Ideally, all patients will receive a comprehensive medicines assessment . A 2016 article in the journal Academic Medicine suggested a four-step approach for physicians confronted with a patient's racism: 1 . Occupation of the patient, Two days after a call, you realize that you forgot to document that you checked a patient's blood glucose prior to him refusing transport and signing the refusal form. If the patient is declining testing for financial reasons, physicians can try to help. To make sure doctors give good care and nursing homes are clean and safe; To protect the public's health, such as by reporting when the flu is in your area; To make required reports to the police, such as reporting gunshot wounds; Your health information cannot be used or shared without your written permission unless this law allows it. In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. Unauthorized use prohibited. Upper Saddle River, NJ:Prentice-Hall, Inc. Schiavenato, M. (2004). Many groups suggest that visits are documented the same or next day, and mandate that all are documented within three days. Hopefully this knowledge will help those who want birth control, sterilization, or another form of treatment that has been previously refused by their doctor. With sterilization, its tricky. In groups of clinicians I often hear Oh, dont you know how to look that up from the visit page? Financial Disclosure: None of the authors or planners for this educational activity have relevant financial relationships to disclose with ineligible companies whose primary business is producing, marketing, selling, reselling, or distributing healthcare products used by or on patients. . 1. 14 days?) "Physicians should also consider external forces or pressures that may be influencing the patient and interfering with his ability to express his true wishes. The CF sub has a list of CF friendly doctors. Refusal of treatment. Document the conversation in the patients chart. Note in the chart any information that will affect either your business or therapeutic relationship. Effective January 1, 2023, the AMA has revised the definitions and guidelines for hospital and other E/M services, including ED visits, nursing facility services, home services, and domiciliary care codes. Sometimes, they flowed over into the hallway or into the break room. The medical history should record information pertaining to general health and appearance, systemic disease, allergies and reactions to anesthetics. It contains the data we have, our thought processes, and our plan for what to do next. That's because the information kept by your doctors and hospitals is a legal record of care and completely removing information would have potential implications for . 10. Successful malpractice suits can result even if a patient refused a treatment or test. I expect that you are entitled to view your file though that may vary with jurisdiction. Document all follow-ups with patient and referral practitioner. I often touchtype while a patient is speaking, getting some quotations, but mostly I paraphrase what the patient is sa. Thanks for sharing. Available at: www.cispimmunize.org/pro/pdf/refusaltovaccinate_revised%204-11-06.pdf. Use quotation marks for patients actual words. Asking for documentation is a sign that you have investigated what you are doing, you likely know your rights, and are likely to cause them trouble in the future if you don't get what you are entitled to. to keep exploring our resource library. Medical Errors - Is healthcare getting worse or better. If patients show that they have capacity and have been adequately informed of their risks but still insist on leaving AMA, emergency physicians should document the discharge. Physicians can further protect themselves by having the patient sign the note. Ms. C, 54, sighed to herself when she saw the patient in the waiting room again. And just because you ask a doctor to document their refusal, doesn't mean they will. Residents refuse to take medications for many reasons. California Dental Association The ideas and suggestions contained in this resource are not legal opinion and should not be relied on as a substitute for legal advice. American College of Obstetricians and Gynecologists Committee on Professional Liability. The provider also can . Can u give