A hard copy of this document is kept in the Medical Staff Office (Ext. 3011)

Transcription

1 Privilege Documents: S-T Updated: March 13, 2012 A hard copy of this document is kept in the Medical Staff Office (Ext. 3011) Information is updated monthly. These documents are considered legal documents and are therefore protected. To find and print: You may find it necessary to print a specific privilege record: Find(Ctrl+F )that physician s record and click on it (You will not be able to see the cursor) choose File on the tool bar choose Print choose Current Page and then OK. WARNING: If you do not choose Current Page, ALL records in this document will print! If you have any questions regarding the information contained in this document, please contact the Medical Staff Office at x 3011

2 SACHDEV, Pratima, M.D. (6200) Specialty: Pediatrics Temporary privs. 11/05/86 Associate staff 02/19/87 Active staff 01/28/88 Senior-Active staff 12/18/07 09/20/88 Exec. Comm. 09/18/90 Exec. Comm. 08/18/92 Exec. Comm. 06/21/94 Exec. Comm. 08/20/96 Exec. Comm. 01/20/98 Exec. Comm. 02/22/00 Exec. Comm. to coordinate with No. Nv. Community Recred. Cycle commencing 04/01/00-03/31/02 04/01/00-03/31/02 Recred. Cycle 04/01/02 03/31/04 Recred. Cycle 04/01/04 03/31/06 Recred. Cycle 04/01/06 03/31/08 Recred. Cycle 04/01/08 03/31/10 Recred. Cycle 04/01/10 04/01/12 Recred. Cycle Reappointment to Core Privileges in Pediatrics Privileges include the treatment of patients between the ages of birth to 18 years, the performance of procedures that do not carry a significant threat to life (including related admission, consultation, and work-up; venipuncture laceration repair; incisions; and drainage of superficial abscesses) and treatment of major, complicated illnesses. Surgical Procedures Bladder tap Burns (1st and 2nd degree) Circumcision, newborn Incision and drainage of superficial abscess Needle aspiration of abscess Suture uncomplicated wounds Neonatal Procedures Newborn resuscitation Neurological Procedures Lumbar puncture

3 SAHM, M.D., Jennifer A., (09094) Specialty: Emergency Medicine Page 1 of 2 Associate Staff 02/05/02 Active Staff 08/24/10 Eval. Phys.: Reno Emergency Phys. 04/01/03 03/31/05 Recred. Cycle 04/01/05 03/31/07 Recred. Cycle 04/01/07 03/31/09 Recred. Cycle 04/01/09 04/01/11 Recred. Cycle Core privileges in Emergency Medicine Non-admitting privileges include being able to assess, work up, and provide initial treatment to patients who present in the ED with any illness, injury, condition or symptom. An emergency physician is expected to provide those services necessary to ameliorate minor illnesses or injuries, provide stabilizing treatment to patients presenting with major illness or injuries and to assess all patients in order to determine if more definitive services are necessary. Transfer of Care/Admission Orders

4 SAHM, JENNIFER, M.D. Page 2 of 2 EMERGENCY MEDICINE PRIVILEGES INCLUDE THE FOLLOWING PROCEDURES AS DEFINED BY THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS Anesthesia (intravenous/local/regional) Anoscopy Arthrocentesis Bladder Catheterization/Irrigation Cardiac Massage (closed/open) Cardiac Electroconversion Cardiac Electrical Pacing Cardiorrhaphy Cricothyrotomy Culdocentesis CVP Catheter Placement (jugular/peripheral/subclavian) Differential Diagnosis 1. History 2. Physical examination 3. System Review 4. Laboratory studies (indications/interpretation) 5. EKG (indications/interpretation) 6. Radiographic studies (indications/interpretation) Electrocoagulation Endotracheal Intubation (oral/nasal) Foreign Body Removal Fracture/Dislocation - Reduction/Immobilization Gastric Lavage Heimlich Maneuver Incision-Drainage Intracardiac Injection Lumbar puncture Laryngoscopy Moderate Sedation Nasal Packing/Cautery Nail Trephination/Removal Ocular Tonometry Oxygen Therapy Paracentesis Percutaneous Transtracheal Ventilation Peritoneal Lavage Pericardiocentesis Pericardiotomy Respirators (manual/mech./pressure/volume) Skin Grafting Spinal Immobilization Surgical Debridement Thoracentesis Thoracostomy Tube Drainage Thoracotomy Use of Split Lamp Wound Repair/Dressing

5 SALAMON, Peter B., M.D. (8224) Subspecialty: Pediatric Orthopedic Surgery Specialty: Orthopedic Surgery Courtesy staff 06/17/97 02/22/00 Exec. Comm. to coordinate with No. Nv. Community Recred. cycle commencing 04/01/00-03/31/02 04/01/00-03/31/02 Recred. Cycle 04/01/02 03/31/04 Recred. Cycle 04/01/04 03/31/06 Recred. Cycle 04/01/06 03/31/08 Recred. Cycle 04/01/08 03/31/10 Recred. Cycle 04/01/10 04/01/12 Recred. Cycle Reappointment to Courtesy staff - (Can only assist in the treatment of his own patients in direct conjunction with Dr. Bray.) Associate-staff orthopedic privileges Amputation Arthrodesis Arthroplasty Drainage - bone Graft - bone Closed reduction, dislocation or fracture dislocation Closed reduction, fracture Midas Rex Repair tendons Primary Secondary Tenotomy Wounds - major Peripheral nerve surgery Skin grafting Open reduction, internal fixation of fractures and/or osteotomies, AO/ASIF Arthrotomy, ligament repair and/or reconstruction of major joints, (ankle, knee, hip, shoulder, elbow, wrist)

6 SALAS MD, Michael M. (10209) Specialty: Physical Medicine & Rehab. Associate Staff 09/06/05 Evaluating Physician: 10/01/06 09/30/08 Recred. Cycle 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle H Haydon Hill, MD/Andrew Wesely,MD Core Privileges in Internal Medicine Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any Class II or III requests. CLASS I Arthrocentesis/joint injection Spinal Tap CLASS II (EMG) Electromyography Moderate (Conscious) Sedation/Analgesia Privileges Interventional Pain Management Privileges (11/22/05) mentored by Dr. Andrew Wesely Medial branch blocks: cervical, thoracic, lumbar, sacral Neurotomy (Radio Frequency Neurolysis): occipital, cervical, thoracic, lumbar, sacral Zygapophyseal joint injection (facet joint injection): cervical, lumbar Transforaminal epidural: cervical, thoracic, lumbar, sacral Discogram: cervical, lumbar RF percutaneous discectomy: lumbar Intradiscal electrothermal therapy (IDET): lumbar Caudal epidural Lysis of adhesions Lumbar interlaminar ESI Sympathetic nerve block (ganglion nerve block): cervical, lumbar Occipital nerve block Sacroiliac joint injection Greater trochanteric bursa injection Subacromial bursa injection

7 SALLABERRY, MD, Jorge (#10901) Specialty: Associate 5/4/10 10/01/10 10/01/12 Recred. Cycle EVALUATING PHYSICIAN: Alfred Maher, MD Core Privileges in Internal Medicine Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges do not include any Class II or III requests Class II privileges: Arterial cannulation Central venous catheter placement Paracentesis Class III privileges: Moderate sedation

8 SANDE, Craig M., M.D. (7907) Specialty: Gastroenterology Temporary privs 07/18/90 Associate staff 10/25/90 Active staff 11/21/91 Reapplic. on new GI core privs. applic. 7/99 08/18/92 Exec. Comm. 06/21/94 Exec. Comm. 08/20/96 Exec. Comm. 09/17/98 Exec. Comm. 10/01/00 09/30/02 Recred. Cycle 10/01/02 09/30/04 Recred. Cycle 10/01/04 09/30/06 Recred. Cycle 10/01/06 09/30/08 Recred. Cycle 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle Core Privileges in Gastroenterology Privileges include admission, work up, and diagnosis of patients of all ages presenting with illnesses, injuries and disorders of the stomach, intestines and related structures such as the esophagus, liver, gallbladder, and pancreas, including the provision of consultation. Moderate Sedation Flexible Sigmoidoscopy Colonoscopy ERCP Esophagogastroduodenoscopy Esophageal dilation Liver biopsy Polypectomy (Gastric or Colonic) Schlerotherapy Sphincterotomy PEGS Cautery Endoscopic Therapy of Bleeders

9 Sanders, Lawrence (11056) Specialty: Radiology Provisional 08/02/2011 APPOINTMENT: 08/02/ /31/2012 EVALUATING PHYSICIAN: Privileges include: plain radiographic interpretation; interpretation of general, vascular and obstetrical ultrasound; computed tomography; magnetic resonance imaging; nuclear medicine to include study interpretation as well as therapy and interpretation of positron emission tomography studies; fluoroscopy

10 SASSE M.D., Kent C., (08907) Specialty: General Surgery Associate staff 08/07/00 Active staff 06/25/02 10/01/01 09/30/03 Recred. Cycle 10/01/03 09/30/05 Recred. Cycle 10/01/05 09/30/07 Recred. Cycle 10/01/07 09/30/09 Recred. Cycle 10/01/09 09/30/11 Recred. Cycle Reappointment to Core Privileges in General Surgery RELEASED FROM MENTORING OF MINOR SURGICAL PROCEDURES 01/19/01 Reflecting the position of the American Board of Surgery, surgical privileges encompass the skills required in the admission, diagnosis, preoperative, operative and postoperative management in the following areas: Alimentary tract Abdomen and its contents; Breast, skin, and soft tissue; Head and neck (including congenital, endocrine and oncologic disorders-particularly tumors of the skin, thyroid and parathyroid gland) Endocrine system; Surgical oncology Management of Trauma (the responsibility for all phases of care of the injured patient); Complete care of critically ill patients with underlying surgical conditions in the emergency department, intensive care and trauma care units. This includes placement of monitoring devices (such as Swan-Ganz catheters and arterial lines) and ventilator management; Extremities surgery (biopsy, I&D, varicose veins and foreign body removal, and skin grafts); Flexible sigmoidoscopy and upper GI endoscopy Colonoscopy Bronchoscopy Bariatric Surgery Laparoscopy Thorascopy Vascular Procedures Thoracic Procedures da Vinci Robotic Surgery Low Anterior Resection approved 2/28/12 HCB Gastroenterology Procedures: Flexible Sigmoidoscopy Colonoscopy Polypectomy (Colonic) Cautery

11 SCHAUPP D.O., James F., (08283) Specialty: Family Practice Associate staff 06/23/98 Active staff 03/28/00 06/22/99 Exec. Comm. 04/01/01 03/30/03 Recred. Cycle 04/01/03 03/31/05 Recred. Cycle 04/01/05 03/31/07 Recred. Cycle 04/01/07 03/31/09 Recred. Cycle 04/01/09 04/01/11 Recred. Cycle Core Privileges in Family Practice: Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients admitted or in need of care to treat general medical problems.) I & D Bartholin abscess I & D Skin abscess Newborn circumcision Management of phototherapy Lumbar puncture Arthrocentesis Paracentesis Skin biopsy Excision of skin mass Suture of uncomplicated wounds Care of burns, 1st and 2nd degree Anoscopy, proctosigmoidoscopy

12 SCHIFF, Steven A., M.D. (4549) Subspecialty: Hematology/ Oncology Specialty: Internal Medicine Temporary privileges 07/09/79 Associate staff 08/07/79 Active staff 04/22/80 07/22/80 Exec. Comm. 08/03/82 Exec. Comm. 06/19/84 Exec. Comm. 08/19/86 Exec. Comm. 09/20/88 Exec. Comm. 09/18/90 Exec. Comm. 08/18/92 Exec. Comm. 06/21/94 Exec. Comm. 08/20/96 Exec. Comm. 09/17/98 Exec. Comm. For 90 days 12/15/98 Exec. Comm. For 90 days 01/19/99 Exec. Comm. 10/01/00 09/30/02 Recred. Cycle 10/01/02 09/30/04 Recred. Cycle 10/01/04 09/30/06 Recred. Cycle 10/01/06 09/30/08 Recred. Cycle 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle Core Privileges in Internal Medicine: Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any CLASS II or III requests. CLASS I Spinal tap CLASS II Bone marrow aspiration & biopsy Paracentesis/ Thoracentesis

13 SCHONDER, Adolph A., M.D. (3277) Specialty: Ophthalmology Associate staff 03/19/73 Active staff 04/24/74 Senior active staff 09/27/94 08/29/78 Exec. Comm. 07/22/80 Exec. Comm. 08/03/82 Exec. Comm. 06/19/84 Exec. Comm. 08/19/86 Exec. Comm. 11/17/87 Exec. Comm. 08/l5/89 Exec. Comm. 08/20/91 Exec. Comm. 06/15/93 Exec. Comm. 09/19/95 Exec. Comm. 07/16/97 Exec. Comm. 01/20/98 Exec. Comm. 02/22/00 Exec. Comm. to coordinate with No. Nv. Community Recred. cycle commencing 04/01/00 to 03/31/02 04/01/00 03/31/02 Recred. Cycle 04/01/02 03/31/04 Recred. Cycle 04/01/04 03/31/06 Recred. Cycle 04/01/06 03/31/08 Recred. Cycle 04/01/08 03/31/10 Recred. Cycle 04/01/10 04/01/12 Recred. Cycle Reappointment to Core Privileges in Ophthalmology: Core privileges include general medical management of patients (i.e. assessment and admission, inpatient care, discharge, and obtaining and providing consultations if needed.)

