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The Trouble With Transvaginal Mesh - August 2016 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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C MS and other authorities require history and physical forms to be completed within 30 days before surgery. At most facilities and for most cases, that's not a problem. But a busy orthopedic surgery schedule sometimes means patients have to wait a few weeks between their pre-op office visit and their procedure. And some states, ours for one, require H&P completion within 7 days of surgery. That double bind can put you under the gun with regard to H&P compliance. However, here's a solu- tion — approved by the AAAHC surveyors who have seen it in action at our facility — that will keep your staff from having to needlessly re- write the entire H&P on the day of surgery. If the patient's condition hasn't changed since the assessment, the surgeon can write "NO CHANGES" on the front of the H&P, along with the current date and his signature to bring the form into compliance. One of our surgeons even ordered his own "NO CHANGES FROM PREVIOUS H&P" rubber stamp to save a few seconds. And the H&P form pro- grammed into our EMR system includes a "NO CHANGES" checkbox with a space for initials and the date. Susan Stanfield, RN, BS Institute of Orthopaedic Surgery Las Vegas, Nev. sstanfield@ios.lvcoxmail.com 2 4 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • M A Y 2 0 1 6 No Need to Rewrite Unchanged • REDUCE REDUNDANCY Don't rewrite outdated H&Ps if nothing has Ideas Work That

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