abbreviations, acronyms, symbols and dose designations will be used. Abbreviations on the unapproved abbreviations and / or symbols list as set forth below may not be used.
b. Certain Abbreviations Prohibited. I.
General Rule. Certain abbreviations have been associated with medication errors and shall not be used. If a Member uses a prohibited abbreviation in a documented order, the order will not be carried out until the Member has been contacted and the order clarified. The prohibited abbreviations are as follows:
Abbreviation
Preferred Term U, u Write“ unit” IU Write“ International unit”
Q. D., QD, q. d., qd, Q. O. D., QOD, q. o. d., qod
Trailing zero( x. 0 mg) Lack of leading zero(. X mg) MS MSO4 and MgSO4
Write“ daily” Write“ every other day”
Write X mg Write( 0. X mg) Write“ morphine sulfate” Write“ magnesium sulfate”
II.
III.
Exception to General Rule. If, in the judgment of the Hospital staff providing care to the patient( e. g., the registered nurse, pharmacist, etc.), an order that includes a prohibited abbreviation is nonetheless clear and complete and a delay to obtain confirmation from the ordering Member prior to execution of the order would place the patient at greater risk, then the order may be carried out; and the confirmation obtained as soon as possible thereafter.
Repeated Use of Prohibited Abbreviations. Repeated use of prohibited abbreviations by a Member is considered a patient safety issue. Such conduct will be reported in the Member’ s file, should be grounds for appropriate action consistent with the Bylaws and Credentials Manual.
RULE 3-4 A.
Content of the History and Physical Examination
Focused History and Physical Examination: For patients undergoing an outpatient procedure under moderate sedation, a focused history and physical may be done in place of a complete H & P. This focused H & P should include:
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