me some info insight about this. Address whether the diagnosis indicates more than one treatment alternative, with all alternatives noted in the record. Documentation of patient information. When reviewing the health history with the patient, question the patient regarding any areas of concern or speculation. Informed consent: the third generation. A gastroenterologist performed an EGD that revealed focal erythema, edema and small raised dots of reddened mucosa involving the antrum. Document in the chart all discussions regarding future treatment needed, including any requests for a guarantee of treatment and your response (treatment should never be guaranteed). This may be particularly relevant for elderly patients who are heavily dependent on others and concerned that certain choices will increase the burden on family members." PLEASE CIRCLE THE FOLLOWING THAT APPLY: I refuse: EVALUATION TREATMENT TRANSPORT IF YOU CHANGE YOUR MIND AND DESIRE EVALUATION, TREATMENT, AND/OR TRANSPORT The date and name of pharmacy (if applicable). Kirsten Nicole Watch this webinar about all these changes. Stephanie Robinson, Contributors: When a patient refuses a test or procedure, the physician must first be certain that the patient understands the consequences of doing so, says James Scibilia, MD, a Beaver Falls, PA-based pediatrician and member of the American Academy of Pediatrics' Committee on Medical Liability and Risk Management. 3,142 Posts Specializes in ICU/community health/school nursing. But the more society shifts their way of thinking in our favor, the more this tweet might work. The physician held a discussion with the patient and the patient understood their medical condition, the proposed treatment, the expected benefits and outcome of the treatment and possible medical consequences/risks For . Editor-in Chief: I go to pain management for a T11-T12 burst fracture. You have reached your article limit for the month. Document the patients expectations and whether those expectations are realistic. For example, the nurse may have to immediately respond to another patient's need for assistance, and the treatment or medication already charted was never completed. While final responsibility for assessing decision-making capacity rests with the treating physician, mental health expertise may be necessary in more complex cases. Interactive Vaccination Map. Marco CA. The nurse takes no further action. "Document when patients admit to non-compliance, and document discussions or instructions you give to patients who are, or who are likely to be, non-compliant," says Scibilia. It's often much more work to preform and document an informed refusal than to just take the patient to the hospital. Do not add to or delete from the patients chart if changes must be made, strike through the language meant to be changed, add new language, initial and date. A patient refusal can have a long-lasting influence on a unit, so periodic debriefings should be held to allow staff to learn from the experience. "Determining decision-making capacity involves assessing the process the patient uses to arrive at a decision, not whether the decision he or she arrives at is the one preferred or recommended by the healthcare practitioner." The patient might be worried about the cost or confused due to medical terminology, language issues, or a mental or physical impairment such as hearing loss. The information provided is for educational purposes only. "For example, primary clinicians might need help from mental health consultants in assessing the capacity of patients with major mental disorders such as schizophrenia or severe personality disorders in whom distinguishing poor judgment from lack of decision-making capacity can be difficult." For example, children 14 years old or older can refuse to let their parents see their medical records. You do not need to format the narrative to look like this; you can simply use these as an example of how to properly form a baseline structure for your narrative. important;-ms-filter: "alpha(opacity=100)";}.fl-button.fl-button-icon-animation i.fl-button-icon-after {margin-left: 0px !important;}.fl-button.fl-button-icon-animation:hover i.fl-button-icon-after {margin-left: 10px !important;}.fl-button.fl-button-icon-animation i.fl-button-icon-before {margin-right: 