59MDWI44-193 — Management Of Incapacitated Providers

59MDWI44-193 governs procedures for managing medical or surgical procedures when a health care professional becomes incapacitated across the 59th Medical Wing.

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  • Publication number: 59MDWI44-193
  • Title: MANAGEMENT OF INCAPACITATED PROVIDERS
  • Date: 2020-07-09

View 59MDWI44-193 on armypubs.army.mil


The instruction covers operating room procedures, minor medical, dental, and surgical procedures outside the operating room, and conscious sedation. It requires backup providers and notification of specified medical leadership during unanticipated circumstances.

Applies to: This instruction applies to all personnel assigned, attached, or on contract to the 59 MDW.

Topics covered

  • Operating room procedures
  • Incapacitated health care providers
  • Backup attending surgeons
  • Primary anesthesia providers
  • Minor procedures outside the operating room
  • Conscious sedation

Questions and answers

Who is responsible for the patient during an operation?

The primary attending surgeon is personally responsible for the patient’s welfare throughout the operation. (paragraph 1)

What is required if a surgeon must leave during the critical portion of an operation?

In this situation, a backup attending surgeon or anesthesia provider must be identified and available to come to the operating room promptly. (paragraph 1)

What emergencies can require a provider to leave the operating room?

Circumstances in this category might include sudden illness or injury to the surgeon or anesthesia provider, a life-threatening emergency elsewhere in the operating suite or contiguous hospital building, or an emergency in their family. (paragraph 1)

What is required when a provider leaves during a minor procedure outside the operating room?

In this situation, a backup qualified provider must be identified and be available to come to the patient care area promptly who will maintain safety of the patient and determine if the procedure should be completed or arrange for the safe termination and rescheduling of the procedure. (paragraph 2)

What options does a stable patient have if a procedure has not started?

The patient will be given the option of rescheduling the appointment or waiting until an alternate provider is available. (paragraph 2)

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