The hospital has a staffing plan for managing all staff and volunteers during an emergency or...

(1)

The hospital's staffing plan describes in writing how it will manage volunteer licensed practitioners when the emergency operations plan has been activated and the hospital is unable to meet its patient needs. The hospital does the following: - Verifies and documents the identity of all volunteer licensed practitioners - Completes primary source verification of licensure as soon as the immediate situation is under control or within 72 hours from the time the volunteer licensed practitioner presents to the organization - Provides oversight of the care, treatment, and services provided by volunteer licensed practitioners Note: If primary source verification of licensure cannot be completed within 72 hours, the hospital documents the reason(s) it could not be performed.

(2)

The hospital identifies the individual(s) responsible for granting disaster privileges to volunteer physicians and other licensed practitioners and has a process for granting these privileges. This is documented in the medical staff bylaws, rules and regulations, or policies and procedures.

(3)

The emergency response staffing plan describes how it will provide employee assistance and support, which includes the following: - Staff support needs (for example, housing, transportation) - Family support needs of staff (for example, child care, elder care) - Mental health and wellness needs