POLICIES AND PROCEDURES
§ 119.21. Principle.
Policies and procedures shall be developed to guide personnel in the effective implementation of the objectives of the outpatient services. These policies and procedures shall be approved by the medical staff in cooperation with the nursing staff, related hospital departments and services, and the chief executive officer. They shall be reviewed periodically by the chief executive officer or his designee, revised as necessary, and dated to indicate the time of last review.
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