14 SCHUMACHER M.D., Mark P., (06100) Specialty: Obstetrics & Gynecology Temporary privs 10/09/84 Associate staff 11/15/84 Active staff 10/17/85 Senior Active 08/31/04 08/19/86 Exec. Comm. 11/17/87 Exec. Comm. 08/l5/89 Exec. Comm. 08/20/91 Exec. Comm. 08/17/93 Exec. Comm. 06/20/95 Exec. Comm. 07/16/97 Exec. Comm. 08/17/99 Exec. Comm. to coordinate with No. Nv. Community Recred. cycle commencing 10/01/99 to 09/30/01 10/01/99 09/30/01 Recred. Cycle 10/01/01 09/30/03 Recred. Cycle 10/01/03 09/30/05 Recred. Cycle 10/01/05 09/30/07 Recred. Cycle 10/01/07 09/30/09 Recred. Cycle 10/01/09 09/30/11 Recred. Cycle Reappointment to Core Privileges in Obstetrics & Gynecology: Management, including admission, of all obstetrical complications as well as normal labor and delivery. Management, including admission, of all gynecological illnesses and complications. Miscellaneous Pelviscopy (operative laparoscopy) Hysteroscopy Diagnostic Operative hysteroscopy/endometrial ablation (Assoc. Staff - 06/28/90) Resectoscope (Assoc. Staff 10/25/90) Laser Privileges (Assoc. Staff 10/25/90)

15 SCHWARTZ, M.D., Mindy C. (8085) Subspecialty: Neurology Specialty: Pediatrics Temporary privs 09/09/94 Associate staff 01/24/95 LOA 12/19/95 1-year extension LOA 10/22/96 Associate staff 09/23/97 Active staff 08/17/99 01/20/98 Exec. Comm. 02/22/00 Exec. Comm. to coordinate with No. Nv. Community Recred. cycle commencing 04/01/00-03/31/02 04/01/00-03/31/02 Recred. Cycle 04/01/02 03/31/04 Recred. Cycle 04/01/06 03/31/08 Recred. Cycle 04/01/08 03/31/10 Recred. Cycle 04/01/10 04/01/12 Recred. Cycle Reappointment to Core Privileges in Pediatrics Privileges include the treatment of patients between the ages of birth to 18 years, the performance of procedures that do not carry a significant threat to life (including related admission, consultation, and work-up; venipuncture laceration repair; incisions; and drainage of superficial abscesses) and treatment of major, complicated illnesses. Core Privileges in Internal Medicine: Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any CLASS II or III requests. NEUROLOGICAL PROCEDURES Lumbar puncture EEG interpretation

16 Schwenk, Thomas (11080) Specialty: Family Medicine Provisional 11/01/2011 APPOINTMENT: 11/01/ /01/2013 EVALUATING PHYSICIAN: UNSOM Family Medicine Center Non-Admitting Privileges in Family Medicine to Refer and Follow Non-admitting privileges to refer and follow their patients may be granted to qualifying physicians; allows participation in the care of the practitioner s patients who they have referred or who have been admitted by their alternate covering physician including: Visit patients in the hospital, Write in the progress notes, Review medical records, Do consults and make recommendations (but may not write orders), Assist in surgery, Does not include admit or write orders, or actively participate in the direct provision of patient care.

17 SCOTT, Raymond H., M.D. (7750) Specialty: Internal Medicine Temporary privs. 10/02/89 Associate staff 10/26/89 Active staff 08/22/91 08/18/92 Exec. Comm. 06/21/94 Exec. Comm. 08/20/96 Exec. Comm. 09/17/98 Exec. Comm. For 90 days 12/15/98 Exec. Comm. For 90 days 03/16/99 Exec. Comm. 10/01/00 09/30/02 Recred. Cycle 10/01/02 09/30/04 Recred. Cycle 10/01/04 09/30/06 Recred. Cycle 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle Core Privileges in Internal Medicine: Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any CLASS II or III requests. CLASS I Arthrocentesis/joint injection CLASS II EKG interpretation Paracentesis Cardioversion, elective (assoc.-staff level) Central venous cannulation EKG monitored stress testing Sigmoidoscopy: flexible to 65 cm with biopsy rigid

18 SCULLY, Christopher J., M.D. (7906) Subspecialty: Rheumatology Specialty: Internal Medicine Temporary privileges 02/10/95 Associate staff 05/23/95 Active staff 09/24/96 08/20/96 Exec. Comm. 09/17/98 Exec. Comm. 10/01/00 09/30/02 Recred. Cycle 10/01/02 09/30/04 Recred. Cycle 10/01/04 09/30/06 Recred. Cycle 10/01/06 09/30/08 Recred. Cycle 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle Core Privileges in Internal Medicine: Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any CLASS II or III requests. CLASS I Arthrocentesis/joint injection Skin biopsy CLASS II EKG interpretation Spirometry, basic

19 SEHER, Richard P., M.D. (2000) Specialty: Cardiology Temporary privs. 07/08/85 Associate staff 10/17/85 Active staff 07/17/86 08/19/86 Exec. Comm. 09/20/88 Exec. Comm. 09/18/90 Exec. Comm. 08/18/92 Exec. Comm. 06/21/94 Exec. Comm. 08/20/96 Exec. Comm. 09/17/98 Exec. Comm. For 90 days 12/15/98 Exec. Comm. 10/01/00 09/30/02 Recred. Cycle 10/01/02 09/30/04 Recred. Cycle 10/01/04 09/30/06 Recred. Cycle 10/01/06 09/30/08 Recred. Cycle 10/01/08 09/30/10 Recred. Cycle 10/01/10 09/30/12 Recred Cycle Core Privileges in Cardiology Privileges include permission to admit, evaluate, diagnose and provide treatment or consultative services to patients presenting with cardiovascular disease. Additional privileges include EKG and Holter/Event monitor interpretation; echocardiography; and Advanced Cardiac Life Support, including endotracheal intubation, cardioversion, pericardiocentesis, paracentesis, thoracentesis, lumbar puncture, ventilator management, arterial lines, central venous cannulation, right heart catheterization, temporary pacemakers and Swan-Ganz lines. Special Requests Invasive Cardiology Procedures Invasive Cardiology Procedures Privileges include diagnostic right and left heart catheterization; coronary, atrial, ventricular, pulmonary, venous, and arterial angiography; intra-aortic balloon pump placement and management; and endomyocardial biopsy; Percutaneous Transluminal Coronary Angioplasty and other coronary interventions including cutting balloons, and coronary flow measurements. Automatic Implantable Cardiac Defibrillator (AICD), Electrophysiologic Evaluation in the Operating Room: Permanent Transvenous Cardiac Pacemaker & Lead Insertion (in the CCL or the OR) Transesophageal Echocardiography IVUS (Intravascular Ultrasound) Moderate Sedation

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21 Sekhon, Lali H., (10181) Specialty: Neurosurgery Associate Staff 08/02/05 Active Staff 06/26/07 04/01/07 03/31/09 Recred. Cycle 04/01/09 04/01/11 Recred. Cycle Evaluating Physicain: James J. Lynch M.D. Core Privileges in Neurosurgery: Reflecting the position of the American Board of Neurological Surgery, surgical privileges encompass the skills required in the admission, diagnosis, preoperative, operative and postoperative management of patients of all ages presenting with illnesses, injuries and disorders of the central and peripheral nervous system, including their supporting structures an vascular supply. Core privileges also include: Management of trauma (the responsibility for all phases of care of the injured patient); and Complete care of critically ill patients and underlying surgical conditions in the emergency department, intensive care and trauma care units. This includes placement off monitoring devices (such as Swan-Ganz catheters and arterial lines) and ventilator management. Moderate (Conscious) Sedation/Analgesia Privileges Midas Rex (High Speed Spine Drill)

22 SHANE, Stanley R., M.D. (8534) Subspecialty: Endocrinology Specialty: Internal Medicine Associate staff 03/23/99 90-day ext. of Assoc. 03/27/01 30-day ext. of Assoc. 06/26/01 30-day ext. of Assoc. 07/24/01 30-day ext. of Assoc. 09/25/01 Active staff 10/23/01 10/01/00 09/30/02 Recred. Cycle 10/01/02 09/30/04 Recred. Cycle 10/01/04 09/30/06 Recred. Cycle 10/01/06 09/30/08 Recred. Cycle 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle Core Privileges in Internal Medicine Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any Class II or III requests. None.

23 Shapiro, Daniel (11119) Specialty: Infectious Disease Provisional 01/10/2012 EVALUATING PHYSICIAN: APPOINTMENT: 01/10/ /01/2013 PRIMARY SPECIALTY: Internal Medicine and Infectious Disease Core privileges include general medical management of patients (i.e. assessment and admission, inpatient care, discharge, and obtaining and providing consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges do not include any Class II or III requests.

24 SHAPIRO, Leonard, M.D (2600) Subspecialty: Allergy Specialty: Internal Medicine/ Pediatrics Associate staff 05/28/74 Active staff 06/16/75 Senior active staff 07/20/99 08/29/78 Exec. Comm. 07/22/80 Exec. Comm. 08/03/82 Exec. Comm. 06/19/84 Exec. Comm. 08/19/86 Exec. Comm. 09/20/88 Exec. Comm. 09/18/90 Exec. Comm. 08/18/92 Exec. Comm. 06/21/94 Exec. Comm. 08/20/96 Exec. Comm. 01/20/98 Exec. Comm. 10/01/00 09/30/02 Recred. Cycle (Int. Med.) 10/01/02 09/30/04 Recred. Cycle (Int. Med.) 10/01/04 09/30/06 Recred. Cycle 10/01/06 9/30/08 Recred. Cycle 10/01/08 9/30/10 Rercred. Cycle 10/01/10 9/30/12 Rercred. Cycle Core Privileges in Internal Medicine: Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any CLASS II or III requests. Core Privileges in Pediatrics: Privileges include the treatment of patients between the ages of birth to 18 years, the performance of procedures that do not carry a significant threat to life (including related admission, consultation, and work-up; venipuncture laceration repair; incisions; and drainage of superficial abscesses) and treatment of major, complicated illnesses. None

25 SHERIFF M.D., Imran, (08634) Specialty: Family Practice Associate staff 02/23/99 Active staff 10/24/00 04/01/01 03/30/03 Recred. Cycle 04/01/03 03/31/05 Recred. Cycle 04/01/05 03/31/07 Recred. Cycle 04/01/07 03/31/09 Recred. Cycle 04/01/09 04/01/11 Recred. Cycle Core Privileges in Family Practice: Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients admitted or in need of care to treat general medical problems.) I & D Skin abscess Newborn circumcision Management of phototherapy Skin biopsy Excision of skin mass Suture of uncomplicated wounds Care of burns, 1st and 2nd degree Anoscopy, proctosigmoidoscopy

26 SHEYKHZADEH, Paul I., D.O. (9161) Specialty: Gastroenterology Associate Staff 06/04/02 Active Staff 09/26/06 Reappt. Cycle: - 10/01/04 09/30/06 10/01/06 9/30/08 Recred. Cycle 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle Core Privileges in Gastroenterology Privileges include admission, work up, and diagnosis of patients of all ages presenting with illnesses, injuries and disorders of the stomach, intestines and related structures such as the esophagus, liver, gallbladder, and pancreas, including the provision of consultation. Moderate Sedation Laser Privileges Flexible Sigmoidoscopy Colonoscopy ERCP Esophagogastroduodenoscopy Esophageal dilation Liver biopsy Polypectomy (Gastric or Colonic) Schlerotherapy Sphincterotomy PEGS Cautery Endoscopic Therapy of Bleeders Arterial cannulation Central venous cannulation Barrx Radiofrequency Ablation of Barrett s

