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Qualified and privileged physician
- The H & P must be completed and documented by a qualified and privileged physician or other qualified licensed practitioner privileged to do so in accordance with state law and organizational policy. Other qualified licensed practitioners could include nurse practitioners and physician assistants.
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Jul 12, 2022 · The H & P must be completed and documented by a qualified and privileged physician or other qualified licensed practitioner privileged to do so in accordance with state law and organizational policy. Other qualified licensed practitioners could include nurse practitioners and physician assistants.
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It is appropriate to comment on level of comfort or distress, as well as general grooming and hygiene. Example: Mr. Smith is a well appearing elderly gentleman in no acute distress. Mr. Smith is a frail appearing elderly gentleman in significant respiratory distress at the time of examination.
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Terms in this set (24) frequently used abbreviations in the medical record of patient's history and physical examination Learn with flashcards, games, and more — for free.
Aug 26, 2024 · The H&P: History and Physical is the most formal and complete assessment of the patient and the problem. H&P is shorthand for the formal document that physicians produce through the interview with the patient, the physical exam, and the summary of the testing either obtained or pending.
- Rebecca Harrington
- 2015
H&Ps must be completed no more than 30-days before the procedure. For all patients undergoing surgical procedures or any procedure that requires anesthesia, H&Ps performed more than 24-hours prior to admission or registration must be updated prior to the surgery or procedure.
The updated examination of the patient, including any changes in the patient’s condition, must be completed and documented by a physician (as defined in section 1861(r) of the Act), an oromaxillofacial surgeon, or other qualified licensed individual in ac-cordance with State law and hospital policy.8”.
Documentation of the Physical Exam is typically grouped by body system, such as Head, Eyes, Ears, Nose and Throat (often abbreviated "HEENT"), Respiratory, Genito-Urinary, etc. Objective medical measurements such as blood pressure, pulse rate, temperature, etc. are made and documented.
