1. Mention your qualifications on the prescription.Qualifications mean recognized degrees / diplomas as regulated by the Indian Medical Degrees Act, 1916 as amended from time to time.
2. Mention of scholarships/training / membership/awards which are not qualifications should be avoided.
3. Always mention date and timing of the consultation.
4. Mention age, sex, weight (if child).
5. In complicated cases record precisely history of illness and substantial physical findings about the patient on your prescription.
6. If the patient/attendants are erring on any count ( history not reliable, refusing investigations, refusing admission ) make a note of it or seek written refusal preferably in local language with proper witness.
7. Mention the condition of patient in specific /objective terms. Avoid vague / non-specific terminology.
8. Record history of drug allergy.
9. Write name of drugs clearly. Use correct dosages (by revising knowledge periodically) and mention clearly method and interval of administration. Here one must use local or sign language. Do not forget writing precautions like Ast./p.c./a.c./locally/with milk/h.s. etc.
10. If a drug is a poison ( e.g., certain local applications ), warn in writing.
11. Mention additional precautions e.g., food, rest, avoidance of certain drugs, allergens, alcohol, smoking etc. if indicated.
12. Mention whether prognosis explained. If necessary take a signature of patient /attendant, after explaining the prognosis in written local language.
13. In case of any deviation from standard care, mention reasons .
14. Specifically mention review, SOS/or follow-up schedule.
15. Mention if patient /attendant are/is under effect of alcohol/drugs.
16. In case a particular drug/equipment is not available, make a note.
17. Mention where the patient should contact in case of your non-availability /emergency.
18. Keep updating your knowledge. Read again what you think you already know. You will be in for surprises.
19. Routinely advise X-rays in injury to bones /joints.
1. Do not hesitate to discuss the case with your colleagues.
2. Do not hesitate to discuss the case with patients /attendants.
3. Do not write Ayurvedic formulations.
4. Do not allow substitutions.
5. For goodness sake do not examine a patient if you are sick,exhausted, under effect of alcohol.
6. Never talk loose of your colleagues, despite intense professional rivalry. Never criticize your brother in profession.
7. The patient /attendants may incite you to say/do something. They may seek your comments on the other doctor’s treatment. There is always a polite way to set aside their queries.
8. Remember if you had seen the case from start you would done the same. If your colleague has made error of judgement regarding diagnosis or treatment, you never know under what circumstances this happened.
9. Do not adopt experimental method in treatment. If there is some rationale do it only after informed consent.
10. If you to back and read the Duties and Obligations of Doctors carefully and apply them religiously in your day to day practice,you are safe.
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