0 !important;}.fl-button.fl-button-icon-animation:hover i.fl-button-icon-before {margin-right: 20px !important;margin-left: -10px;}.single:not(.woocommerce).single-fl-builder-template .fl-content {width: 100%;}.fl-builder-layer {position: absolute;top:0;left:0;right: 0;bottom: 0;z-index: 0;pointer-events: none;overflow: hidden;}.fl-builder-shape-layer {z-index: 0;}.fl-builder-shape-layer.fl-builder-bottom-edge-layer {z-index: 1;}.fl-row-bg-overlay .fl-builder-shape-layer {z-index: 1;}.fl-row-bg-overlay .fl-builder-shape-layer.fl-builder-bottom-edge-layer {z-index: 2;}.fl-row-has-layers .fl-row-content {z-index: 1;}.fl-row-bg-overlay .fl-row-content {z-index: 2;}.fl-builder-layer > * {display: block;position: absolute;top:0;left:0;width: 100%;}.fl-builder-layer + .fl-row-content {position: relative;}.fl-builder-layer .fl-shape {fill: #aaa;stroke: none;stroke-width: 0;width:100%;}@supports (-webkit-touch-callout: inherit) {.fl-row.fl-row-bg-parallax .fl-row-content-wrap,.fl-row.fl-row-bg-fixed .fl-row-content-wrap {background-position: center !important;background-attachment: scroll !important;}}@supports (-webkit-touch-callout: none) {.fl-row.fl-row-bg-fixed .fl-row-content-wrap {background-position: center !important;background-attachment: scroll !important;}}.fl-builder-content a.fl-button,.fl-builder-content a.fl-button:visited {background: #fafafa;border: 1px solid #ccc;color: #333;}.fl-builder-content a.fl-button *,.fl-builder-content a.fl-button:visited * {color: #333;}.fl-row-fixed-width { max-width: 1100px; }.fl-row-content-wrap{margin-top: 0px;margin-right: 0px;margin-bottom: 0px;margin-left: 0px;}.fl-row-content-wrap{padding-top: 20px;padding-right: 20px;padding-bottom: 20px;padding-left: 20px;}.fl-col-content{margin-top: 0px;margin-right: 0px;margin-bottom: 0px;margin-left: 0px;}.fl-col-content{padding-top: 0px;padding-right: 0px;padding-bottom: 0px;padding-left: 0px;}.fl-module-content{margin-top: 20px;margin-right: 20px;margin-bottom: 20px;margin-left: 20px;}@media (max-width: 1200px) { body.fl-builder-ie-11 .fl-row.fl-row-full-height.fl-visible-xl,body.fl-builder-ie-11 .fl-row.fl-row-custom-height.fl-visible-xl {display: none !important;}.fl-visible-xl,.fl-visible-medium,.fl-visible-medium-mobile,.fl-visible-mobile,.fl-col-group .fl-visible-xl.fl-col,.fl-col-group .fl-visible-medium.fl-col,.fl-col-group .fl-visible-medium-mobile.fl-col,.fl-col-group .fl-visible-mobile.fl-col {display: none;}.fl-visible-desktop,.fl-visible-desktop-medium,.fl-visible-large,.fl-visible-large-medium,.fl-col-group .fl-visible-desktop.fl-col,.fl-col-group .fl-visible-desktop-medium.fl-col,.fl-col-group .fl-visible-large.fl-col,.fl-col-group .fl-visible-large-medium.fl-col {display: block;}.fl-col-group-equal-height .fl-visible-desktop.fl-col,.fl-col-group-equal-height .fl-visible-desktop-medium.fl-col,.fl-col-group-equal-height .fl-visible-large.fl-col,.fl-col-group-equal-height .fl-visible-large-medium.fl-col {display: flex;} }@media (max-width: 992px) { body.fl-builder-ie-11 .fl-row.fl-row-full-height.fl-visible-xl,body.fl-builder-ie-11 .fl-row.fl-row-custom-height.fl-visible-xl,body.fl-builder-ie-11 .fl-row.fl-row-full-height.fl-visible-desktop,body.fl-builder-ie-11 .fl-row.fl-row-custom-height.fl-visible-desktop,body.fl-builder-ie-11 .fl-row.fl-row-full-height.fl-visible-large,body.fl-builder-ie-11 .fl-row.fl-row-custom-height.fl-visible-large {display: none !important;}.fl-visible-xl,.fl-visible-desktop,.fl-visible-large,.fl-visible-mobile,.fl-col-group .fl-visible-xl.fl-col,.fl-col-group .fl-visible-desktop.fl-col,.fl-col-group .fl-visible-large.fl-col,.fl-col-group .fl-visible-mobile.fl-col {display: none;}.fl-visible-desktop-medium,.fl-visible-large-medium,.fl-visible-medium,.fl-visible-medium-mobile,.fl-col-group .fl-visible-desktop-medium.fl-col,.fl-col-group .fl-visible-large-medium.fl-col,.fl-col-group .fl-visible-medium.fl-col,.fl-col-group .fl-visible-medium-mobile.fl-col {display: block;}.fl-col-group-equal-height .fl-visible-desktop-medium.fl-col,.fl-col-group-equal-height .fl-visible-large-medium.fl-col,.fl-col-group-equal-height .fl-visible-medium.fl-col,.fl-col-group-equal-height .fl-visible-medium-mobile.fl-col {display: flex;} }@media (max-width: 768px) { body.fl-builder-ie-11 .fl-row.fl-row-full-height.fl-visible-xl,body.fl-builder-ie-11 .fl-row.fl-row-custom-height.fl-visible-xl,body.fl-builder-ie-11 .fl-row.fl-row-full-height.fl-visible-desktop,body.fl-builder-ie-11 .fl-row.fl-row-custom-height.fl-visible-desktop,body.fl-builder-ie-11 .fl-row.fl-row-full-height.fl-visible-desktop-medium,body.fl-builder-ie-11 .fl-row.fl-row-custom-height.fl-visible-desktop-medium,body.fl-builder-ie-11 .fl-row.fl-row-full-height.fl-visible-large,body.fl-builder-ie-11 .fl-row.fl-row-custom-height.fl-visible-large,body.fl-builder-ie-11 .fl-row.fl-row-full-height.fl-visible-large-medium,body.fl-builder-ie-11 .fl-row.fl-row-custom-height.fl-visible-large-medium {display: none !important;}.fl-visible-xl,.fl-visible-desktop,.fl-visible-desktop-medium,.fl-visible-large,.fl-visible-large-medium,.fl-visible-medium,.fl-col-group .fl-visible-xl.fl-col,.fl-col-group .fl-visible-desktop.fl-col,.fl-col-group .fl-visible-desktop-medium.fl-col,.fl-col-group .fl-visible-large-medium.fl-col,.fl-col-group .fl-visible-medium.fl-col,.fl-col-group-equal-height .fl-visible-xl.fl-col,.fl-col-group-equal-height .fl-visible-desktop.fl-col,.fl-col-group-equal-height .fl-visible-desktop-medium.fl-col,.fl-col-group-equal-height .fl-visible-large-medium.fl-col,.fl-col-group-equal-height .fl-visible-medium.fl-col {display: none;}.fl-visible-medium-mobile,.fl-visible-mobile,.fl-col-group .fl-visible-medium-mobile.fl-col,.fl-col-group .fl-visible-mobile.fl-col {display: block;}.fl-row-content-wrap {background-attachment: scroll !important;}.fl-row-bg-parallax .fl-row-content-wrap {background-attachment: scroll !important;background-position: center center !important;}.fl-col-group.fl-col-group-equal-height {display: block;}.fl-col-group.fl-col-group-equal-height.fl-col-group-custom-width {display: -webkit-box;display: -webkit-flex;display: -ms-flexbox;display: flex;}.fl-col-group.fl-col-group-responsive-reversed {display: -webkit-box;display: -moz-box;display: -ms-flexbox;display: -moz-flex;display: -webkit-flex;display: flex;flex-wrap: wrap-reverse;-webkit-flex-wrap: wrap-reverse;-ms-box-orient: horizontal;}.fl-col-group.fl-col-group-responsive-reversed .fl-col {-webkit-box-flex: 0 0 100%;-moz-box-flex: 0 0 100%;-webkit-flex: 0 0 100%;-ms-flex: 0 0 100%;flex: 0 0 100%;min-width: 0;}.fl-col {clear: both;float: none;margin-left: auto;margin-right: auto;width: auto !important;}.fl-col-small:not(.fl-col-small-full-width) {max-width: 400px;}.fl-block-col-resize {display:none;}.fl-row[data-node] .fl-row-content-wrap {margin: 0;padding-left: 0;padding-right: 0;}.fl-row[data-node] .fl-bg-video,.fl-row[data-node] .fl-bg-slideshow {left: 0;right: 0;}.fl-col[data-node] .fl-col-content {margin: 0;padding-left: 0;padding-right: 0;} }.fl-node-ijhos8e9vlr4 > .fl-row-content-wrap {background-color: #660000;border-style: none;border-width: 0;background-clip: border-box;border-color: #660000;} .fl-node-ijhos8e9vlr4 > .fl-row-content-wrap {margin-top:10px;margin-bottom:20px;} .fl-node-ijhos8e9vlr4 > .fl-row-content-wrap {padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.fl-node-kfhid0rme2uv {width: 65.58%;}.fl-node-5gqzwfj62sui {width: 34.42%;}.fl-node-5gqzwfj62sui > .fl-col-content {background-image: url(https://codingintel.com/wp-content/uploads/2022/07/keyboard-stethescope.png);background-repeat: no-repeat;background-position: center top;background-attachment: scroll;background-size: cover;}@media(max-width: 992px) {.fl-builder-content .fl-node-5gqzwfj62sui {width: 34.42% !important;max-width: none;-webkit-box-flex: 0 1 auto;-moz-box-flex: 0 1 auto;-webkit-flex: 0 1 auto;-ms-flex: 0 1 auto;flex: 0 1 auto;}}@media(max-width: 768px) {.fl-node-5gqzwfj62sui > .fl-col-content {background-position: center center;}}@media ( max-width: 768px ) { .fl-node-5gqzwfj62sui.fl-col > .fl-col-content {padding-bottom:20px;}}.uabb-cta-left {text-align: left;}.uabb-cta-center {text-align: center;}.uabb-cta-right {text-align: right;}.uabb-cta-inline {display: table;width: 100%;}.uabb-cta-inline .uabb-cta-text,.uabb-cta-inline .uabb-cta-button {display: table-cell;vertical-align: middle;}.uabb-cta-inline .uabb-cta-button {padding-left: 30px;text-align: center;}.uabb-cta-stacked .uabb-cta-button {padding-top: 20px;}.uabb-module-content .uabb-text-editor :not(a) {color: inherit;}.uabb-module-content .uabb-text-editor :not(i) {font-family: inherit;}.uabb-module-content .uabb-text-editor :not(h1):not(h2):not(h3):not(h4):not(h5):not(h6) {font-size: inherit;line-height: inherit;}.uabb-module-content .uabb-text-editor :not(h1):not(h2):not(h3):not(h4):not(h5):not(h6):not(strong):not(b):not(i) {font-weight: inherit;}body h1.uabb-cta-title,body h2.uabb-cta-title,body h3.uabb-cta-title,body h4.uabb-cta-title,body h5.uabb-cta-title,body h6.uabb-cta-title,.uabb-cta-text-content p {margin: 0;padding: 0 0 10px;}@media (max-width: 768px) { .uabb-cta-inline {display: block;text-align: center;}.uabb-cta-inline .uabb-cta-text,.uabb-cta-inline .uabb-cta-button {display: block;}.uabb-cta-inline .uabb-cta-text {width: auto;}.uabb-cta-inline .uabb-cta-button {padding-left: 0;padding-top: 20px;width: auto;} }.fl-node-lgumf1vrobts .fl-module-content {padding: 0px;}.fl-node-lgumf1vrobts .uabb-button .uabb-btn-img {width: 20px;}.fl-node-lgumf1vrobts .uabb-creative-button-wrap a,.fl-node-lgumf1vrobts .uabb-creative-button-wrap a:visited {padding:12px 24px;border-radius: 4px;-moz-border-radius: 4px;-webkit-border-radius: 4px;background: #ffffff;border: 1px solid #ffffff;}.fl-builder-content .fl-node-lgumf1vrobts .uabb-creative-button-wrap a.uabb-button,.fl-builder-content .fl-node-lgumf1vrobts .uabb-creative-button-wrap a.uabb-button *,.fl-builder-content .fl-node-lgumf1vrobts .uabb-creative-button-wrap a.uabb-button:visited,.fl-builder-content .fl-node-lgumf1vrobts .uabb-creative-button-wrap a.uabb-button:visited * {color: #660000;}.fl-node-lgumf1vrobts .uabb-creative-button-wrap a:focus,.fl-node-lgumf1vrobts .uabb-creative-button-wrap a:hover {background: #ffffff;border: 1px solid #ffffff;}.fl-builder-content .fl-node-lgumf1vrobts .uabb-creative-button-wrap a.uabb-button:focus,.fl-builder-content .fl-node-lgumf1vrobts .uabb-creative-button-wrap a.uabb-button:focus *,.fl-builder-content .fl-node-lgumf1vrobts .uabb-creative-button-wrap a.uabb-button:hover,.fl-builder-content .fl-node-lgumf1vrobts .uabb-creative-button-wrap a.uabb-button:hover * {color: #135f69;}@media ( max-width: 768px ) {.fl-node-lgumf1vrobts .uabb-creative-button-wrap.uabb-button-reponsive-.uabb-creative-button-reponsive- {text-align: ;}}@media ( max-width: 992px ) {.fl-node-lgumf1vrobts .uabb-creative-button-wrap.uabb-creative-button-tablet- {text-align: ;}}@media ( max-width: 768px ) {.fl-node-lgumf1vrobts .uabb-creative-button-wrap a,.fl-node-lgumf1vrobts .uabb-creative-button-wrap a:visited {padding-top:;padding-bottom:;padding-left:;padding-right:;}}.fl-node-lgumf1vrobts .uabb-creative-button-wrap a,.fl-node-lgumf1vrobts .uabb-creative-button-wrap a:visited {font-family: "Open Sans", sans-serif;font-weight: 700;font-size: 16px;line-height: 1.4;}.fl-node-lgumf1vrobts h1.uabb-cta-title {color: #ffffff;}.fl-node-lgumf1vrobts .uabb-text-editor {color: #ffffff;}@media ( max-width: 992px ) {.fl-node-lgumf1vrobts .uabb-button-wrap .uabb-button {}}@media ( max-width: 768px ) {.fl-node-lgumf1vrobts .uabb-button-wrap .uabb-button {}}.fl-node-lgumf1vrobts h1.uabb-cta-title {font-family: "EB Garamond", serif;font-weight: 700;font-size: 22px;line-height: 1.4;}.fl-node-lgumf1vrobts .uabb-text-editor {font-family: "Open Sans", sans-serif;font-weight: 400;font-size: 16px;line-height: 1.4;} .fl-node-lgumf1vrobts > .fl-module-content {margin-top:15px;}.ci-list-item .fl-icon {min-width: 40px;}.fl-col-group-equal-height.fl-col-group-align-bottom .fl-col-content {-webkit-justify-content: flex-end;justify-content: flex-end;-webkit-box-align: end; -webkit-box-pack: end;-ms-flex-pack: end;}.uabb-module-content h1,.uabb-module-content h2,.uabb-module-content h3,.uabb-module-content h4,.uabb-module-content h5,.uabb-module-content h6 {margin: 0;clear: both;}.fl-module-content a,.fl-module-content a:hover,.fl-module-content a:focus {text-decoration: none;}.uabb-row-separator {position: absolute;width: 100%;left: 0;}.uabb-top-row-separator {top: 0;bottom: auto}.uabb-bottom-row-separator {top: auto;bottom: 0;}.fl-builder-content-editing .fl-visible-medium.uabb-row,.fl-builder-content-editing .fl-visible-medium-mobile.uabb-row,.fl-builder-content-editing .fl-visible-mobile.uabb-row {display: none !important;}@media (max-width: 992px) {.fl-builder-content-editing .fl-visible-desktop.uabb-row,.fl-builder-content-editing .fl-visible-mobile.uabb-row {display: none !important;}.fl-builder-content-editing .fl-visible-desktop-medium.uabb-row,.fl-builder-content-editing .fl-visible-medium.uabb-row,.fl-builder-content-editing .fl-visible-medium-mobile.uabb-row {display: block !important;}}@media (max-width: 768px) {.fl-builder-content-editing .fl-visible-desktop.uabb-row,.fl-builder-content-editing .fl-visible-desktop-medium.uabb-row,.fl-builder-content-editing .fl-visible-medium.uabb-row {display: none !important;}.fl-builder-content-editing .fl-visible-medium-mobile.uabb-row,.fl-builder-content-editing .fl-visible-mobile.uabb-row {display: block !important;}}.fl-responsive-preview-content .fl-builder-content-editing {overflow-x: hidden;overflow-y: visible;}.uabb-row-separator svg {width: 100%;}.uabb-top-row-separator.uabb-has-svg svg {position: absolute;padding: 0;margin: 0;left: 50%;top: -1px;bottom: auto;-webkit-transform: translateX(-50%);-ms-transform: translateX(-50%);transform: translateX(-50%);}.uabb-bottom-row-separator.uabb-has-svg svg {position: absolute;padding: 0;margin: 0;left: 50%;bottom: -1px;top: auto;-webkit-transform: translateX(-50%);-ms-transform: translateX(-50%);transform: translateX(-50%);}.uabb-bottom-row-separator.uabb-has-svg .uasvg-wave-separator {bottom: 0;}.uabb-top-row-separator.uabb-has-svg .uasvg-wave-separator {top: 0;}.uabb-bottom-row-separator.uabb-svg-triangle svg,.uabb-bottom-row-separator.uabb-xlarge-triangle svg,.uabb-top-row-separator.uabb-xlarge-triangle-left svg,.uabb-bottom-row-separator.uabb-svg-circle svg,.uabb-top-row-separator.uabb-slime-separator svg,.uabb-top-row-separator.uabb-grass-separator svg,.uabb-top-row-separator.uabb-grass-bend-separator svg,.uabb-bottom-row-separator.uabb-mul-triangles-separator svg,.uabb-top-row-separator.uabb-wave-slide-separator svg,.uabb-top-row-separator.uabb-pine-tree-separator svg,.uabb-top-row-separator.uabb-pine-tree-bend-separator svg,.uabb-bottom-row-separator.uabb-stamp-separator svg,.uabb-bottom-row-separator.uabb-xlarge-circle svg,.uabb-top-row-separator.uabb-wave-separator svg{left: 50%;-webkit-transform: translateX(-50%) scaleY(-1); -moz-transform: translateX(-50%) scaleY(-1);-ms-transform: translateX(-50%) scaleY(-1); -o-transform: translateX(-50%) scaleY(-1);transform: translateX(-50%) scaleY(-1);}.uabb-bottom-row-separator.uabb-big-triangle svg {left: 50%;-webkit-transform: scale(1) scaleY(-1) translateX(-50%); -moz-transform: scale(1) scaleY(-1) translateX(-50%);-ms-transform: scale(1) scaleY(-1) translateX(-50%); -o-transform: scale(1) scaleY(-1) translateX(-50%);transform: scale(1) scaleY(-1) translateX(-50%);}.uabb-top-row-separator.uabb-big-triangle svg {left: 50%;-webkit-transform: translateX(-50%) scale(1); -moz-transform: translateX(-50%) scale(1);-ms-transform: translateX(-50%) scale(1); -o-transform: translateX(-50%) scale(1);transform: translateX(-50%) scale(1);}.uabb-top-row-separator.uabb-xlarge-triangle-right svg {left: 50%;-webkit-transform: translateX(-50%) scale(-1); -moz-transform: translateX(-50%) scale(-1);-ms-transform: translateX(-50%) scale(-1); -o-transform: translateX(-50%) scale(-1);transform: translateX(-50%) scale(-1);}.uabb-bottom-row-separator.uabb-xlarge-triangle-right svg {left: 50%;-webkit-transform: translateX(-50%) scaleX(-1); -moz-transform: translateX(-50%) scaleX(-1);-ms-transform: translateX(-50%) scaleX(-1); -o-transform: translateX(-50%) scaleX(-1);transform: translateX(-50%) scaleX(-1);}.uabb-top-row-separator.uabb-curve-up-separator svg {left: 50%; -webkit-transform: translateX(-50%) scaleY(-1); -moz-transform: translateX(-50%) scaleY(-1);-ms-transform: translateX(-50%) scaleY(-1); -o-transform: translateX(-50%) scaleY(-1);transform: translateX(-50%) scaleY(-1);}.uabb-top-row-separator.uabb-curve-down-separator svg {left: 50%;-webkit-transform: translateX(-50%) scale(-1); -moz-transform: translateX(-50%) scale(-1);-ms-transform: translateX(-50%) scale(-1); -o-transform: translateX(-50%) scale(-1);transform: translateX(-50%) scale(-1);}.uabb-bottom-row-separator.uabb-curve-down-separator svg {left: 50%;-webkit-transform: translateX(-50%) scaleX(-1); -moz-transform: translateX(-50%) scaleX(-1);-ms-transform: translateX(-50%) scaleX(-1); -o-transform: translateX(-50%) scaleX(-1);transform: translateX(-50%) scaleX(-1);}.uabb-top-row-separator.uabb-tilt-left-separator svg {left: 50%;-webkit-transform: translateX(-50%) scale(-1); -moz-transform: translateX(-50%) scale(-1);-ms-transform: translateX(-50%) scale(-1); -o-transform: translateX(-50%) scale(-1);transform: translateX(-50%) scale(-1);}.uabb-top-row-separator.uabb-tilt-right-separator svg{left: 50%;-webkit-transform: translateX(-50%) scaleY(-1); -moz-transform: translateX(-50%) scaleY(-1);-ms-transform: translateX(-50%) scaleY(-1); -o-transform: translateX(-50%) scaleY(-1);transform: translateX(-50%) scaleY(-1);}.uabb-bottom-row-separator.uabb-tilt-left-separator svg {left: 50%;-webkit-transform: translateX(-50%); -moz-transform: translateX(-50%);-ms-transform: translateX(-50%); -o-transform: translateX(-50%);transform: translateX(-50%);}.uabb-bottom-row-separator.uabb-tilt-right-separator svg {left: 50%;-webkit-transform: translateX(-50%) scaleX(-1); -moz-transform: translateX(-50%) scaleX(-1);-ms-transform: translateX(-50%) scaleX(-1); -o-transform: translateX(-50%) scaleX(-1);transform: translateX(-50%) scaleX(-1);}.uabb-top-row-separator.uabb-tilt-left-separator,.uabb-top-row-separator.uabb-tilt-right-separator {top: 0;}.uabb-bottom-row-separator.uabb-tilt-left-separator,.uabb-bottom-row-separator.uabb-tilt-right-separator {bottom: 0;}.uabb-top-row-separator.uabb-arrow-outward-separator svg,.uabb-top-row-separator.uabb-arrow-inward-separator svg,.uabb-top-row-separator.uabb-cloud-separator svg,.uabb-top-row-separator.uabb-multi-triangle svg {left: 50%;-webkit-transform: translateX(-50%) scaleY(-1); -moz-transform: translateX(-50%) scaleY(-1);-ms-transform: translateX(-50%) scaleY(-1); -o-transform: translateX(-50%) scaleY(-1);transform: translateX(-50%) scaleY(-1);}.uabb-bottom-row-separator.uabb-multi-triangle svg {bottom: -2px;}.uabb-row-separator.uabb-round-split:after,.uabb-row-separator.uabb-round-split:before {left: 0;width: 50%;background: inherit inherit/inherit inherit inherit inherit;content: '';position: absolute}.uabb-button-wrap a,.uabb-button-wrap a:visited {display: inline-block;font-size: 16px;line-height: 18px;text-decoration: none;text-shadow: none;}.fl-builder-content .uabb-button:hover {text-decoration: none;}.fl-builder-content .uabb-button-width-full .uabb-button {display: block;text-align: center;}.uabb-button-width-custom .uabb-button {display: inline-block;text-align: center;max-width: 100%;}.fl-builder-content .uabb-button-left {text-align: left;}.fl-builder-content .uabb-button-center {text-align: center;}.fl-builder-content .uabb-button-right {text-align: right;}.fl-builder-content .uabb-button i,.fl-builder-content .uabb-button i:before {font-size: 1em;height: 1em;line-height: 1em;width: 1em;}.uabb-button .uabb-button-icon-after {margin-left: 8px;margin-right: 0;}.uabb-button .uabb-button-icon-before {margin-left: 0;margin-right: 8px;}.uabb-button .uabb-button-icon-no-text {margin: 0;}.uabb-button-has-icon .uabb-button-text {vertical-align: middle;}.uabb-icon-wrap {display: inline-block;}.uabb-icon a {text-decoration: none;}.uabb-icon i {display: block;}.uabb-icon i:before {border: none !important;background: none !important;}.uabb-icon-text {display: table-cell;text-align: left;padding-left: 15px;vertical-align: middle;}.uabb-icon-text *:last-child {margin: 0 !important;padding: 0 !important;}.uabb-icon-text a {text-decoration: none;}.uabb-photo {line-height: 0;position: relative;z-index: 2;}.uabb-photo-align-left {text-align: left;}.uabb-photo-align-center {text-align: center;}.uabb-photo-align-right {text-align: right;}.uabb-photo-content {border-radius: 0;display: inline-block;line-height: 0;position: relative;max-width: 100%;overflow: hidden;}.uabb-photo-content img {border-radius: inherit;display: inline;height: auto;max-width: 100%;width: auto;}.fl-builder-content .uabb-photo-crop-circle img {-webkit-border-radius: 100%;-moz-border-radius: 100%;border-radius: 100%;}.fl-builder-content .uabb-photo-crop-square img {-webkit-border-radius: 0;-moz-border-radius: 0;border-radius: 0;}.uabb-photo-caption {font-size: 13px;line-height: 18px;overflow: hidden;text-overflow: ellipsis;white-space: nowrap;}.uabb-photo-caption-below {padding-bottom: 20px;padding-top: 10px;}.uabb-photo-caption-hover {background: rgba(0,0,0,0.7);bottom: 0;color: #fff;left: 0;opacity: 0;visibility: hidden;filter: alpha(opacity = 0);padding: 10px 15px;position: absolute;right: 0;-webkit-transition:visibility 200ms