLE: H~ Nurse -' Di a1ys i s Unit June 10, 1983


June 6~ 1983

POLICY NUMBER:VOL.:

EFFECTIVE:

Department of Nursing Servicesf~

l5i1 SUBJECT: Hepatitis Screening and Yaccin- REVISION:I-~at.!::.l~·o~n~~fo::!.!r~D..!.!i a~l!.J!v~s..!.is:...:.S~ta.!..ff:""- --I '----.....------------1SOURCE: Pat Jacobberger, R.N. and REVIEWED:N::Inrv V::In .... 0 '"

HEPATITIS SCREENING AND VACCINATION FOR DIALYSIS STAFF

1. At the time of hire, new employees will be screened for HBsAg andAnti-HBs.

--if new employees are Anti-HBs negative they will beoffered Heptavax-B.

--if new employees are Anti-HBs positive, they are protectedand do not require Heptavax-B.

--if new employees are positive for HBsAg, they will not beallowed to work in the Dialysis Uni't.

--if new employees do not wtsh to take advantage of Heptavax-Band are Anth·HBs negative, they will be screened every twomonths thereafter.

2. personnel who have received Heptavax-B will be screened 6 monthsafter their last tnocculation to determine the presence of the expectedAnti-HBs.

--Personnel who have completed two of the vaccination series willbe screened to determi ne the presence of Ant i-HBs.,

3. Currently employed personnel who are Anti-HBs negative because they eitherrefused vaccination wi'th Heptavax-B or did not develop Anti-HBsfollowing vaccination will be screened for HBsAg and Anti -HBs everytwo months.

4, Employees will include nurses, technicians, housekeeping personnel,nurses aides and secretaries.

~A~P:!:P~RO:::V~F~D~:LAU~~A',,~.i~-I.~-'I~L~,(A)~~ ~ DATE:TITLE: Head6furse - Dialysis Unit June 10, 1983


Department of Nursing ServicesVOL.: POLICY NUMBER:

EFFECTIVE: June 8, 1983

l5TI SUBJECT: Training and Assimilation of REVISION:k-~~-=-.1lNlelII.OL...JCI;.mj:"'''''W.'i~""~~'~jl.,\i''''~-------11----~-----------1SOURCE: REVIEWED:Pat Jacobberger, Head Nurse

TRAINING AND ASSIMILATION OF NEW EMPLOYEES

REGISTERED NURSES

Orientation for the new employee {R.N. trainee} will be approximately2-3 months. During this time the trainee will learn to operate dialysisand dialysis related equipment, nursing care of the chronic adult andpediatric dialysis patient and nursing care of the acutely ill adult andpediatric dialysis patient.

After an appropriate period of classroom learning, the new employee'sclinical experience will start with the dialysis of chronic stable adultpatients. Gradually, as dictated by the new employee's progress, care ofthe more acutely ill adult and pediatric patient will be fntroduced. TheStation Instructors will evaluate the new emp10yee"s progress on anongoing basis. The new nursing employee will proceed at a pace consistentwith her/his fncreasing expertise.

During the orientation process, the Station Instructors will communicatewith the Leadership Group on the new emp10yee~s progress.

When orientation is complete, the new R.N. staff member will beassigned a normal rotation of hours (a.m./p.m. and weekends).

Independent Assignment will be made based on the individual ~s levelof expertness and ability by the Head Nurse, Assistant Head Nurse orCharge Nurse. Gradually, assignments will be increased to include ahigher level of acui'ty and a more vari'ed cross ..secti'On of patients.

When the new employee has worked in the Dfa1ysis Unit for six monthsthe Head Nurse and/or Assistant Head Nurse will meet with the StationInstructors to determfne if the new employee is clinically ready to be placedon the call rotation. New employees will not be teamed with new employeeson ca11.

TECHNICIANS

Orientation for the technician trainee will be approximately 2-3 months.During this time the trainee will learn to operate, prepare and maintaindialysis and dialysis related equipment.

