b . H & P updates as described above may be handwritten .
B . 8 .
All H & Ps performed and documented by Physician Assistants ( PAs ) must be countersigned by a supervising physician Medical Staff member .
These requirements reflect the standards of the Medical Staff at Renown Health . They should not be confused with the documentation guidelines prescribed by Medicare and other third-party payors .
RULE 3-5
Physician Orders A . Orders .
1 . General Rule . All orders entered into the patient ’ s record either electronically or in writing by a practitioner with privileges shall :
a . contain any necessary information ; b . be legible and use appropriate terminology ; c .
d . be signed by the issuing practitioner and reference the Member ’ s transcription number ( if applicable );
be dated and timed ; and e . follow guidelines regarding the use of abbreviations .
2 . Illegible Orders . Orders which are illegible or improperly entered will not be carried out until they are clarified by the ordering practitioner and are understood by the appropriate Hospital staff .
B . Verbal / Telephone Orders .
1 . Authentication Required . Verbal orders by Members , including orders given by telephone , will be authenticated by the Member giving the verbal order .
2 . When Appropriate . Verbal orders are discouraged and should only be used in situations where any delay in writing the order may cause the patient or any other patient harm or have an otherwise potentially negative outcome .
3 . Acceptance . Verbal orders shall only be received and recorded by Hospital staff who are authorized to do so by Hospital policy .
4 . Protocol . All verbal orders will include the date and time of entry into the medical record , identify the names of the individuals who gave , received ,
4879-7702-4986 , v . 1 13