medical staff , shall have the authority to write orders and progress notes without the co-signature of the attending or supervising physician . Consultations , Operative Reports , Emergency Department Reports , and Histories and Physicals prepared by APPs must be co-signed by the attending physician within twenty-four ( 24 ) hours . All Discharge Summaries prepared by Allied Health Professionals must be co-signed by the attending physician within 24 hours of discharge . It is noted that a physician may not supervise more than three ( 3 ) Allied Health Professionals at any one point in time .
APPs practicing independently do not require co-signature of their notes .
5 . Residents and Fellows . Residents and Fellows when practicing within their scope of practice , and as authorized by the Residency Supervisory Committee , ( Medical Staff Committees refers to Residents , Fellows and Students Committee ) and acting under the supervision of a Medical Staff Member , shall have authority to write orders and progress notes without the co-signature of the attending or supervising physician . Consultations , Operative Reports , Emergency Department Reports , and Histories and Physicals prepared by Residents and Fellows must be co- signed by the attending physician within twenty-four ( 24 ) hours . All Discharge Summaries prepared by Residents and Fellows must be co-signed by the attending physician within 24 hours of discharge .
6 . Summary of Documentation Timelines .
Document Due within EMR
Signature Due Date H & P 24 Hours 24 Hours
Progress Notes Daily Daily Brief Op
Immediately following surgery before the patient transfers to the next level of care .
Before patient moves to the next level of care .
Op Report 24 Hours After Surgery 24 Hours After Surgery
Consults 24 Hours 24 Hours Discharge Summary 24 hours after discharge 24 hours after discharge
7 . Dated / Timed . All entries must be dated and timed . All documentation of care should include the time using the 24-hour clock .
8 . Abbreviations .
a . When Allowed . During the course of care and treatment of a patient , Members may use abbreviations in all parts of the medical record of a patient . Only standardized terminology , definitions ,
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