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Interdisciplinary Patient Assessment

Summary

Date of Last Review 6/6/07
SME: Medical Director


To ensure quality patient care, core disciplines assess each patient admitted to the hospital within designated timeframes.

Disciplines

The following table identifies when each discipline assesses the patient upon admission:

Discipline

When

Registered nurse

Within 8 hours. Re-attempts to assess the patient must occur every 24 hours after the initial attempt until the assessment is complete or patient discharges.

Physician

Within 24 hours. Re-attempts to assess the patient must occur every 24 hours after the initial attempt until the assessment is complete or patient discharges.

Social service clinician

Within 72 hours of admission. Re-attempts to assess the patient must occur every 72 hours after the initial attempt until the assessment is complete or patient discharges. If the patient is discharged prior to 72 hours, the completion of an assessment is not necessary.

Documenting assessment completion

The discipline specific progress note is used to document initial and attempts to complete the assessment process.

Identified critical assessment

The physician and treatment team must consider the identified critical assessment trigger areas that are reflected on the multidisciplinary problem aggregate for inclusion in the Master Treatment Plan.

Assessment Instruction Data

Specific assessment instructions for each discipline may be found in the discipline-specific assessment procedures.

 

Related standards

The Joint Commission : Provision of Care

 

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Harris County Psychiatric Center University of Texas Health Science Center