Robert's Rules of Order is the standard used to guide IRB interactions and decisions. At a minimum, the Chair conducts the meeting, there is a pre-determined agenda, the minutes of the prior meeting are voted upon, and all actions and resolutions require a vote by voice (if a member is participating through teleconferencing or videoconferencing) or show-of-hands vote of the members present following discussion and the making and seconding of a motion.
The IRB Chair and Vice Chair are voting members of the IRB and their presence counts towards the quorum. The official meeting minutes record shall define the number of votes to approve, disapprove, defer or table without identifying the IRB member who cast that vote. The official meeting minutes shall also define the number of votes cast as abstentions. In the event an IRB member elects to abstain, the minutes shall record the abstention.