27 SHIELDS, John A., M.D. (3624) Subspecialty: Hematology/ Oncology Specialty: Internal Medicine Temporary privs. 07/22/77 Associate staff 09/20/77 Active staff 04/11/78 08/29/78 Exec. Comm. 07/22/80 Exec. Comm. 08/03/82 Exec. Comm. 06/19/84 Exec. Comm. 08/19/86 Exec. Comm. 09/20/88 Exec. Comm. 09/18/90 Exec. Comm. 08/18/92 Exec. Comm. 06/21/94 Exec. Comm. 08/20/96 Exec. Comm. 09/17/98 Exec. Comm. 10/01/00 09/30/02 Recred. Cycle 10/01/02 09/30/04 Recred. Cycle 10/01/04 09/30/06 Recred. Cycle 10/01/06 09/30/08 Recred. Cycle 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle Core Privileges in Internal Medicine: Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any CLASS II or III requests. CLASS I Spinal tap CLASS II Bone marrow - needle biopsy Bone marrow aspiration Paracentesis Thoracentesis

28 SHONNARD, Paul Y., M.D. (8184) Specialty: Orthopedic Surgery Temporary privs 08/16/96 Associate staff 10/22/96 Active staff 01/27/98 01/20/98 Exec. Comm. 02/22/00 Exec. Comm. to coordinate with No. Nv. Community Recred. cycle commencing 04/01/00-03/31/02 04/01/00-03/31/02 Recred. Cycle 04/01/02 03/31/04 Recred. Cycle 04/01/04 03/31/06 Recred. Cycle 04/01/06 03/31/08 Recred. Cycle 04/01/08 03/31/10 Recred. Cycle 04/01/10 04/01/12 Recred. Cycle Reappointment to Core Privileges in Orthopedic Surgery: Core privileges include medical management of patients (i.e. assessment and admission, inpatient care, discharge, and obtaining and providing consultations if needed.). Includes all normally performed orthopedic procedures such as spine injury total joint replacement, hand surgery, etc. Amputation: Simple & Major Arthrodesis Arthroplasty Drainage-bone Graft-bone Reduction dislocation or fracture dislocation: Closed Open with suture With metal screws, nails, pins, band, plates, etc. Reduction, fracture: Closed Open with suture With metal screws, nails, pins, band, plates, etc. Midas Rex Repair tendons: Primary & Secondary Tenotomy Wounds, major Peripheral nerve surgery Skin grafting Arthroscopy Implant arthroplasty Spinal decompression, laminectomy, discectomy, fusion w/ or w/o instrumentation Arthrotomy, ligament repair and/or reconstruction of major joints, (ankle, knee, hip, shoulder, elbow, wrist)

29 SHUFF, MD, Jaime H. (#10021) Specialty: Radiation Oncology Associate 9/01/09 EVALUATING PHYSICIAN: Jonathan Tay, MD Core Privileges in Radiation Oncology Core privileges include general medical management of patients (i.e. assessment and admission, inpatient care, discharge, and obtaining and providing consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.); CT simulation procedures; and external beam three-dimensional conformal and intensity modulated radiation therapy planning and treatment. Radiation Therapy: Transperineal Radioactive Seed Implantation (Brachytherapy) High Dose Rate Brachytherapy (Interstitial or Intracavitary) Cyberknife Stereotactic Radiosurgery

30 SHUKLA, MD, Alok (#10182) Specialty: Anesthesiology Associate 8/04/09 04/01/10 04/01/12 Recred. Cycle Reappointment to EVALUATING PHYSICIAN: Daniel Sorensen, MD Non-admitting privileges, except for overnight observation (amended 3/02), reflecting the view of the American Society of Anesthesiologists, privileges include the ability to provide medical management of patients who are rendered unconscious or insensible to pain and emotional stress during surgical, obstetrical and certain other medical procedures; the protection of life functions and vital organs; the protection of life functions and vital organs; the management of problems in pain relief, cardiopulmonary resuscitation, pulmonary care and critically ill patients in special care units. This includes placement of monitoring devices (such as Swan-Ganz catheters and arterial lines) and ventilator management. Training in Advanced Cardiac Life Support (ACLS) and Basic Life Support (BLS) are considered an intrinsic part of Anesthesia training and competence. None

31 Si, Michael (11045) Specialty: Pathology Provisional 08/02/2011 APPOINTMENT: 08/02/ /30/2013 EVALUATING PHYSICIAN: Non-admitting privileges include surgical, autopsy and clinical pathology and require (i.e., providing documentation of fulfilling) clinical competency indicators as follows. Physicians requesting limited privileges may specify the privileges requested. These privileges do not include any of the following special requests. Autopsy Surgical Anatomic Pathology Clinical Pathology Bone Marrow Aspiration/Biopsy Fine Needle Aspiration Cytology Frozen Sections

32 SIEFFERT, George F., M.D. (6020) Subspecialty: Vascular & Thoracic Surgery Specialty: General Surgery Temporary privs 08/01/84 Associate staff 11/15/84 Active staff 03/20/86 Senior Active 02/28/06 08/19/86 Exec. Comm. 11/17/87 Exec. Comm. 08/l5/89 Exec. Comm. 08/20/91 Exec. Comm. 06/15/93 Exec. Comm. 06/20/95 Exec. Comm. 07/16/97 Gen. Surg. Dept. Core Privs. 07/16/97 Exec. Comm. 08/17/99 Exec. Comm. to coordinate with No. Nv. Community Recred. cycle commencing 10/01/99 to 09/30/01 10/01/99 09/30/01 Recred. Cycle 10/01/01 09/30/03 Recred. Cycle 10/01/03 09/30/05 Recred. Cycle 10/01/05 09/30/07 Recred. Cycle 10/01/07 09/30/09 Recred. Cycle 10/01/09 09/30/11 Recred. Cycle Reappointment to Core Privileges in General Surgery Reflecting the position of the American Board of Surgery, surgical privileges encompass the skills required in the admission, diagnosis, pre-operative, operative and postoperative management in the following areas: Alimentary tract; Abdomen and its contents; Breasts, skin, and soft tissue; Head and neck (including congenital, endocrine and oncologic disorders- particularly tumors of the skin, thyroid and parathyroid gland); Endocrine system; Surgical oncology; Management of Trauma (the responsibility for all phases of care of the injured patient); Complete care of critically ill patients with underlying surgical conditions in the emergency department, intensive care and trauma care units. This includes placement of monitoring devices (such as Swan-Ganz catheters and arterial lines) and ventilator management; Extremities surgery (biopsy, I&D, varicose veins, foreign body removal, and skin grafts). Flexible sigmoidoscopy and upper GI endoscopy Colonoscopy Bronchoscopy Laser Privileges (Associate-staff level privileges 07/02/91) Laparoscopy Thoracoscopy (Associate-staff level privilege 09/22/92) Vascular Procedures Thoracic Procedures (Associate-staff level privileges 02/27/92) PTPA (Associate-staff level privileges 1/25/00) Pacemaker: Transvenous (permanent) Moderate (Conscious ) Sedation/Analgesia Privileges

33 SIMON, Edward M., M.D. (7280) Specialty: Internal Medicine Temporary privs. 08/18/88 Associate staff 10/27/88 Active staff 0l/25/90 09/18/90 Exec. Comm. 08/18/92 Exec. Comm. 06/21/94 Exec. Comm. 08/20/96 Exec. Comm. 09/17/98 Exec. Comm. 10/01/00 09/30/02 Recred. Cycle 10/01/02 09/30/04 Recred. Cycle 10/01/04 09/30/06 Recred. Cycle 10/01/06 09/30/08 Recred. Cycle 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle Core Privileges in Internal Medicine: Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any CLASS II or III requests. CLASS I Arthrocentesis Class II ECG Interpretation

34 SIMPSON, Erica R. DO (#10961) Specialty: Family Medicine Associate 3/1/11 EVALUATING PHYSICIAN: Carmelisa Caverhill, MD Core Privileges in Family Medicine: Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining and providing consultations if needed for patients admitted or in need of care to treat general medical problems including assisting at surgery, anoscopy, arterial puncture, arthrocentesis, care of 1 and 2 degree burns, excision of skin mass, I & D skin abscess, lumbar puncture, management of phototherapy, newborn circumcision, and suture of uncomplicated wounds.

35 SIMPSON, MD, Lex (#10647) Specialty: Orthopedic Surgery Associate 9/2/08 04/01/10 04/01/12 Recred. Cycle Reappointment to EVALUATING PHYSICIAN: Norm Young, MD CORE PRIVILEGES IN ORTHOPEDIC SURGERY: Core privileges include medical management of patients (i.e. assessment and admission, inpatient care, discharge, and obtaining and providing consultations if needed.) Amputation Arthrodesis Arthroplasty Drainage, bone Graft bone Closed reduction, dislocation or fracture dislocation Closed reduction, fracture Repair tendons: primary Wounds, major Skin grafting Open Reduction, internal fixation of fractures and/or osteotomies, AO/ASIF Arthroscopy Implant arthroplasty Arthrotomy, ligament repair and/or reconstruction of major joints

36 SINGH, MD, Tejvir (#10330) Specialty: Internal Medicine Subspecialty: Hematology/Oncology Associate 09/5/06 Active-Staff 01/22/08 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle EVALUATING PHYSICIAN: Frederick MacKintosh, MD Core Privileges in Internal Medicine: Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any Class II or III requests. Class I Arterial puncture Arthrocentesis/joint injection Skin Biopsy Spinal Tap Class II Bone Marrow Aspiration and Biopsy Class III Chemotherapy Administration

37 SKARIA, MD, Shibu (#10893) Specialty: Pulmonary Medicine Associate 9/7/10 10/01/10 10/01/12 Recred. Cycle EVALUATING PHYSICIAN: David de los Santos, MD Core Privileges in Internal Medicine: Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any Class II or III requests. Class I Arterial Puncture Spinal Tap Class II Arterial cannulation (for monitoring purposes) Central Venous Catheter Placement Thoracentesis/paracentesis Pulmonary function test, complete Volume ventilator (Mech. Vent. Mgmt.) Class III Moderate (Conscious) Sedation/Analgesia Bronchoscopy with Biopsy Lavage Pulmonary artery cath placement, hemodynamic monitoring Endotrachial intubation

38 SKARIA, Sunil D., MD (#10505) Specialty: Nephrology Associate 8/07/07 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle EVALUATING PHYSICIAN: William O Neill, M.D. Core Privileges in Internal Medicine Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges do not include any Class II or III requests. Class I Privileges: Arterial puncture Spinal tap Class II Privileges: Arterial cannulation (for monitoring purposes) Central venous catheter placement Thoracentesis/paracentesis Volume ventilator (mechanical ventilation management) Class III Privileges: Peritoneal dialysis Hemodialysis Kidney biopsy Pulmonary artery cath placement, hemodynamic monitoring

39 Slotnick M.D., R. Nathan, (09295) Specialty Maternal/Fetal Medicine Associate Staff 05/09/03 Active Staff 02/28/06 Eval. Phys.: Cathy Jo Cantrell, M.D. 10/01/01 09/30/05 Recred. Cycle 10/01/05 09/30/07 Recred. Cycle 10/01/07 09/30/09 Recred. Cycle 10/01/09 09/30/11 Recred. Cycle Reappointment to Core Privileges in Obstetrics & Gynecology: Management, including admission, of all obstetrical complications as well as normal labor and delivery. Admission and patient management of all gynecological illnesses and complications. Moderate (Conscious) Sedation/Analgesia Privileges

40 SLOVES, James H., MD (#09533) Specialty: Radiology Teleradiology Associate 4/5/11 EVALUATING PHYSICIAN: Radiology Consultants Core privileges in Radiology Privileges include: plain radiographic interpretation; interpretation of general, vascular and obstetrical ultrasound; computed tomography; magnetic resonance imaging; nuclear medicine to include study interpretation as well as therapy and interpretation of positron emission tomography studies; fluoroscopy

