recorded and implemented the order . The ordering Member shall allow the receiver of the order to write out the complete order and then read the order back to the Member to ensure the accuracy of the order .
5 . Signing of Order . A verbal / telephone order must be authenticated by the prescribing Member or other Member authorized by these Rules and Regulations to sign the order on his or her behalf in a timeframe noted in HIM policy .
RULE 3-6
Consent and Disclosure A . Informed Consent Required .
The patient ’ s right of self-decision can be effectively exercised only if the patient possesses enough information to enable an intelligent choice . The patient should make his or her own determination regarding medical treatment . The practitioner ’ s obligation is to present the medical facts accurately to the patient , or the patient ’ s surrogate decision-maker , and to make recommendations for management in accordance with good medical practice . The practitioner has an ethical obligation to help the patient make choices from among the therapeutic alternatives consistent with good medical practice . Informed consent is a process of communication between a patient and the practitioner that results in the patient ’ s authorization or agreement to undergo a specific medical intervention .
Documentation of informed consent should be per the guidelines of the Hospital ’ s informed consent policy .
B . Disclosure of Unanticipated Outcomes and Medical Errors .
Notification of any adverse event or occurrence should be done in compliance with Hospital Policy .
RULE 3-7 A .
B .
Medications
Compliance with Clinical and Hospital Policies . An order for medication must comply with the Medical Staff-approved clinical policies and procedures , including applicable Hospital policies and procedures , that govern the content of , abbreviations and nomenclature permitted in , medication orders , both generally and for specific types of medications .
Medications of Patients Transferred When There is a Change in Status . Upon transfer of the patient to a different status , all medication orders shall be canceled , and new orders shall be documented . References to prior medication orders are not acceptable ; complete orders for each medication must be documented . If there is a change in Service ( e . g ., Medicine , Surgery ) and / or the Member responsible for the patient , all orders for the patient must be reviewed by the new Service and / or
4879-7702-4986 , v . 1 14