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PHYSICIANS ORDER SHEETChildrens Hospital Emergency Department Status Epilepticus Standard Orders These orders are to be used as a guideline and do not replace sound clinical judgment and professional
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Clinical decision making refers to the process by which healthcare professionals use clinical judgment, evidence-based guidelines, and patient information to make informed decisions regarding patient care and treatment.
Healthcare providers who are involved in patient care, including but not limited to physicians, nurse practitioners, and physician assistants, are required to file clinical decision making.
To fill out clinical decision making, providers should document the clinical rationale for treatment decisions, including patient history, current condition, and the reasoning behind chosen interventions or medications.
The purpose of clinical decision making is to enhance patient outcomes by ensuring that treatment decisions are based on the best available evidence, patient preferences, and clinical guidelines.
Information that must be reported includes the patient's diagnosis, the clinical rationale for decisions made, treatment options considered, and the final decision regarding patient management.
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