{"aaData": [["0. STAFF ALONE", "
OLD0
\n", "
\nStaff alone.\n
\n
\n", "
YES
\n"], ["LEVEL B: ATTENDING IN O.R., SCRUBBED", "
B
\n", "
\nThe supervising practitioner is physically present in the operative or \nprocedural room and directly involved in the procedure. The resident \nperforms major portions of the procedure.\n
\n
\n", ""], ["LEVEL C: ATTENDING IN O.R., NOT SCRUBBED", "
C
\n", "
\nThe supervising practitioner is physically present in the operative or \nprocedural room. The supervising practitioner observes and provides \ndirection. The resident performs the procedure.\n
\n
\n", ""], ["LEVEL D: ATTENDING IN O.R. SUITE, IMMEDIATELY AVAILABLE", "
D
\n", "
\nThe supervising practitioner is physically present in the operative or \nprocedural suite and immediately available for resident supervision or \nconsultation as needed.\n
\n
\n", ""], ["LEVEL E: EMERGENCY CARE, ATTENDING CONTACTED ASAP", "
E
\n", "
\nImmediate care is necessary to preserve life or prevent serious \nserious harm. The appropriate supervising practitioner must be \ncontacted and apprised of the situation as soon as possible. The \nresident must document the nature of that discussion in the patient's \nrecord.\nimpairment. The supervising practitioner has been contacted. \n \nAn emergency is defined as a situation where immediate care is \nnecessary to preserve the life of, or to prevent serious impairment of \nthe health of a patient. In such situations, any resident, assisted by\nmedical center personnel, will, consistent with the informed consent\nprovisions of VHA Handbook 1004.1, be permitted to do everything\npossible to save the life of a patient or to save a patient from\n
\n
\n", ""], ["LEVEL F: NON-OR PROCEDURE DONE IN THE OR, ATTENDING IDENTIFIED", "
F
\n", "
\nRoutine bedside and clinic procedure done in the OR. The supervising \npractitioner is identified.\n
\n
\n", ""], ["1. ATTENDING IN O.R.", "
OLD1
\n", "
\nStaff practitioner is scrubbed and present in the procedure/operating\nroom.\n
\n
\n", "
YES
\n"], ["2. ATTENDING IN O.R. SUITE", "
OLD2
\n", "
\nStaff practitioner is present in the procedural/surgical suite and \navailable for consultation.\n
\n
\n", "
YES
\n"], ["3. ATTENDING NOT PRESENT, BUT AVAILABLE", "
OLD3
\n", "
\nStaff practitioner is not present, but immediately available to the\nresident, for consultation and support, via telephone or in person.\n
\n
\n", "
YES
\n"], ["LEVEL 0. ATTENDING DOING THE OPERATION", "
0
\n", "
\nThe staff practitioner performs the case but may be assisted by a\nresident.\n
\n
\n", "
YES
\n"], ["LEVEL 1. ATTENDING IN O.R. ASSISTING THE RESIDENT", "
1
\n", "
\nThe supervising practitioner is physically present in the operative or\nprocedural suite and directly involved in the procedure. The resident\nperforms major portions of the procedure.\n
\n
\n", "
YES
\n"], ["LEVEL 2. ATTENDING IN O.R., NOT SCRUBBED", "
2
\n", "
\nThe supervising practitioner is physically present in the operative\nor procedural suite and immediately available for consultation. The\nsupervising practitioner may observe and provide direction. The\nresident performs the procedure.\n
\n
\n", "
YES
\n"], ["LEVEL 3. ATTENDING NOT PRESENT IN O.R. SUITE, IMMEDIATELY AVAILABLE", "
3
\n", "
\nThe supervising practitioner is not physically present in the operative\nor procedural suite, but is in the facility or on the VA campus. The\nsupervising practitioner is immediately available for resident\nsupervision or consultation as needed. Local policy, as approved by the\nVISN Academic Affiliations Officer, should define the standard for\n"availability" of the supervising practitioner. NOTE: The service chief\nand chief of staff are responsible for periodically reviewing cases\ndone under Level 3 supervision.\n
\n
\n", "
YES
\n"], ["LEVEL A: ATTENDING DOING THE OPERATION", "
A
\n", "
\nThe staff practitioner performs the case, but may be assisted by a \nresident.\n
\n
\n", ""]]}