This customizable document, History and Physical - Outpatient Surgery, is taken from MCN Healthcare’s Outpatient Surgery and Ambulatory Services Policy and Procedure Manual. For more than 20 years, MCN has been the health care industry’s leading provider of policy and procedure templates, forms, competencies and other compliance tools.

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Here is some sample content from History and Physical - Outpatient Surgery:

	POLICY: History and physical H&P examinations for outpatient services for which the medical staff has determined require an H&P, may be completed ahead of time, though no more than 30 days prior to admission, and only by the appropriate practitioner privileged to perform H&Ps. When the H&P is completed within 30 days before admission, an updated medical record entry documenting an examination for any changes in the patient's condition must be completed. The updated examination must be completed and documented in the patient's medical record prior to surgery. The update shall be performed...
Second excerpt:
	...to perform H&Ps. All patients, regardless of type of anesthesia to be given, shall have a history and physical in the medical record at the time of surgery. A patient having podiatric or dental surgery must have a history and physical by a medical physician, and another completed by the attending podiatrist or dentist dealing with the specific area of surgery. It is the responsibility of the preadmitting nurse to verify that the history and physical is in the medical record prior to...