41 SMITH, Calvin S., M.D. (5930) Specialty: Anesthesiology Temporary privs 07/11/84 Associate staff 11/15/84 Active staff 09/19/85 08/19/86 Exec. Comm. 11/17/87 Exec. Comm. 08/l5/89 Exec. Comm. 08/20/91 Exec. Comm. 06/15/93 Exec. Comm. 09/19/95 Exec. Comm. 07/16/97 Exec. Comm. 01/20/98 Exec. Comm. 02/22/00 Exec. Comm. to coordinate with No. Nv. Community Recred. Cycle commencing 04/01/00-03/31/02 04/01/00-03/31/02 Recred. Cycle 04/01/02 03/31/04 Recred. Cycle 04/01/04 03/31/06 Recred. Cycle 04/01/06 03/31/08 Recred. Cycle 4/01/08 03/31/10 Recred. Cycle 04/01/10 04/01/12 Recred. Cycle Reappointment to Core Anesthesiology Privileges Non-admitting privileges reflecting the view of the American Society of Anesthesiologists, privileges include the ability to provide medical management of patients who are rendered unconscious or insensible to pain and emotional stress during surgical, obstetrical and certain other medical procedures; the protection of life functions and vital organs; the management of problems in pain relief, cardiopulmonary resuscitation, pulmonary care and critically ill patients in special care units. This includes placement of monitoring devices (such as Swan-Ganz catheters and arterial lines) and ventilator management. Training in Advanced Cardiac Life Support (ACLS) and Basic Life Support (BLS) are considered an intrinsic part of Anesthesia training and competence. General Anesthesia (includes): (1) Arterial cannulation (i.e., for monitoring purposes) (2) Pulmonary artery hemodynamic monitoring, insertion & management (i.e., swan-ganz) (3) Mechanical ventilation management (i.e., volume ventilator) Regional Anesthesia Acute & Chronic Pain Intraoperative Hemodynamic Monitoring Critical-Care Privs. *Temporary transvenous cardiac pacemaker (ASSOCIATE-STAFF-LEVEL)

42 SMITH M.D., David E., (08209) Specialty: Cardiology Temporary privs 12/16/96 Associate staff 01/28/97 Active staff 06/22/99 Priv. Deletions 09/28/04 Priv. Additions 12/28/04 09/17/98 Exec. Comm. For 90 days 12/15/98 Exec. Comm. 10/01/00 09/30/02 Recred. Cycle 10/01/02 09/30/04 Recred. Cycle 10/01/04 09/30/06 Recred. Cycle 10/01/06 09/30/08 Recred. Cycle 10/01/08 09/30/10 Recred. Cycle 10/01/10 09/30/12 Recred Cycle Core Privileges in Cardiology Privileges include permission to admit, evaluate, diagnose and provide treatment or consultative services to patients presenting with cardiovascular disease. Additional privileges include EKG and Holter/Event monitor interpretation; echocardiography; and Advanced Cardiac Life Support, including endotracheal intubation, cardioversion, pericardiocentesis, paracentesis, thoracentesis, lumbar puncture, ventilator management, arterial lines, central venous cannulation, right heart catheterization, temporary pacemakers and Swan-Ganz lines. CARDIAC CATH LAB Invasive Cardiology Procedures Invasive Cardiology Procedures Privileges include diagnostic right and left heart catheterization; coronary, atrial, ventricular, pulmonary, venous, and arterial angiography; intra-aortic balloon pump placement and management; and endomyocardial biopsy; Automatic Implantable Cardiac Defibrillator (AICD), Electrophysiologic Evaluation in the OR Permanent transvenous cardiac pacemaker Transesophageal echocardiography Catheter Ablation Procedures Moderate Conscious Sedation Transseptal Catheterization Lead Extraction

43

44 SMITH M.D., Emily A., (08108) Specialty: Family Practice Temporary privs 03/03/95 Associate staff 05/23/95 Active staff 05/28/96 Courtesy staff 01/28/97 08/20/96 Exec. Comm. 07/16/97 Exec. Comm. 06/22/99 Exec. Comm. 04/01/01 03/30/03 Recred. Cycle 04/01/03 03/31/05 Recred. Cycle Interim Reappointment 03/31/05 05/31/05 06/01/05 03/31/07 04/01/07 03/31/09 Recred. Cycle 04/01/09 04/01/11 Recred. Cycle Courtesy staff privileges Includes the ability to visit patients, write in the progress notes, review medical records, consult and make recommendations and assist in surgery. May not write orders or vote as a member of the Medical Staff. None

45 SMITH, Leslie S., M.D. (6500) Subspecialty: Pulmonary Medicine Specialty: Internal Medicine Temporary privs. 06/30/87 Associate staff 08/20/87 Active staff 06/30/88 09/20/88 Exec. Comm. 09/18/90 Exec. Comm. 08/18/92 Exec. Comm. 06/21/94 Exec. Comm. 08/20/96 Exec. Comm. 09/17/98 Exec. Comm. 10/01/00 09/30/02 Recred. Cycle 10/01/02 09/30/04 Recred. Cycle 10/01/04 09/30/06 Recred. Cycle 10/01/06 09/30/08 Recred. Cycle 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle Core Privileges in Internal Medicine: Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any CLASS II or III requests. Moderate sedation (09/26/06) CLASS I Arterial puncture Arthrocentesis Spinal tap CLASS III Bronchial brush biopsy and lavage Lung biopsy (needle) Pulmonary artery hemodynamic monitoring, insertion & management CLASS II Arterial Cannulation Bone marrow aspiration ECG interpretation Thoracentesis/Paracentesis Pleural biopsy (closed) Pulmonary function interpretation Sigmoidoscopy: rigid flexible (less than 65 cm. w/no biopsy) Exercise (stress) testing Subclavian puncture Venous cutdown Mechanical ventilation management

46 SMITH M.D., Paul R., (08302) Specialty: Family Practice Temporary privs 08/05/98 Associate staff 09/22/98 Active staff 02/22/00 06/22/99 Exec. Comm. 04/01/01 03/31/03 Recred. Cycle 04/01/03 03/31/05 Recred. Cycle 04/01/05 03/31/07 Recred. Cycle 04/01/07 03/31/09 Recred. Cycle 04/01/09 04/01/11 Recred. Cycle Core Privileges in Family Practice: Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients admitted or in need of care to treat general medical problems.) I & D Bartholin abscess I & D Skin abscess Newborn circumcision Management of phototherapy Lumbar puncture Paracentesis Skin biopsy Excision of skin mass Suture of uncomplicated wounds Anoscopy, proctosigmoidoscopy Flexible sigmoidoscopy

47 SMITH M.D., Ronald L., (04903) Specialty: Internal Medicine Temporary privs. 10/01/80 Associate staff 11/18/80 Active staff 06/23/81 Sr. Active staff 01/22/02 08/03/82 Exec. Comm. 06/19/84 Exec. Comm. 08/19/86 Exec. Comm. 09/20/88 Exec. Comm. 09/18/90 Exec. Comm. 06/23/92 Exec. Comm. 08/18/92 Exec. Comm. 06/21/94 Exec. Comm. 08/20/96 Exec. Comm. 09/17/98 Exec. Comm. For 90 days. 12/15/98 Exec. Comm. For 90 days 01/19/99 Exec. Comm 10/01/00 09/30/02 Recred. Cycle 10/01/02 09/30/04 Recred. Cycle 10/01/04 09/30/06 Recred. Cycle 10/01/06 09/30/08 Recred. Cycle 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle Core Privileges in Internal Medicine: Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any CLASS II or III requests. Moderate Sedation CLASS I Arterial puncture Arthrocentesis Spinal tap Skin biopsy (punch) MISCELLANEOUS Internal jugular puncture Duodenoscopy with biopsy Esophagoscopy with biopsy Gastroscopy with biopsy Percutaneous endoscopic gastrostomy tube placement w/assistance of Gastroenterologist (Associate-staff level) CLASS II Bone marrow aspiration and biopsy ECG interpretation Thoracentesis/Paracentesis Sigmoidoscopy rigid flexible with/without biopsy Subclavian puncture

48 SMITH M.D., Steven R., (06480) Specialty: Family Practice Temporary privs 07/15/87 Courtesy staff 10/15/87 1 st Year LOA (effective) 10/01/08 Associate staff (effect.) 07/28/09 09/20/88 Exec. Comm. 09/18/90 Exec. Comm. 08/18/92 Exec. Comm. 06/21/94 Exec. Comm. 08/20/96 Exec. Comm. 07/16/97 Exec. Comm. 06/22/99 Exec. Comm. 04/01/01 03/30/03 Recred. Cycle 04/01/03 03/31/05 Recred. Cycle 04/01/05 03/31/07 Recred. Cycle 04/01/07 03/31/09 Recred. Cycle 04/01/09 04/01/11 Recred. Cycle Core Privileges in Family Medicine: Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients admitted or in need of care to treat general medical problems.) None

49 SOBCZAK, Ronald, M.D. (5560) Specialty: Gastroenterology Temporary privs. 07/19/83 Associate staff 10/20/83 Active staff 09/20/84 Reapplic. on new GI core privs. applic. 7/99 06/19/84 Exec. Comm. 08/19/86 Exec. Comm. 09/20/88 Exec. Comm. 09/18/90 Exec. Comm. 08/18/92 Exec. Comm. 06/21/94 Exec. Comm. 08/20/96 Exec. Comm. 09/17/98 Exec. Comm. 10/01/00 09/30/02 Recred. Cycle 10/01/02 09/30/04 Recred. Cycle 10/01/04 09/30/06 Recred. Cycle 10/01/06 09/30/08 Recred. Cycle 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle Core Privileges in Gastroenterology Privileges include admission, work up, and diagnosis of patients of all ages presenting with illnesses, injuries and disorders of the stomach, intestines and related structures such as the esophagus, liver, gallbladder, and pancreas, including the provision of consultation. Moderate Sedation Flexible Sigmoidoscopy Colonoscopy ERCP Esophagogastroduodenoscopy Esophageal dilation Laparoscopy & biopsy Liver biopsy Polypectomy (Gastric or Colonic) Schlerotherapy Sphincterotomy PEGS Cautery Endoscopic Therapy of Bleeders Arterial cannulation Central venous cannulation

50 SOBIEK, James S., M.D. (8074) Specialty: Orthopedic Surgery Temporary privs 08/01/94 Associate staff 01/24/95 Active staff 02/20/96 06/20/95 Exec. Comm. 07/16/97 Exec. Comm. 01/20/98 Exec. Comm. 02/22/00 Exec. Comm. to coordinate with No. Nv. Community Recred. cycle commencing 04/01/00-03/31/02 04/01/00-03/31/02 Recred. Cycle 04/01/02 03/31/04 Recred. Cycle 04/01/04 03/31/06 Recred. Cycle 04/01/06 03/31/08 Recred. Cycle 04/01/ Recred. Cycle 04/01/10 04/01/12 Recred. Cycle Reappointment to Core Privileges in Orthopedic Surgery: Core privileges include medical management of patients (i.e. assessment and admission, inpatient care, discharge, and obtaining and providing consultations if needed.). Includes all normally performed orthopedic procedures such as spine injury, total joint replacement, hand surgery, etc. Amputation: Simple & Major Arthrodesis Arthroplasty Drainage-bone Graft-bone Reduction dislocation or fracture dislocation: Closed Open with suture With metal screws, nails, pins, band, plates, etc. Reduction, fracture: Closed Open with suture With metal screws, nails, pins, band, plates, etc. Repair tendons: Primary & Secondary Spinal fusion Tenotomy Wounds, major Laminectomy Peripheral Nerve surgery Skin Grafting Arthroscopy

51 SONG M.D., Michael H., (09539) Specialty: Neurosurgery Associate staff 01/06/04 Evaluating Physician: Joseph R. Walker, MD 04/01/05 03/31/07 Recred. Cycle 04/01/07 03/31/09 Recred. Cycle 04/01/09 04/01/11 Recred. Cycle Core Privileges in Neurosurgery Reflecting the position of the American Board of Neurological Surgery, surgical privileges encompass the skills required in the admission, diagnosis, preoperative, operative, and postoperative management of patients of all ages presenting with illnesses, injuries and disorders of the central and peripheral nervous system, including their supporting structures and vascular supply. Core privileges include: Management of Trauma (the responsibility for all phases of care of the injured patient); and Complete care of critically ill patients with underlying surgical conditions in the emergency department, intensive care and trauma care units. This includes placement of monitoring devices (such as Swan Ganz catheters and arterial lines) and ventilator management; and Midas Rex Midas Rex (High Speed Spine Drill)

52 Sonners, Adina (11129) Specialty: Diagnostic Radiology Provisional 03/06/2012 APPOINTMENT: 03/06/ /01/2013 EVALUATING PHYSICIAN: Radiology Consultants Core privileges in Radiology: Privileges include: plain radiographic interpretation; interpretation of general, vascular and obstetrical ultrasound; computed tomography; magnetic resonance imaging; nuclear medicine to include study interpretation as well as therapy and interpretation of positron emission tomography studies; fluoroscopy;

