Ppg-Gdch-Nur-47 Notification of Physcician Following Nursing Assessment

GULF DIAGNOSTIC CENTER
HOSPITAL
NURSING POLICY
TITLE: NOTIFICATION TO PHYSICIAN,

FOLLOWING NURSING ASSESSMENT
Department
Section
Distribution
: Nursing
: Nursing Care
: Hospital Wide
Policy No: MED-NUR-P0047/12

Issue Date : November 2012
Revision No.: Original 01
Revision Date :
Next Revision : November 2014
Page 1 of 4
NOTIFICATION TO PHYSICIAN, FOLLOWING

NURSING ASSESSMENT
APPROVAL SHEET
Prepared by:
Name
Signature
Date
Signature
Date
Signature
Date
Ms. Jennelyn Paderan

Acting Charge Nurse, In-patient Ward
Reviewed by:
Name
Ms. Nemesio Abuso
Acting Head of Nursing
Mr. Zuher Arawi
Quality Manager
Approved by:
Name
Dr Emad Yassin Al Rahmani
Medical Director
Mrs. Jamal Kaddoura
Hospital Director and Co-Founder
DOCUMENT AMENDMENT RECORD SHEET
________________________________________________________________________________________________________________________________________________________________________________________________________________________
Appendix: Yes [ ]
No [ ]

HOSPITAL
NURSING POLICY

Department
Section
Distribution
Date
: Nursing
: Nursing Care
: Hospital Wide
Description of Change

Revision Date :
Page 2 of 4
Page Effected
Revision
Number
1. PURPOSE
1.1 To provide a standardized process to refer patients to the appropriate multidiscipline.
1.2 To ensure uniformity in the process of physician notification.
________________________________________________________________________________________________________________________________________________________________________________________________________________________
Appendix: Yes [ ]
No [ ]

HOSPITAL
NURSING POLICY

Department
Section
Distribution
: Nursing
: Nursing Care
: Hospital Wide

Revision Date :
Page 3 of 4
1.3 To ensure that the patients receive appropriate care from the required services in the
hospital.
2. DEFINITION:
2.1 Notification to physician: Process whereby a nurse communicates with the concerned
treating physician about any significant finding, abnormalities and information
identified
following initial nursing assessment that has potential detrimental
effect on patients
health, therapeutic plan and compliance to treatment.
3. POLICY
3.1 All patients shall have an initial assessment upon admission in accordance with the
hospital policy.
3.2 Nurse shall identify special needs of patients (if any) and notify the treating physician
based on set criteria.
3.3 The scope of notification of patients includes observations related (but not limited) to
functional, nutritional, social, economic and psychological areas.
3.4 The criteria for notifying the physician about the need for potential referral of patients to
various health care specialties shall be as follows (but not limited to):
3.4.1 Functional:
3.4.1.1 Immobility
3.4.1.2 Presence of prosthesis
3.4.1.3 Use of walking aids
3.4.1.4 Deformity
3.4.1.5 Assistance required for ADL
3.4.2 Nutritional:
3.4.2.1 Malnourished
3.4.2.2 Obesity
3.4.2.3 Anorexia
3.4.2.4 Need for special diet
3.4.2.5 Diseases with nutritional risk such as (but not limited to):
3.4.2.5.1 Extensive surgeries
3.4.2.5.2 Hypertension
3.4.2.5.3 Edema
3.4.2.5.4 Diabetes
3.4.2.5.5 Anemia
3.4.2.5.6 Malabsorption (ulcerative colitis, crohns disease etc.)
________________________________________________________________________________________________________________________________________________________________________________________________________________________
Appendix: Yes [ ]
No [ ]

HOSPITAL
NURSING POLICY

Department
Section
Distribution
: Nursing
: Nursing Care
: Hospital Wide

Revision Date :
Page 4 of 4
3.4.2.5.7 End-stage renal diseases

3.4.2.5.8 Gastritis
3.4.2.5.9 Cancer
3.4.2.5.10 Non healing wounds
3.4.2.5.11 Cardiovascular disease
3.4.3 Social:
3.4.3.1 Lack of family/support group
3.4.4 Psychological:
3.4.4.1 Sad/withdrawn
3.4.4.2 Anxious
3.4.4.3 Tearful
3.4.4.4 Expresses guilt
3.4.4.5 Negative feeling about self
3.4.5 Economical:
3.4.5.1 Unemployed
3.4.5.2 Low income and unable to meet expenses of treatment
3.4.5.3 Dependants
4. SCOPE
4.1 Notifying physician following a nursing assessment in Gulf Diagnostic Center Hospital.
5. RESPONSIBILITY
5.1 Nurses
5.2 Treating physician
6. REFERENCES
6.1 JCIA Standard for Hospital-2008 Assessment of Patients
________________________________________________________________________________________________________________________________________________________________________________________________________________________
Appendix: Yes [ ]
No [ ]

HOSPITAL
NURSING POLICY

Department
Section
Distribution
: Nursing
: Nursing Care
: Hospital Wide

Revision Date :
Page 5 of 4
________________________________________________________________________________________________________________________________________________________________________________________________________________________
Appendix: Yes [ ]
No [ ]

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GULF DIAGNOSTIC CENTER

TITLE: NOTIFICATION TO PHYSICIAN,

Policy No: MED-NUR-P0047/12

NOTIFICATION TO PHYSICIAN, FOLLOWING

Ms. Jennelyn Paderan

DOCUMENT AMENDMENT RECORD SHEET

GULF DIAGNOSTIC CENTER

TITLE: NOTIFICATION TO PHYSICIAN,

Policy No: MED-NUR-P0047/12

GULF DIAGNOSTIC CENTER

TITLE: NOTIFICATION TO PHYSICIAN,

Policy No: MED-NUR-P0047/12

GULF DIAGNOSTIC CENTER

TITLE: NOTIFICATION TO PHYSICIAN,

Policy No: MED-NUR-P0047/12

3.4.2.5.7 End-stage renal diseases

GULF DIAGNOSTIC CENTER

TITLE: NOTIFICATION TO PHYSICIAN,

Policy No: MED-NUR-P0047/12

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