After an appropriate period of classroom learning, clinical experience willstart with the set-up of equipment for chronic stable adult patients, under theguidance of a trained technician. Gradually, as dictated by the trainee'sprogress, set-up of equipment for more acutely ill adult and pedfatric patients

~ will be introduced. The trafnee~s progress will be evaluated on an ongoing ~.•~ basis and the trainee will proceed at a pace consistent with his/her increasing

expertise., ~ \

a.:.A.::..,P:...:.PR,:,:O:...:,V.:..:FD:";':..:.!:J/w-::::::::';4-/t.::.j.~::.:..;:.::.u.::;:::?'/";;.:,~~;..:.MJ;.;;.::·:..---------1 DATE:TITLE: He~ 'Nurse - Dialysis Unit June 10, 1983

SECTION.

VOL: IPOLICY NUMBER'SUBJECT: T .• d A •.raln1ng an sSlmllatic n

of New Emnlovpes

TECHNICIANS (continued)

When orientation is complete, the new technician staff member will beassigned a normal rotati'on of hours (a.m.'s, p.m.'s and weekends).

Independent assignment will be made based on the individual's levelof expertness and ability by the Head Nurse, Assistant Head Nurse orCharge Nurse, with input from the Chief Technicians. Gradually, assignmentswill be increased to include more stations and more difficult set-upsand break reliefs.

When the new employee has worked in the Dialysis Unit for six months,the Head Nurse and/or Assistant Head Nurse will meet with the ChiefTechnician to determine if the new employee is clinically ready to beplaced on the call rotation. New employees will not be teamed withnew employees on call.

In the training of new employees, experienced Station Instructorsand Dialysis Technicians will be utilized and all clinical experienceswill be closely observed and supervised until the trainee exhibitscompetency.

- 2 -

J' "I

University of Minnesota Hospitals and Clinics

Chart of OrganizationEnd-Stage Renal Disease Progra.

Renal Transplant Service and Dialysis Unit

Board of Governors,

Network Coordinating Council Members ~eneral Director/CEODr. ThOmas f. Ferris :Mr. C. Edward SchwartzMr. R. Edward HowellMs. Patricia Jacobberger

r

Medical Review Board MembersDr. Thomas F. FerrisMs. Patricia Jacobberge~

1Chief of Staff and ChairmanMedical Staff Hospital Councilor. Paul G. Quie

~,Hedicil Director~Unit

• s F. ferrisMedical DirectorRenal Transplant ServiceDr. John Najarian

AlternateMs. Barbara Tebbitt

Sr. Associate Director andDirector of Nursing Services

. ~~Renal Transplant ServiceAs~t. Director, NursingMs. Susln Plppas-Vlrco

IAttending StiffHousestlff

~

Attending StaffHousestaffTrlnspllnt Coordinator

~

Head NurseNursing Stiff

Head Nurse

Nursing StaffOill1sts Techntctlns

Q

l5il UNIVERSITY OF MINNESOTATWIN CITIES University Hospitals and Clinics420 Delaware Street S.E.Minneapolis. Minnesota 55455

June 9, 1983

TO: Board of Governors

FROM: C. Edward Schwartz ~-~~.s;;d~

SUBJECT: Personnel/Purchasing Implementation

At its May meeting the Board of Governors reviewed plans approved byVice Presidents Vanselow, Bohen, and Hasselmo relative to Personneland Purchasing implementation. The Board tabled action on the matterwishing more time to review the subject.

We noted at the May meeting that abbreviated versions of these planswere being developed as background material f

Documents

UNIVERSITY OF MINNESOTA HOSPITALS AND CLINICS ......Thomas F. Ferris Ivan D. Frantz, Jr. Benjamin Fuller, Jr. Joyce L. Funk Stephen J. Gilberstadt Richard F. Gillum Frederick C. Goetz