Follow the steps to complete the Methodist 606-QM form with ease.

1. Click ‘Get Form’ button to obtain and open the Methodist 606-QM form in your online editor.
2. Begin by entering the patient's current history and physical (H&P) on the medical record, along with any updates noted in the progress report.
3. Review and document the patient's medication list, either by referencing the medication reconciliation list or by listing the medications directly in the provided space.
4. Record any known allergies. Confirm that all allergies have been accurately documented in the chart.
5. Indicate whether the patient has experienced any previous anesthesia complications by selecting 'Yes' or 'No.' If 'Yes,' detail the specific complication.
6. Conduct a heart and lung assessment and document the findings in the appropriate sections.
7. Complete the airway assessment using the Mallampatti score system, selecting the appropriate score based on visibility of the oropharynx.
8. Assess the ASA classification, selecting the classification number that accurately reflects the patient's current health status.
9. Document the patient’s NPO status in accordance with the guidelines for moderate sedation regarding fasting periods for clear liquids and solid food.
10. Confirm that informed consent has been obtained, noting that the patient or decision-maker has been briefed on the risks, benefits, and alternatives of sedation.
11. Outline the plan for moderate sedation, including details on the sedation agent and route of administration.
12. Lastly, ensure the physician's signature, ID, date, and time are accurately filled in before finalizing the form.

Complete your Methodist 606-QM form online today for efficient document management.