Renown Regional Rules & Regulations | Page 3

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II .
Exception to General Rule ....................................... 8
III .
Repeated Use of Prohibited Abbreviations .............. 8
RULE 3-4
CONTENT OF THE HISTORY AND PHYSICAL EXAMINATION ............ 8
A .
FOCUSED HISTORY AND PHYSICAL EXAMINATION ..................... 8
B .
HISTORY AND PHYSICAL EXAMINATION ......................................... 9
RULE 3-5
PHYSICIAN ORDERS ....................................................................................... 13
A .
ORDERS .................................................................................................... 13
1 .
General Rule .................................................................................. 13
2 .
Illegible Orders .............................................................................. 13
B .
VERBAL / TELEPHONE ORDERS .......................................................... 13
1 .
Authentication Required ................................................................ 13
2 .
When Appropriate .......................................................................... 13
3 .
Acceptance ..................................................................................... 13
4 .
Protocol .......................................................................................... 13
5 .
Signing of Order ............................................................................ 14
RULE 3-6
CONSENT AND DISCLOSURE ........................................................................ 14
A .
INFORMED CONSENT REQUIRED ...................................................... 14
B .
DISCLOSURE OF UNANTICIPATED OUTCOMES
AND MEDICAL ERRORS ....................................................................... 14
RULE 3-7
MEDICATIONS .................................................................................................. 14
A .
COMPLIANCE WITH CLINICAL AND HOSPITAL POLICIES .......... 14
B .
MEDICATIONS OF PATIENTS TRANSFERRED
WHEN THERE IS A CHANGE IN STATUS .......................................... 14
C .
BLANKET ORDERS ................................................................................ 15
RULE 3-8
PROVIDING CARE , TREATMENT AND SERVICES ................................. 15
A .
DAILY CARE OF PATIENTS ................................................................. 15
B .
CONSULTATIONS .................................................................................. 15
C .
PROCESS FOR OBTAINING CONSULT AND RESPONSIBILITIES OF CONSULTANT ............................................... 15
D .
SEDATION / ANESTHESIA ASSESSMENTS ......................................... 17
1 .
Pre-Anesthesia Assessment ........................................................... 17
2 .
Post-Anesthesia Assessment .......................................................... 18
3 .
Pre-Sedation Assessment ............................................................... 18
E .
OPERATIVE CARE OF PATIENTS ........................................................ 18
1 .
Immediate Progress Note after Surgery ......................................... 18
2 .
Post-Operative Report .................................................................... 19
F .
TRANSFER OF CARE ............................................................................. 19
G .
TERMINATION OF PHYSICIAN-PATIENT RELATIONSHIP ............ 19
4879-7702-4986 , v . 1 b