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Initial Patient Assessment and Reassessment |
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Manual: Outpatient Surgery and Ambulatory Services Policy and Procedure Manual (Ver 9) External Reference: "(TJC PC.2.20, PC.2.130, PC.2.150)(AAAHC 4-D-3)"
As the health care industry’s most comprehensive library of customizable policy and procedure templates, MCN Healthcare’s Outpatient Surgery and Ambulatory Services Policy and Procedure Manual includes this customizable template, Initial Patient Assessment and Reassessment. MCN’s policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more. MCN’s templates save you time, money and resources, rather than developing healthcare policy and procedure manuals from scratch. Here is some sample content from Initial Patient Assessment and Reassessment:
| | POLICY:
It is the policy of this facility that each patient admitted to the institution shall receive a complete head-to-toe assessment by a qualified individual so that a plan of care can be developed to best meet the needs of the patient. The assessment of the care or treatment required to meet the needs of the patient will be ongoing throughout the patient's stay, with the assessment process individualized to meet the needs of the patient population.
SCOPE OF PRACTICE:
All Ambulatory Care Services nursing personnel shall be qualified by level of licensure to perform a complete assessment... |
| Second excerpt: |
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When a significant change occurs in the patient's condition/diagnosis, the surgeon/physician/anesthesiologist will be notified and documentation will be made.
Upon completion of the initial admission assessment, an individualized prioritized plan of care will be developed in consultation with the patient/significant other.
Any change in the patient's condition shall require an immediate reassessment with changes in the plan of care reflecting the change in condition.
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