Member , and reaffirmed or discontinued via documented order in the patient ’ s chart .
C . Blanket Orders . The use of summary ( blanket ) orders ( e . g ., “ renew ,” “ repeat ,” “ resume ,” and “ continue ”) to resume previous medication orders is not acceptable .
RULE 3-8 A .
Providing Care , Treatment and Services
Daily Care of Patients . The attending physician Member , or appropriate privileged practitioner , must see their patients in the Hospital at least daily , or more frequently if required by the patient ’ s condition or circumstances , and enter a progress note . The progress note must contain sufficient detail to provide a reasonable picture of the patient ’ s clinical status at the time .
B . Consultations .
1 . The Medical Staff , through its Department and Section Chiefs and Medical Directors , shall be responsible for ensuring that Members obtain consultations when appropriate and when requested by the Department or Section Chiefs , Medical Directors , or Chief of Staff . Upon admission , the admitting physician shall request a pediatric Hospitalist consult on all patients younger than 18 years old ( excluding newborns ), admitted to Renown Medical Center Pediatric Children ’ s Hospital , Pediatric Floor or Pediatric ICU .
2 . Each Department and Section may specify the minimum criteria for requesting a consultation in its policies . In addition , a practitioner shall request a consult in the event that the patient requires a scope of care that is outside the expertise and / or clinical privileges of the attending Member or practitioner , or if uncertainty exists regarding the appropriate course of treatment for a given patient .
3 . When the needs of a patient exceed the privileges or skills of the Attending Member , or when that provider perceives a need for assistance in the diagnosis and management of a patient ’ s medical condition , consultation with another Member with appropriate privileges and expertise will be requested . The roles and responsibilities of requesting and Consulting Members will be clearly understood by Physicians / APPs and Hospital staff . Requests for consultation must be recorded in the medical record . Such documentation may be provided as an order or as an entry in a progress note or history and physical .
C .
Process for Obtaining Consult and Responsibilities of Consultant
1 . In addition to documenting a request for consultation in the medical record , the Attending Member who requests a consultation must contact the
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