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TCherie

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  1. History and Physicals

    TCherie posted a topic in General Nursing
    I was given the task to find a better way to get history's and physical's on a chart before the patient goes to surgery. (I work in same day). It has been an age old problem for Drs to dictate their H & P's but maybe you can give me some ideas how you do it in your hospital. We have trouble from Medical Records on up the chain.... Our policy is no surgery if H & P isn't done within 24 hrs of surgery. Ha Ha... they don't enforce that either... Thanks for suggestions. TCherie

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