53

54 SORENSEN, Daniel L., M.D. (8292) Specialty: Anesthesiology Temporary privileges 07/27/98 Associate staff 07/28/98 90-day ext of Assoc 07/26/00 Active staff 10/24/00 1-year LOA 08/07/01 Return to Active staff 08/06/02 02/22/00 Exec. Com. to coordinate with No. Nv. Community Recred. cycle commencing 04/01/00-03/31/02 04/01/00-03/31/02 Recred. Cycle 04/01/02 03/31/04 Recred. Cycle 04/01/04 03/31/06 Recred. Cycle 04/01/06 03/31/08 Recred. Cycle 04/01/08 03/31/10 Recred. Cycle 04/01/10 04/01/12 Recred. Cycle Reappointment to Core Privileges in Anesthesiology Reflecting the view of the American Society of Anesthesiologists, privileges include the ability to provide medical management of patients who are rendered unconscious or insensible to pain and emotional stress during surgical, obstetrical and certain other medical procedures; the protection of life functions and vital organs; the management of problems in pain relief, cardiopulmonary resuscitation, pulmonary care and critically ill patients in special care units. This includes placement of monitoring devices (such as Swan-Ganz catheters and arterial lines) and ventilator management. Training in Advanced Cardiac Life Support (ACLS) and Basic Life Support (BLS) are considered an intrinsic part of Anesthesia training and competence. None

55 SORENSEN (CHAMBERS), Susan E., M.D. (8298) Specialty: Pediatrics Temporary privs 08/05/98 Associate staff 09/22/98 Active staff 01/25/00 1-yr LOA 07/24/01 11-mo. ext of LOA 08/06/02 Return to Active Staff 11/26/02 02/22/00 Exec. Comm. to coordinate with No. Nv. Community recredentialing cycle commencing 04/01/00-03/31/02 04/01/00-03/31/02 Recred. Cycle 04/01/02 03/31/04 Recred. Cycle 04/01/04 03/31/06 Recred. Cycle 04/01/06 03/31/08 Recred. Cycle 04/01/08 03/31/10 Recred. Cycle 04/01/08 03/31/10 Recred. Cycle 04/01/10 04/01/12 Recred. Cycle Reappointment to Core Privileges in Pediatrics Privileges include the treatment of patients between the ages of birth to 18 years, the performance of procedures that do not carry a significant threat to life (including related admission, consultation, and work-up; venipuncture laceration repair; incisions; and drainage of superficial abscesses) and treatment of major, complicated illnesses. Septic Workup (including neonate) Lumbar Puncture Newborn Resuscitation

56 SPEICHER, Joel L., M.D. (8790) Specialty: Pediatrics Associate staff 09/28/99 90-day ext. of Assoc. 09/25/01 Active Staff 01/22/02 02/22/00 Exec. Comm. to coordinate with No. Nv. Community Recred. Cycle commencing 04/01/00-03/31/02 04/01/00-03/31/02 Recred. Cycle 04/01/02 03/31/04 Recred. Cycle 04/01/04 03/31/06 Recred. Cycle 04/01/06 03/31/08 Recred. Cycle 04/01/08 03/31/10 Recred. Cycle 04/01/10 04/01/12 Recred. Cycle Reappointment to Core Privileges in Pediatrics Privileges include the treatment of patients between the ages of birth to 18 years, the performance of procedures that do not carry a significant threat to life (including related admission, consultation, and work-up; venipuncture laceration repair; incisions; and drainage of superficial abscesses) and treatment of major complicated, illnesses. Septic Work-up Lumbar Puncture Newborn Resuscitation

57 SPIRTOS M.D., Nicola M., (08254) Subspecialty: Oncology Specialty: Gynecology Temporary privs 11/05/97 Courtesy staff 11/25/97 08/17/99 Exec. Comm. to coordinate with No. Nv. Community Recred. cycle Commencing 10/01/99 to 09/30/01 10/01/99 09/30/01 Recred. Cycle 10/01/01 09/30/03 Recred. Cycle 10/01/03 09/30/05 Recred. Cycle 10/01/05 09/30/07 Recred. Cycle 10/01/07 09/30/09 Recred. Cycle 10/01/09 09/30/11 Recred. Cycle Reappointment to Courtesy staff privileges Includes the ability to visit patients, write in the progress notes, review medical records, consult and make recommendations and assist in surgery. May not write orders or vote as a member of the Medical Staff. None

58 Spivack, Jonathan (10781) Specialty: Neurology Provisional 07/26/2011 APPOINTMENT: 07/26/ /01/2012 EVALUATING PHYSICIAN: Nevada Neurology Core Privileges in Neurology Privileges include admission, work up, and diagnosis of patients of all ages presenting with nonsurgical illnesses or injuries of the neurological system as well as providing consultation. Nonsurgical neurology treatment includes: obtaining an orderly and detailed history from the patient conducting a thorough general and neurological examination determining the indications for and limitations of clinical neurodiagnostic tests interpreting the clinical neurodiagnostic tests correlating the information derived from these neurodiagnostic tests with patient clinical history a examination to formulate a differential diagnosis and management plan lumbar puncture Special Requests EEG

59 Spoerke, Nicholas (11141) Specialty: General Surgery Provisional 07/10/2012 APPOINTMENT: 07/10/ /30/2013 EVALUATING PHYSICIAN: General & Vascular Reflecting the position of the American Board of Surgery, surgical privileges encompass the skills required in the admission, diagnosis, pre-operative, operative and postoperative management in the following areas: Alimentary tract; Abdomen and its contents; Breasts, skin, and soft tissue; Head and neck (including congenital, endocrine and oncologic disorders-particularly tumors of the skin, thyroid and parathyroid gland); Endocrine system; Surgical oncology (including salpingo-oophorectomy); Management of trauma (the responsibility for all phases of care of the injured patient); Complete care of critically ill patients with underlying surgical conditions in the emergency department, intensive care and trauma care units. This includes placement of monitoring devices (such as Swan-Ganz catheters and arterial lines) and ventilator management; Extremities surgery (biopsy, I&D, varicose veins, foreign body removal, and skin grafts); Flexible sigmoidoscopy and upper GI endoscopy Colonoscopy Bronchoscopy Laparoscopy Moderate (Conscious) Sedation/Analgesia Privileges

60 SPOGEN M.D., Daniel R., (05780) Specialty: Family Practice Temporary privs. 07/15/83 Associate staff 10/20/83 Active staff 06/21/84 06/19/84 Exec. Comm. 08/19/86 Exec. Comm. 09/20/88 Exec. Comm. 09/18/90 Exec. Comm. 08/18/92 Exec. Comm. 06/15/93 Exec. Comm. 06/21/94 Exec. Comm. 08/20/96 Exec. Comm. 06/22/99 Exec. Comm. 04/01/01 03/30/03 Recred. Cycle 04/01/03 03/31/05 Recred. Cycle 04/01/05 03/31/07 Recred. Cycle 04/01/07 03/31/09 Recred. Cycle 04/01/09 04/01/11 Recred. Cycle Core Privileges in Family Practice: Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients admitted or in need of care to treat general medical problems.) Ob-Gyn procedures: I&D Bartholin's abscess Management of uncomplicated pelvic inflammatory disease (requires Ob-Gyn consult during assoc. staff) (Uncomplicated PID is PID which responds to antibiotic therapy within 48 hours and which is without: (1) evidence of pelvic abscess; (2) peritoneal symptoms; and (3) other organ dissemination) (Consultations as required and particularly for breeches, mid-forceps, versions, major medical complications and other obstetrical complications) Newborn circumcision Management of phototherapy Arterial puncture (age 5 and older only) Arthrocentesis Skin biopsy Spinal tap Biopsy Excision of skin lesions Suture uncomplicated wounds Care of burns: 1st & 2nd degree Anoscopy, proctosigmoidoscopy Local excision hemorrhoid Sprains & simple or non-displaced fractures not requiring reduction

61 STA. MARIA-TORRES, MD, Maria Sheila P. (#10748) Specialty: OB/GYN Associate 12/01/09 Reappointment to EVALUATING PHYSICIAN: Alison Westfall, MD Admission and patient management of all obstetrical complications as well as normal labor and delivery. Admission and patient management of all gynecological illnesses and complications Hysteroscopy Diagnostic Pelviscopy Diagnostic Operative (TVT) Tension free vaginal tape/sparc procedures

62 STADLER, Franz J., M.D. (8758) Subspecialty: Dermatology Section: Internal Medicine Associate Staff 09/28/99 90-day ext. of Assoc. 09/25/01 Active Staff 11/27/01 10/01/00 09/30/02 Recred. Cycle 10/01/02 09/30/04 Recred. Cycle 10/01/04 09/30/06 Recred. Cycle 10/01/06 09/30/08 Recred. Cycle 10/01/08 10/01/10 Recred. Cycle 10/01/10 09/30/12 Recred Cycle Core Privileges in Internal Medicine Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any Class II or III requests. Class I: Skin Biopsy

63 STAIB, JR., M.D., Neil (10800) Specialty: Radiology (Telemedicine) Associate Staff 11/03/09 EVALUATING PHYSICIAN: Radiology Consultants Core privileges in Radiology Privileges include: plain radiographic interpretation; interpretation of general, vascular and obstetrical ultrasound; computed tomography; magnetic resonance imaging; nuclear medicine to include study interpretation as well as therapy and interpretation of positron emission tomography studies; fluoroscopy

64 Standteiner, Heidi (11077) Specialty: Internal Medicine Provisional 10/04/2011 APPOINTMENT: 10/04/ /01/2012 EVALUATING PHYSICIAN: Bruce Denney, MD Core privileges include general medical management of patients (i.e. assessment and admission, inpatient care, discharge, and obtaining and providing consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges do not include any Class II or III requests. The following procedures are consistent with IM Board certification or equivalent training in internal medicine and are considered among core privileges. Arterial puncture Skin Biopsy Arthrocentesis/joint injection Spinal Tap Exercise Stress Test Treadmill & Nuclear Persantine (supervision only)

65 STANKO, Michael L., M.D. (8014) Specialty: Ophthalmology Temporary privs 07/15/93 Associate staff 08/24/93 Active staff 12/19/95 Senior Active 07/27/10 09/19/95 Exec. Comm. 07/16/97 Exec. Comm. 01/20/98 Exec. Comm. 02/22/00 Exec. Comm. to coordinate with No. Nv. Community Recred. cycle commencing 04/01/00 to 03/31/02 04/01/00 03/31/02 Recred. Cycle 04/01/02 03/31/04 Recred. Cycle 04/01/04 03/31/06 Recred. Cycle 04/01/06 03/31/08 Recred. Cycle 04/01/08 03/31/10 Recred. Cycle 04/01/10 04/01/12 Recred. Cycle Reappointment to Core Privileges in Ophthalmology: Core privileges include general medical management of patients (i.e. assessment and admission, inpatient care, discharge, and obtaining and providing consultations if needed.)

66 STARR M.D., E. Gary, (07180) Subspecialty: Physical Medicine & Rehab Specialty: Internal Medicine Temporary privs 07/15/88 Associate staff 09/22/88 Active staff 08/24/89 09/18/90 Exec. Comm. 08/18/92 Exec. Comm. 06/21/94 Exec. Comm. 08/20/96 Exec. Comm. 09/17/98 Exec. Comm. 10/01/00 09/30/02 Recred. Cycle 10/01/02 09/30/04 Recred. Cycle 10/01/04 09/30/06 Recred. Cycle 10/01/06 09/30/08 Recred. Cycle 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle Core Privileges in Internal Medicine Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any Class II or III requests. CLASS I Arthrocentesis CLASS II Electromyography

67 STEVENSON, Joseph, D.O. (8884) Specialty: Cardiology Associate Staff 07/11/00 Active Staff 08/06/02 10/01/02 09/30/04 Recred. Cycle 10/01/04 09/30/06 Recred. Cycle 10/01/06 09/30/08 Recred. Cycle 10/01/08 09/30/10 Recred. Cycle 10/01/10 09/30/12 Recred Cycle Core Privileges in Cardiology Privileges include permission to admit, evaluate, diagnose and provide treatment or consultative services to patients presenting with cardiovascular disease. Additional privileges include EKG and Holter/Event monitor interpretation; echocardiography; and Advanced Cardiac Life Support, including endotracheal intubation, cardioversion, pericardiocentesis, paracentesis, thoracentesis, lumbar puncture, ventilator management, arterial lines, central venous cannulation, right heart catheterization, temporary pacemakers and Swan-Ganz lines. Moderate Sedation Invasive Cardiology Procedures Transesophageal Echocardiogram

68 STITES, MD, Ryan (#10750) Specialty: Anesthesiology Associate 8/04/09 04/01/10 04/01/12 Recred. Cycle Reappointment to EVALUATING PHYSICIAN: Shane Kruitbosch, MD Non-admitting privileges, except for overnight observation (amended 3/02), reflecting the view of the American Society of Anesthesiologists, privileges include the ability to provide medical management of patients who are rendered unconscious or insensible to pain and emotional stress during surgical, obstetrical and certain other medical procedures; the protection of life functions and vital organs; the protection of life functions and vital organs; the management of problems in pain relief, cardiopulmonary resuscitation, pulmonary care and critically ill patients in special care units. This includes placement of monitoring devices (such as Swan-Ganz catheters and arterial lines) and ventilator management. Training in Advanced Cardiac Life Support (ACLS) and Basic Life Support (BLS) are considered an intrinsic part of Anesthesia training and competence. None

69 STOVER, MD, Karen M. (#10506) Specialty: Family Practice Associate 11/06/ /01/09 04/01/11 Recred. Cycle EVALUATING PHYSICIAN: Joseph Johnson, MD Core Privileges in Family Practice: Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining and providing consultations if needed for patients admitted or in need of care to treat general medical problems including assisting at surgery, anoscopy, arterial puncture, arthrocentesis, care of 1 and 2 degree burns, excision of skin mass, I & D skin abscess, lumbar puncture, management of phototherapy, newborn circumcision, and suture of uncomplicated wounds.

