Patient Assessment Clause Samples
The Patient Assessment clause establishes the requirement for evaluating a patient's medical condition before providing treatment or services. Typically, this involves a healthcare professional conducting an initial examination, reviewing medical history, and documenting findings to determine the appropriate care plan. This clause ensures that all patients receive a thorough and standardized evaluation, which helps to identify health needs accurately and supports safe, effective treatment decisions.
Patient Assessment. Prior to offering advice about complementary and alternative health care therapies, the physician shall undertake an assessment of the patient. This assessment should include but not be limited to, conventional methods of diagnosis and may include non- conventional methods of diagnosis. Such assessment shall be documented in the patient's medical record and be based on performance and review of the following listed in subparagraphs (A) - (D) of this paragraph:
(A) an appropriate medical history and physician examination of the patient;
(B) the conventional medical treatment options to be discussed with the patient and referral input, if necessary;
(C) any prior conventional medical treatments attempted and the outcomes obtained or whether conventional options have been refused by the patient;
(D) whether the complementary health care therapy could interfere with any other recommended or ongoing treatment.
Patient Assessment. A. Begin patient assessment while maintaining a 6 foot distance from the patient exercising appropriate routine respiratory droplet precautions (hand hygiene, cough etiquette, and distance) while assessing patient for suspected case of influenza.
B. Assess patient for “Acute Febrile Respiratory Illness” which is fever and at least one of the following (cough, nasal congestion/ runny nose or sore throat).
C. If patient does not have an Acute Febrile Respiratory Illness (AFRI) proceed to appropriate treatment protocol.
Patient Assessment. Review demographics and reason for referral Review past medical history to include: social/recreational drug use, recent hospitalization, illnesses, surgical procedures, injuries, pregnancies and deliverers as well as historical prescription drug therapy Review allergies and adverse events Review current nutritional status to include food/dietary restrictions/needs Review of ▇▇▇▇▇ ▇▇▇▇▇ to include blood pressure, heart rate, respiratory rate, and temperature
Patient Assessment. Prior to offering advice about complementary and alternative health care therapies, the physician shall undertake an assessment of the patient. This assessment should include but not be limited to, conventional methods of diagnosis and may include non-conventional methods of diagnosis. Such assessment shall be documented in the patient's medical record and be based on performance and review of the following listed in subparagraphs (A) - (D) of this paragraph:
(A) an appropriate medical history and physician examination of the patient;