Donít prescribe without examining the patient, even if he is a close friend or relative (Telephone advice is an exception).
Never examine a female patient without presence of female
nurse/ attendant, especially during genital and breast examinations.
Donít insist on the patient to tell the history of illness or be examined in presence of others. He has right to privacy and confidentiality.
Do not permit considerations of religion, nationality, race, party, politics or social standing to intervene between you and your patient.
It may not be reasonable for a doctor to assume what the patient is saying is truthful where what the
patient/ attendant says is clearly contradicted by the symptoms.
Donít smoke while examining a patient.
Donít examine a patient when you are sick, exhausted, or under influence of alcohol or any intoxicated substance.
Donít be overconfident. Donít look overconfident.
Donítí prescribe a drug or indulge in a procedure of you cannot justify its indication.
Donít prescribe a drug or indulge in a procedure of you cannot justify its indication.
administer a drug which is banned, e.g. Analgin.
over-prescribe/ administer: too much of the drug, too large a dose, for too long.
Donít under-prescribe: not prescribing the needed drug, dose is too small, length of treatment is too short.
Donít prescribe multiple drugs. Such prescription may be due to inability to form a correct diagnosis or other causes. Possibilities of drug interactions increase with
Donít write instructions on a separate slip. Donít allow substitutions.
Donít adopt experimental method in treatment. If there is some rationale do it only after informed consent.
Donít do anything beyond your level of competence. Competence is defined by your qualification, training and experience.
Donít give a drug parenterally if it can be given orally. There may be some exceptions.
When you are not sure what and why to do. Consult your
senior/ specialist/ colleague.
Donít refuse if the
patient/ attendants want to leave against medical advice. It is their right. Document this properly.
Never avoid a cal for help from a nurse on duty at night. In all probability a genuine emergency may be there.
Never order an investigation unless the result is likely to help you direct the treatment or make a difference in what you tell a patient.
Donít allow modern diagnostics tests to substitute your clinical
judgment. At best, they can only supplement t. Always analyze the cost-benefit ratio before rushing to get these tests done. In case a particular test had high false positive or false negative results, explain this to the patient before getting it done.
Never label any condition as ďfunctionalĒ until you are as certain as possible of the accuracy.
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