70 Strange, M.D., Maya P. (#10374) Specialty: Internal Medicine Subspecialty: Psychiatry Associate 11/07/06 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle EVALUATING PHYSICIAN: Jose M. Thekkekara, M.D. Core Privileges in Internal Medicine PSYCHIATRY PRIVILEGES ONLY Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any Class II or III requests.

71 STRATTON M.D., Richard L., (04572) Specialty: Obstetrics & Gynecology Temporary privs 07/23/79 Associate staff 08/07/79 Active staff 03/25/80 Senior Active Staff 11/24/09 07/22/80 Exec. Comm. 08/03/82 Exec. Comm. 06/19/84 Exec. Comm. 08/19/86 Exec. Comm. 11/17/87 Exec. Comm. 08/l5/89 Exec. Comm. 08/20/91 Exec. Comm. 08/17/93 Exec. Comm. 06/20/95 Exec. Comm. 07/16/97 Exec. Comm. 08/17/99 Exec. Comm. to coordinate with No. Nv. Community Recred. cycle commencing 10/01/99 to 09/30/01 10/01/99 09/30/01 Recred. Cycle 10/01/01 09/30/03 Recred. Cycle 10/01/03 09/30/05 Recred. Cycle 10/01/05 09/30/07 Recred. Cycle 10/01/07 09/30/09 Recred. Cycle 10/01/09 09/30/ 11 Recred. Cycle Reappointment to Core Privileges in Obstetrics & Gynecology: Management, including admission, of all obstetrical complications as well as normal labor and delivery. Management, including admission, of all gynecological illnesses and complications. Hysteroscopy Diagnostic Operative hysteroscopy/endometrial ablation w/resectoscope (assoc. staff level 8/22/91)

72 STRONG M.D., Benjamin (10801) Specialty: Radiology (Telemedicine) Associate Staff 11/03/09 EVALUATING PHYSICIAN: Radiology Consultants Core privileges in Radiology Privileges include: plain radiographic interpretation; interpretation of general, vascular and obstetrical ultrasound; computed tomography; magnetic resonance imaging; nuclear medicine to include study interpretation as well as therapy and interpretation of positron emission tomography studies; fluoroscopy

73 STUMPF M.D., Paul M. (08071) Specialty: General Surgery Temporary privs 08/01/94 Associate staff 09/27/94 Active staff 12/19/95 06/20/95 Exec. Comm. 07/16/97 Gen. Surg. Dept. Core Privs. 07/16/97 Exec. Comm. 08/17/99 Exec. Comm. to coordinate with No. Nv. Community Recred. cycle commencing 10/01/99 to 09/30/01 10/01/99 09/30/01 Recred. Cycle 10/01/01 09/30/03 Recred. Cycle 10/01/01 09/30/05 Recred. Cycle 10/01/05 09/30/07 Recred. Cycle 10/01/07 09/30/09 Recred. Cycle 10/01/09 09/30/11 Recred. Cycle Reappointment to Core Privileges in General Surgery Reflecting the position of the American Board of Surgery, surgical privileges encompass the skills required in the admission, diagnosis, preoperative, operative and postoperative management in the following areas: Alimentary tract Abdomen and its contents; Breast, skin, and soft tissue; Head and neck (including congenital, endocrine and oncologic disorders-particularly tumors of the skin, thyroid and parathyroid gland) Endocrine system; Surgical oncology Management of Trauma (the responsibility for all phases of care of the injured patient); Complete care of critically ill patients with underlying surgical conditions in the emergency department, intensive care and trauma care units. This includes placement of monitoring devices (such as Swan-Ganz catheters and arterial lines) and ventilator management; Extremities surgery (biopsy, I&D, varicose veins and foreign body removal, and skin grafts); Flexible sigmoidoscopy and upper GI endoscopy Colonoscopy Bronchoscopy Moderate Sedation Laparoscopy

74 Su, Albert T., MD (#10826) Specialty: Radiology Telemedicine Associate 1/05/10 EVALUATING PHYSICIAN: Radiology Consultants Core privileges in Radiology Privileges include: plain radiographic interpretation; interpretation of general, vascular and obstetrical ultrasound; computed tomography; magnetic resonance imaging; nuclear medicine to include study interpretation as well as therapy and interpretation of positron emission tomography studies; fluoroscopy

75 . SU, Moon, MD (#09329) Specialty: Internal Medicine Associate 7/11/06 EVALUATING PHYSICIAN: 10/01/06 09/30/08 Recred. Cycle 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle Karen McDermott, MD Core Privileges in Internal Medicine Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any Class II or III requests. Moderate (Conscious) Sedation Arterial Puncture Arthrocentesis/Joint Injection Spinal Tap Arterial Cannulation (for monitoring purposes) Central Venous Catheter Placement Thoracentesis/Paracentesis

76 SULLIVAN M.D., David E., (09525) Specialty: Emergency Medicine Page 1 of 2 Associate staff 12/02/03 Active staff 06/27/06 04/01/05 03/31/07 Recred. Cycle 04/01/07 03/31/09 Recred. Cycle 04/01/09 04/01/11 Recred. Cycle 04/01/11 to 04/01/13 Recred. Cycle Core Privileges in Emergency Medicine: Privileges include being able to assess, work up, and provide initial treatment to patients who present in the ER with any illness, injury, condition or symptom. An emergency physician is expected to provide those services necessary to ameliorate minor illnesses or injuries, provide stabilizing treatment to patients presenting with major illness or injuries and to assess all patients in order to determine if more definitive services are necessary. Transfer of Care/Admission Orders ED Limited Ultrasound Privs. (10/23/07)

77 SULLIVAN, DAVID, M.D. Page 2 of 2 EMERGENCY MEDICINE PRIVILEGES INCLUDE THE FOLLOWING PROCEDURES AS DEFINED BY THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS Anesthesia (intravenous/local/regional) Anoscopy Arthrocentesis Bladder Catheterization/Irrigation Cardiac Massage (closed/open) Cardiac Electroconversion Cardiac Electrical Pacing Cardiorrhaphy Cricothyrotomy Culdocentesis CVP Catheter Placement (jugular/peripheral/subclavian) Differential Diagnosis 7. History 8. Physical examination 9. System Review 10. Laboratory studies (indications/interpretation) 11. EKG (indications/interpretation) 12. Radiographic studies (indications/interpretation) Electrocoagulation Endotracheal Intubation (oral/nasal) Foreign Body Removal Fracture/Dislocation - Reduction/Immobilization Gastric Lavage Heimlich Maneuver Incision-Drainage Intracardiac Injection Lumbar puncture Laryngoscopy Moderate Sedation Nasal Packing/Cautery Nail Trephination/Removal Ocular Tonometry Oxygen Therapy Paracentesis Percutaneous Transtracheal Ventilation Peritoneal Lavage Pericardiocentesis Pericardiotomy Respirators (manual/mech./pressure/volume) Skin Grafting Spinal Immobilization Surgical Debridement Thoracentesis Thoracostomy Tube Drainage Thoracotomy Use of Split Lamp Wound Repair/Dressing

78 SULLIVAN, James E., M.D. (9358) Subspecialty: Nephrology Specialty: Internal Medicine Associate Staff 08/05/03 Evaluating Physician: Dr. David Johnson 10/01/04 09/30/06 Recred. Cycle 10/01/06 09/30/08 Recred. Cycle 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle Core Privileges in Internal Medicine Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any Class II or III requests. Class II Central venous catheter placement Class III Hemodialysis Peritoneal dialysis

79 SUMBUL-YUKSEL, MD, Bahar (#10689) Specialty: Internal Medicine Subspecialty: Rheumatology Associate 4/07/09 10/01/10 10/01/12 Recred. Cycle EVALUATING PHYSICIAN: Teresa Bachman, MD Core Privileges in Internal Medicine Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges do not include any Class II or III requests. None

80 SUN, MD, Peter P. (#10331) Specialty: Pediactric Neurosurgery Associate 9/05/06 EVALUATING PHYSICIAN: 04/01/07 03/31/09 Recred. Cycle (w/neurosurgery Dept.) 04/01/08 03/31/10 Recred. Cycle (w/pediatric Dept.) 05/26/09 03/31/11 Interim reappt. to move back to Neurosurg. Dept) Reappointment to Sierra Neurosurgery Associate-staff privileges - Pediatric Neurosurgery Core Privileges in Neurosurgery Reflecting the position of the American Board of Neurological Surgery, surgical privileges encompass the skills required in the diagnosis, preoperative, operative, and postoperative management of patients of all ages presenting with illnesses, injuries and disorders of the central and peripheral nervous system, including their supporting structures and vascular supply. Core privileges include: Management of Trauma (the responsibility for all phases of care of the injured patient); and Complete care of critically ill patients with underlying surgical conditions in the emergency department, intensive care and trauma care units. This includes placement of monitoring devices (such as Swan Ganz catheters and arterial lines) and antilitter management;

81 SUTHERLAND, DO, Veronica M (#10856) Specialty: Family Medicine Non-admitting Associate 4/6/10 EVALUATING PHYSICIAN: Stephen Bloomfield, MD Non-admitting privileges Allows participation in the care of the practitioner s patients who they have referred or who have been admitted by their alternate covering physician including: Visit patients in the hospital Write in the progress notes Review medical records Do consults and make recommendations (but may not write orders) Assist in surgery Note: may not admit or write orders, or actively participate in the direct provision of patient care

82 SUTTON M.D., Jennifer B., (08049) Specialty: Radiation Therapy Temporary privs 03/07/94 Associate staff 04/26/94 Active staff 06/27/95 Addition to Privileges 08/23/05 09/19/95 Exec. Comm. 07/16/97 Exec. Comm. 06/22/99 Exec. Comm. 04/01/01 03/30/03 Recred. Cycle 04/01/03 03/31/05 Recred. Cycle 04/01/03 03/31/05 Recred. Cycle 04/01/05 03/31/07 Recred. Cycle 04/01/07 03/31/09 Recred. Cycle 04/01/09 04/01/11 Recred. Cycle Core Privileges in Radiation Oncology: Core privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge, and obtaining and providing consultation if need for patients adolescent age or above admitted or in need of care to treat general medical problems. Radiation Therapy: Consultation Intracavitary Transperineal Radioactive Seed Implantation (Active-staff level 10/27/98) High Dose Rate Brachytherapy (Interstitial or Intracavitary) Cyberknife Stereotactic Radiosurgery Intracranial SRS Extracranial SRS

83 SWACKHAMER, Robert D., M.D. (7630) Specialty: Cardiology Temporary privs 07/20/89 Associate staff 09/28/89 Active staff 10/25/90 08/18/92 Exec. Comm. 06/21/94 Exec. Comm. 08/20/96 Exec. Comm. 09/17/98 Exec. Comm. For 90 days 12/15/98 Exec. Comm. 10/01/00 09/30/02 Recred. Cycle 10/01/02 09/30/04 Recred. Cycle 10/01/04 09/30/06 Recred. Cycle 10/01/06 09/30/08 Recred. Cycle 10/01/08 09/30/10 Recred. Cycle 10/01/10 09/30/12 Recred Cycle Core Privileges in Cardiology Privileges include permission to admit, evaluate, diagnose and provide treatment or consultative services to patients presenting with cardiovascular disease. Additional privileges include EKG and Holter/Event monitor interpretation; echocardiography; and Advanced Cardiac Life Support, including endotracheal intubation, cardioversion, pericardiocentesis, paracentesis, thoracentesis, lumbar puncture, ventilator management, arterial lines, central venous cannulation, right heart catheterization, temporary pacemakers and Swan-Ganz lines.

84 Invasive Cardiology Procedures Invasive Cardiology Procedures Privileges include diagnostic right and left heart catheterization; coronary, atrial, ventricular, pulmonary, venous, and arterial angiography; intra-aortic balloon pump placement and management; and endomyocardial biopsy; Percutaneous Transluminal Coronary Angioplasty; and other cardiology interventions Permanent Transvenous Cardiac Pacemaker (applicable to CCL & OR) Transesophageal Echocardiography Renal and Iliac Peripheral Vascular Procedures IVUS (Intravascular Ultrasound) Moderate (Conscious) Sedation

85 SWANSON D.O., Andrew J., (08552) Specialty: Family Practice Associate Staff 09/28/99 Active Staff 09/25/01 04/01/01 03/30/03 Recred. Cycle 04/01/03 03/31/05 Recred. Cycle 04/01/05 03/31/07 Recred. Cycle 04/01/07 03/31/09 Recred. Cycle 04/01/09 04/01/11 Recred. Cycle Core Privileges in Family Practice: Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients admitted or in need of care to treat general medical problems.) Newborn circumcision Management of phototherapy I & D skin abscess Lumbar puncture Arthrocentesis Suture of uncomplicated wounds Care of burns, 1 st and 2 nd degree Anoscopy, proctosigmoidoscopy Flexible sigmoidoscopy.

86 SWARTS, Raymond, M.D. (3152) Subspecialty: Infectious Disease Specialty: Internal Medicine Temporary privs 10/02/81 Associate staff 01/19/82 Active staff 11/18/82 08/03/82 Exec. Comm. 06/19/84 Exec. Comm. 08/19/86 Exec. Comm. 09/20/88 Exec. Comm. 09/18/90 Exec. Comm. 08/18/92 Exec. Comm. 06/21/94 Exec. Comm. 08/20/96 Exec. Comm. 09/17/98 Exec. Comm. 10/01/00 09/30/02 Recred. Cycle 10/01/02 09/30/04 Recred. Cycle 10/01/04 09/30/06 Recred. Cycle 10/01/06 09/30/08 Recred. Cycle 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle Core Privileges in Internal Medicine Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any Class II or III requests. CLASS I Arterial puncture Arthrocentesis Spinal tap CLASS II ECG interpretation

87 SZOT,Christina MD (8553) Subspecialty: Pulmonary/Sleep Disorders Specialty: Internal Medicine Associate staff 04/06/04 Evaluating Physician: Darrel D. Handke, M.D. 10/01/04 09/30/06 Recred. Cycle 10/01/06 09/30/08 Recred. Cycle 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle Core Privileges in Internal Medicine Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any Class II or III requests. Class II Thoracentesis/paracentesis Pulmonary function test, complete Bronchoscopy Class III Moderate (Consious) Sedation/Analgesia Bronchoscopy/Biopsy Lavage Lung Biopsy

88 TAKAKI M.D., Mark (10802) Specialty: Radiology (Telemedicine) Associate Staff 11/03/09 EVALUATING PHYSICIAN: Radiology Consultants Core privileges in Radiology Privileges include: plain radiographic interpretation; interpretation of general, vascular and obstetrical ultrasound; computed tomography; magnetic resonance imaging; nuclear medicine to include study interpretation as well as therapy and interpretation of positron emission tomography studies; fluoroscopy

89 Talbott, LaDawn M, MD (#10621) Specialty: Plastic Surgery Associate 8/05/08 10/01/09 09/30/11 Recred. Cycle Reappointment to EVALUATING PHYSICIAN: Wesley Hall, MD Core privileges in Plastic Surgery: Reflecting the position of the American Board of Plastic Surgery, the American Society of Medical Specialties and the practice at Saint Mary's Regional Medical Center, privileges encompass the skills required in the admission, diagnosis, preoperative, operative, and postoperative management of patients of all ages in the following areas consistent with the practice of plastic surgery. Congenital defects of the head & neck; Head and neck neoplasms; Head and neck trauma; Breast; Hand/upper extremity; Trunk/genitalia; Lower extremities; Skin/soft tissue neoplasms; Burns; Cosmetic; and Harvesting free flap. Liposuction Complex hand surgery Microsurgery None

90 TAMASABY, MD, Mohsen (#10379) Specialty: Family Medicine Non-Admit Associate Privileges 8/3/10 EVALUATING PHYSICIAN: Colleen Capurro, MD Allows participation in the care of the practitioner s patients who they have referred or who have been admitted by their alternate covering physician including: Visit patients in the hospital Write in the progress notes Review medical records Do consults and make recommendations (but may not write orders) Assist in surgery Note: may not admit or write orders, or actively participate in the direct provision of patient care None

91 TANN, MD, Stephen M. (#10332) Specialty: Cardiology Subspecialty: Internal Medicine Associate 12/05/06 1 st Year LOA (effective) 06/19/09 10/01/08 10/01/10 Recred. Cycle 10/01/10 09/30/12 Recred Cycle EVALUATING PHYSICIAN: Joseph Stevenson, D.O. Core Privileges in Cardiology: Privileges include permission to admit, evaluate, diagnose and provide treatment or consultative services to patients presenting with cardiovascular disease. Additional privileges include EKG and Holter/Event monitor interpretation; echocardiography; and Advanced Cardiac Life Support, including endotracheal intubation, cardioversion, pericardiocentesis, paracentesis, thoracentesis, lumbar puncture, ventilator management, arterial lines, central venous cannulation, right heart catheterization, temporary pacemakers and Swan-Ganz lines. Moderate (Conscious) Sedation/Analgesia Privileges Invasive Cardiology Procedures Invasive Cardiology Procedures Privileges include diagnostic right and left heart catheterization; coronary, atrial, ventricular, pulmonary, venous, and arterial angiography; intra-aortic balloon pump placement and management; and endomyocardial biopsy; Transesophageal Echocardiography (TEE) Permanent Pacemaker

92 TATEM, Stewart, M.D. (8179) Specialty: Pediatrics Temporary privs 07/26/96 Associate staff 10/22/96 Active staff 01/26/99 01/20/98 Exec. Comm. 02/22/00 Exec. Comm. to coordinate with No. Nv. Community Recred. cycle commencing 04/01/00 03/31/02 04/01/00-03/31/02 Recred. Cycle 04/01/02 03/31/04 Recred. Cycle 04/01/04 03/31/06 Recred. Cycle 04/01/06 03/31/08 Recred. Cycle 04/01/08 03/31/10 Recred. Cycle 04/01/10-04/01/12 Recred. Cycle Reappointment to Core Privileges in Pediatrics Privileges include the treatment of patients between the ages of birth to 18 years, the performance of procedures that do not carry a significant threat to life (including related admission, consultation, and work-up; venipuncture laceration repair; incisions; and drainage of superficial abscesses) and treatment of major, complicated illnesses. Surgical Procedures Catheterization of peripheral arteries Circumcision, newborn Neonatal Procedures Newborn resuscitation Neurological Procedures Lumbar puncture Miscellaneous Septic workup

93 TATRO, MD, Andrea M. (#10538) Specialty: Physical Med/Rehab Associate 1/08/08 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle EVALUATING PHYSICIAN: Robert Berry, MD Core Privileges in Internal Medicine Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any Class II or III requests.

94 TAY M.D., Jonathan S. (08285) Specialty: Radiation Oncology Associate staff 06/23/98 Active staff 03/28/00 Addition to Privileges 04/26/05 06/22/99 Exec. Comm. 04/01/01 03/30/03 Recred. Cycle 04/01/03 03/31/05 Recred. Cycle 04/01/03 03/31/05 Recred. Cycle 04/01/03 03/31/05 Recred. Cycle 04/01/05 03/31/07 Recred. Cycle 04/01/07 03/31/09 Recred. Cycle 04/01/09 04/01/11 Recred. Cycle Core Privileges in Radiation Oncology Core privileges include general medical management of patients (i.e. assessment and admission, inpatient care, discharge, and obtaining and providing consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.); CT simulation procedures; and external beam three-dimensional conformal and intensity modulated radiation therapy planning and treatment. Radiation Therapy: Consultation Intracavitary Transperineal Radioactive Seed Implantation (Brachytherapy) (released from mentoring 9/29/98) Moderate Sedation High Dose Rate Brachytherapy (Interstitial or Intracavitary) Cyberknife Stereotactic Radiosurgery Intracranial SRS Extracranial SRS

95 Tehranchi, Elaheh N., MD (#10565) Specialty: Internal Medicine Associate 8/05/08 LOA 6/30/10-4/26/12 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle EVALUATING PHYSICIAN: Steven Recchia, MD Core Privileges in Internal Medicine Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any Class II or III requests. Arterial puncture Arthrocentesis/joint injection Spinal tap Central venous catheter placement Thoracentesis/paracentesis

96 THEKKEKARA, Jose M., M.D. (8555) Subspecialty: Psychiatry Specialty: Internal Medicine Temporary Staff 09/07/99 Associate Staff 09/28/99 90-day ext. of Assoc. 09/25/01 6-mo. ext of Assoc. 12/04/01 Active Staff 03/26/02 1-yr LOA 01/28/03 Active 04/27/04 10/01/00 09/30/02 Recred. Cycle 10/01/02 09/30/04 Recred. Cycle 10/01/04 09/30/06 Recred. Cycle 10/01/06 09/30/08 Recred. Cycle 10/01/08 10/01/10 Recred. Cycle 10/01/10 10/01/12 Recred. Cycle Core Privileges in Internal Medicine PSYCHIATRY PRIVILEGES ONLY Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any Class II or III requests. None

97 Theoharis, Jennifer (11055) Specialty: Radiology, Diagnostic Provisional 08/02/2011 APPOINTMENT: 08/02/ /31/2012 EVALUATING PHYSICIAN: Privileges include: plain radiographic interpretation; interpretation of general, vascular and obstetrical ultrasound; computed tomography; magnetic resonance imaging; nuclear medicine to include study interpretation as well as therapy and interpretation of positron emission tomography studies; fluoroscopy

98 THOMAS M.D., Diane M., (08558) Specialty: Family Practice Associate Staff 10/03/00 Active Staff 07/23/02 04/01/01 03/30/03 Recred. Cycle 04/01/03 03/31/05 Recred. Cycle 04/01/05 03/31/07 Recred. Cycle 04/01/07 03/31/09 Recred. Cycle 04/01/09 04/01/11 Recred. Cycle Core Privileges in Family Practice: Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients admitted or in need of care to treat general medical problems.) I & D Bartholin abscess I & D Skin abscess Newborn Circumcision Management of Phototherapy Lumbar puncture Arthrocentesis Skin biopsy Assisting at surgery Excision of skin mass Suture of uncomplicated wounds Care of burns, 1 st and 2 nd Degree Anoscopy, proctosigmoidoscopy Local excision of hemorrhoids Flexible sigmoidoscopy (with or without biopsy)

99 THOMAS, MD, Julie K. (#10751) Specialty: Rheumatology Associate 9/1/09 10/01/10 10/01/12 Recred. Cycle EVALUATING PHYSICIAN: Malin Prupas, MD Core Privileges in Internal Medicine Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges do not include any Class II or III requests. Arthrocentesis/joint injection

100 THOMAS M.D., Quinton K., (09162) Specialty: Family Practice Associate Staff 06/04/02 Eval. Phys.: Stephen Bloomfield, M.D. 04/01/03 03/31/05 Recred. Cycle Reappointed to May 31, 2005 Reappointed 06/01/05 to 03/31/07 04/01/07 03/31/09 Recred. Cycle 04/01/0 9-04/01/11 Recred. Cycle Core Privileges in Family Practice: Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients admitted or in need of care to treat general medical problems.) I & D Skin abscess Skin biopsy Excision of skin mass Suture of uncomplicated wounds Care of burns, 1st and 2nd degree

101 THOMPSON, MD, Laura B. (#10413) Specialty: OB/GYN Associate 04/03/07 Active 03/23/10 10/01/07 09/30/09 Recred. Cycle 10/01/09 09/30/11 Recred. Cycle Reappointment to EVALUATING PHYSICIAN: Harold Chotiner, MD Admission and patient management of all obstetrical complications as well as normal labor and delivery. Admission and patient management of all gynecological illnesses and complications Diagnostic Hysteroscopy Resectoscope/Roller Ball Diagnostic Pelviscopy w/simple lysis of adhesion or cautery (i.e. BTL) Operative Pelviscopy removal of adnexa, ectopic pregnancy, laparoscopically assisted vaginal hysterectomy, Extensive lysis of adhesion or excision of tissue. Tension Free Vaginal Tape (TVT) / SPARC procedures

102 THOMPSON, Leonard, D.O. (5280) Specialty: Pediatrics Temporary privs 07/07/83 Associate staff 09/15/83 Active staff 04/18/85 Senior Active 02/28/06 06/19/84 Exec. Comm. 08/19/86 Exec. Comm. 09/20/88 Exec. Comm. 09/18/90 Exec. Comm. 08/18/92 Exec. Comm. 06/21/94 Exec. Comm. 08/20/96 Exec. Comm. 01/20/98 Exec. Comm. 02/22/00 Exec. Comm. to coordinate with No. Nv. Community Recred. cycle commencing 04/01/00-03/31/02 04/01/00-03/31/02 Recred. Cycle 04/01/02 03/31/04 Recred. Cycle 04/01/04 03/31/06 Recred. Cycle 04/01/06 03/31/08 Recred. Cycle 04/01/08 03/31/10 Recred. Cycle 04/01/10 04/01/12 Recred. Cycle Reappointment to Core Privileges in Pediatrics Privileges include the treatment of patients between the ages of birth to 18 years, the performance of procedures that do not carry a significant threat to life (including related admission, consultation, and work-up; venipuncture laceration repair; incisions; and drainage of superficial abscesses) and treatment of major, complicated illnesses. Surgical Procedures Bladder tap Burns (1st & 2nd degree) Circumcision, newborn Incision and drainage of superficial abscess Needle aspiration of abscess Suture uncomplicated wounds Neurological Procedures Lumbar puncture Neonatal Procedures Newborn resuscitation

103 THOMPSON, Stanley I., M.D. (4655) Specialty: Cardiology Associate staff 08/07/79 Active staff 04/22/80 07/22/80 Exec. Comm. 08/03/82 Exec. Comm. 06/19/84 Exec. Comm. 08/19/86 Exec. Comm. 09/20/88 Exec. Comm. 09/18/90 Exec. Comm. 08/18/92 Exec. Comm. 06/21/94 Exec. Comm. 08/20/96 Exec. Comm. 09/17/98 Exec. Comm. For 90 days 12/15/98 Exec. Comm. 10/01/00 09/30/02 Recred. Cycle 10/01/02 09/30/04 Recred. Cycle 10/01/04 09/30/06 Recred. Cycle 10/01/06 09/30/08 Recred. Cycle 10/01/08 10/01/10 Recred. Cycle 10/01/10 09/30/12 Recred Cycle Core Privileges in Cardiology Privileges include permission to admit, evaluate, diagnose and provide treatment or consultative services to patients presenting with cardiovascular disease. Additional privileges include EKG and Holter/Event monitor interpretation; echocardiography; and Advanced Cardiac Life Support, including endotracheal intubation, cardioversion, pericardiocentesis, paracentesis, thoracentesis, lumbar puncture, ventilator management, arterial lines, central venous cannulation, right heart catheterization, temporary pacemakers and Swan-Ganz lines. Percutaneous Transluminal Coronary Angioplasty; and other coronary interventions (as of 12/15/83) Invasive Cardiology Procedures Invasive Cardiology Procedures Privileges include diagnostic right and left heart catheterization; coronary, atrial, ventricular, pulmonary, venous, and arterial angiography; intra-aortic balloon pump placement and management; and endomyocardial biopsy; IVUS (Intravascular Ultrasound) Moderate Sedation

104 TILLER, Shelli Z., (8881) Specialty: Anesthesiology Associate staff 09/07/04 Active staff 12/18/07 04/01/06 03/31/08 Recred. Cycle 04/01/08 03/31/10 Recred. Cycle 04/01/10 04/01/12 Recred. Cycle Reappointment to EVALUATING PHYSICIAN Dirk G Fletcher, M.D. Core Anesthesiology Privileges None-admitting privileges, except for overnight observation (amended 3/02), reflecting the view of the American Society of Anesthesiologists, privileges include the ability to provide medical management of patients who are rendered unconscious or insensible to pain and emotional stress during surgical, obstetrical and certain other medical procedures; the protection of life functions and vital organs; the protection of life functions and vital organs; the management of problems in pain relief, cardiopulmonary resuscitation, pulmonary care and critically ill patients in special care units. This includes placement of monitoring devices (such as Swan-Ganz catheters and arterial lines) and ventilator management. Training in Advanced Cardiac Life Support (ACLS) and Basic Life Support (BLS) are considered an intrinsic part of Anesthesia training and competence. Special Requests None

105 TIPPETT, Vickie L., MD (#10752) Specialty: OB/GYN Associate 12/01/09 Reappointment to EVALUATING PHYSICIAN: John Paas, MD Admission and patient management of all obstetrical complications as well as normal labor and delivery. Admission and patient management of all gynecological illnesses and complications Hysteroscopy Diagnostic Resectoscope/Roller Ball Pelviscopy Diagnostic Operative

106 TITUS M.D., Robin, (04910) Specialty: Family Practice Courtesy staff 02/2l/85 08/19/86 Exec. Comm. 09/20/88 Exec. Comm. 09/18/90 Exec. Comm. 08/18/92 Exec. Comm. 06/21/94 Exec. Comm. 08/20/96 Exec. Comm. 07/16/97 Exec. Comm. 06/22/99 Exec. Comm. 04/01/01 03/30/03 Recred. Cycle 04/01/03 03/31/05 Recred. Cycle 04/01/05 03/31/07 Recred. Cycle 04/01/07 03/31/09 Recred. Cycle 04/01/09 04/01/11 Recred. Cycle Courtesy staff privileges Includes the ability to visit patients, write in the progress notes, review medical records, consult and make recommendations and assist in surgery. May not write orders or vote as a member of the Medical Staff. None

107 TOOTHMAN M.D., Richard (10803) Specialty: Radiology (Telemedicine) Associate Staff 11/03/09 EVALUATING PHYSICIAN: Radiology Consultants Core privileges in Radiology Privileges include: plain radiographic interpretation; interpretation of general, vascular and obstetrical ultrasound; computed tomography; magnetic resonance imaging; nuclear medicine to include study interpretation as well as therapy and interpretation of positron emission tomography studies; fluoroscopy

108 TORCH, William C., M.D. (4630) Subspecialty: Pediatrics Specialty: Neurology Temporary privs 11/19/79 Associate staff 01/22/80 Active staff 09/22/81 Senior Active Staff 07/28/09 01/19/82 Exec. Comm. 08/03/82 Exec. Comm. 06/19/84 Exec. Comm. 08/19/86 Exec. Comm. 09/20/88 Exec. Comm. 09/18/90 Exec. Comm. 08/18/92 Exec. Comm. 06/21/94 Exec. Comm. 08/20/96 Exec. Comm. 01/20/98 Exec. Comm 02/22/00 Exec. Comm. to coordinate with No. Nv. Community Recred. cycle commencing 04/01/00-03/31/02 04/01/00-03/31/02 Recred. Cycle (Peds) 04/01/02 03/31/04 Recred. Cycle (Peds) 04/01/04 03/31/06 Recred. Cycle 04/01/06 03/31/08 Recred. Cycle 04/01/08 03/31/10 Recred. Cycle 04/01/10 04/01/12 Recred. Cycle Reappointment to Core Privileges in Internal Medicine Core Privileges include general medical management of patients (i.e., assessment and admission, inpatient care, discharge and obtaining consultations if needed for patients adolescent age or above admitted or in need of care to treat general medical problems.) These privileges to not include any Class II or III requests. Core Privileges in Pediatrics: Privileges include the treatment of patients between the ages of birth to 18 years, the performance of procedures that do not carry a significant threat to life (including related admission, consultation, and work-up; venipuncture laceration repair; incisions; and drainage of superficial abscesses) and treatment of major, complicated illnesses. Pediatric Neurological Procedures Subdural taps Miscellaneous Spinal tap Muscle biopsy EEG interpretation Electromyography Adult neurology (as of 5/19/81)

109 Torkildson, Joseph (11156) Specialty: Pediatrics Hematology Oncology Provisional 09/11/2012 APPOINTMENT: 09/11/ /31/2012 EVALUATING PHYSICIAN: Caroline Hastings, MD Core Privileges in Pediatrics Privileges include the treatment of patients between the ages of birth to 18 years, the performance of procedures that do not carry a significant threat to life (including related admission, consultation, and work-up; venipuncture laceration repair; incisions; and drainage of superficial abscesses) and treatment of major, complicated illnesses. Septic Work-up (including neonate) Lumbar Puncture

110 TOTH, Joseph K., M.D. (4240) Specialty: Pediatrics Courtesy staff 01/19/82 Affiliate Staff 08/01/ /03/82 Exec. Comm. 06/19/84 Exec. Comm. 08/19/86 Exec. Comm. 09/20/88 Exec. Comm. 09/18/90 Exec. Comm. 08/18/92 Exec. Comm. 06/21/94 Exec. Comm. 08/20/96 Exec. Comm. 01/20/98 Exec. Comm. 02/22/00 Exec. Comm. to coordinate with No. Nv. Community Recred. cycle commencing 04/01/00 03/31/02 04/01/00-03/31/02 Recred. Cycle 04/01/02 03/31/04 Recred. Cycle 04/01/04 03/31/06 Recred. Cycle 04/01/06 03/31/08 Recred. Cycle 04/01/08 03/31/10 Recred. Cycle 04/01/10 04/01/12 Recred. Cycle Reappointment to Courtesy staff privileges Includes the ability to visit patients, write in the progress notes, review medical records, consult and make recommendations and assist in surgery. May not write orders or vote as a member of the Medical Staff. None

111 TRAN M.D., Ann (10804) Specialty: Radiology (Telemedicine) Associate Staff 11/03/09 EVALUATING PHYSICIAN: Radiology Consultants Core privileges in Radiology Privileges include: plain radiographic interpretation; interpretation of general, vascular and obstetrical ultrasound; computed tomography; magnetic resonance imaging; nuclear medicine to include study interpretation as well as therapy and interpretation of positron emission tomography studies; fluoroscopy

112 TRIMMER M.D., William R., (05830) Specialty: Otolaryngology Temporary privs 05/31/83 Associate staff 09/15/83 Active staff 06/21/84 Sr. Active staff 02/06/01 06/19/84 Exec. Comm. 08/19/86 Exec. Comm. 11/17/87 Exec. Comm. 08/l5/89 Exec. Comm. 08/20/91 Exec. Comm. 06/15/93 Exec. Comm. 06/20/95 Exec. Comm. 09/16/97 Exec. Comm. 06/22/99 Exec. Comm. 04/01/01 03/30/03 Recred. Cycle 04/01/03 03/31/05 Recred. Cycle 04/01/05 03/31/07 Recred. Cycle 04/01/07 03/31/09 Recred. Cycle 04/01/09 04/01/11 Recred. Cycle Core Privileges in Otolaryngology: Reflecting the position of the American Academy of Otolaryngology and the American Academy of Facial Plastic and Reconstructive Surgery, privileges include admission, work-up, diagnosis and provision of non-surgical and surgical care to patients of all ages presenting with illnesses, injuries and disorders of the head and neck affecting the ears, facial skeleton and respiratory and upper alimentary system. These privileges include surgery, involving temporal bone, nasal and paranasal sinus, skull-base, maxillofacial, aesthetic, plastic, reconstructive, thyroid, parathyroid, pituitary, salivary glands, and lymphatic tissue of the head and neck. Does not include dermabrasion. Myocutaneous Flaps Laser privileges in ENT procedures

113 Truong, Thomas (11179) Specialty: Interventional cardiology Provisional 11/06/2012 APPOINTMENT: 11/06/ /30/2014 EVALUATING PHYSICIAN: Reno Heart Physicians Core privileges in Cardiology Privileges include permission to admit, evaluate, diagnose and provide treatment or consultative services to patients presenting with cardiovascular disease. Additional privileges include EKG and Holter/Event monitor interpretation; tilt-table, Exercise Stress Test Treadmill & Nuclear Persantine; echocardiography; and Advanced Cardiac Life Support, including endotracheal intubation, cardioversion, pericardiocentesis, paracentesis, thoracentesis, lumbar puncture, ventilator management, arterial lines, central venous cannulation, right heart catheterization, temporary pacemakers and Swan-Ganz lines. Moderate (Conscious) Sedation.Analgesia Privleges Invasive Cardiology Procedures: Privileges include diagnostic right and left heart catheterization; coronary, atrial, ventricular, pulmonary, venous, and arterial angiography; intra-aortic balloon pump placement and management; and endomyocardial biopsy; Percutaneous Transluminal Coronary Angioplasty, and Other Coronary Interventions including cutting balloon; and coronary flow measurements. IVUS (Intravascular Ultrasound) Transesophageal Echocardiography (TEE) Permanent Pacemaker Exercise Stress Test-Treadmill and Nuclear Persantine