linear;-moz-transition:visibility 200ms linear;transition:visibility 200ms linear;}.uabb-photo-content:hover .uabb-photo-caption-hover {opacity: 100;visibility: visible;}.uabb-active-btn {background: #1e8cbe;border-color: #0074a2;-webkit-box-shadow: inset 0 1px 0 rgba(120,200,230,.6);box-shadow: inset 0 1px 0 rgba(120,200,230,.6);color: white;}.fl-builder-bar .fl-builder-add-content-button {display: block !important;opacity: 1 !important;}.uabb-imgicon-wrap .uabb-icon {display: block;}.uabb-imgicon-wrap .uabb-icon i{float: none;}.uabb-imgicon-wrap .uabb-image {line-height: 0;position: relative;}.uabb-imgicon-wrap .uabb-image-align-left {text-align: left;}.uabb-imgicon-wrap .uabb-image-align-center {text-align: center;}.uabb-imgicon-wrap .uabb-image-align-right {text-align: right;}.uabb-imgicon-wrap .uabb-image-content {display: inline-block;border-radius: 0;line-height: 0;position: relative;max-width: 100%;}.uabb-imgicon-wrap .uabb-image-content img {display: inline;height: auto !important;max-width: 100%;width: auto;border-radius: inherit;box-shadow: none;box-sizing: content-box;}.fl-builder-content .uabb-imgicon-wrap .uabb-image-crop-circle img {-webkit-border-radius: 100%;-moz-border-radius: 100%;border-radius: 100%;}.fl-builder-content .uabb-imgicon-wrap .uabb-image-crop-square img {-webkit-border-radius: 0;-moz-border-radius: 0;border-radius: 0;}.uabb-creative-button-wrap a,.uabb-creative-button-wrap a:visited {background: #fafafa;border: 1px solid #ccc;color: #333;display: inline-block;vertical-align: middle;text-align: center;overflow: hidden;text-decoration: none;text-shadow: none;box-shadow: none;position: relative;-webkit-transition: all 200ms linear; -moz-transition: all 200ms linear;-ms-transition: all 200ms linear; -o-transition: all 200ms linear;transition: all 200ms linear;}.uabb-creative-button-wrap a:focus {text-decoration: none;text-shadow: none;box-shadow: none;}.uabb-creative-button-wrap a .uabb-creative-button-text,.uabb-creative-button-wrap a .uabb-creative-button-icon,.uabb-creative-button-wrap a:visited .uabb-creative-button-text,.uabb-creative-button-wrap a:visited .uabb-creative-button-icon {-webkit-transition: all 200ms linear; -moz-transition: all 200ms linear;-ms-transition: all 200ms linear; -o-transition: all 200ms linear;transition: all 200ms linear;}.uabb-creative-button-wrap a:hover {text-decoration: none;}.uabb-creative-button-wrap .uabb-creative-button-width-full .uabb-creative-button {display: block;text-align: center;}.uabb-creative-button-wrap .uabb-creative-button-width-custom .uabb-creative-button {display: inline-block;text-align: center;max-width: 100%;}.uabb-creative-button-wrap .uabb-creative-button-left {text-align: left;}.uabb-creative-button-wrap .uabb-creative-button-center {text-align: center;}.uabb-creative-button-wrap .uabb-creative-button-right {text-align: right;}.uabb-creative-button-wrap .uabb-creative-button i {font-size: 1.3em;height: auto;vertical-align: middle;width: auto;}.uabb-creative-button-wrap .uabb-creative-button .uabb-creative-button-icon-after {margin-left: 8px;margin-right: 0;}.uabb-creative-button-wrap .uabb-creative-button .uabb-creative-button-icon-before {margin-right: 8px;margin-left: 0;}.uabb-creative-button-wrap.uabb-creative-button-icon-no-text .uabb-creative-button i {margin: 0;}.uabb-creative-button-wrap .uabb-creative-button-has-icon .uabb-creative-button-text {vertical-align: middle;}.uabb-creative-button-wrap a,.uabb-creative-button-wrap a:visited {padding: 12px 24px;}.uabb-creative-button.uabb-creative-transparent-btn {background: transparent;}.uabb-creative-button.uabb-creative-transparent-btn:after {content: '';position: absolute;z-index: 1;-webkit-transition: all 200ms linear; -moz-transition: all 200ms linear;-ms-transition: all 200ms linear; -o-transition: all 200ms linear;transition: all 200ms linear;}.uabb-transparent-fill-top-btn:after,.uabb-transparent-fill-bottom-btn:after {width: 100%;height: 0;left: 0;}.uabb-transparent-fill-top-btn:after {top: 0;}.uabb-transparent-fill-bottom-btn:after {bottom: 0;}.uabb-transparent-fill-left-btn:after,.uabb-transparent-fill-right-btn:after {width: 0;height: 100%;top: 0;}.uabb-transparent-fill-left-btn:after {left: 0;}.uabb-transparent-fill-right-btn:after {right: 0;}.uabb-transparent-fill-center-btn:after{width: 0;height: 100%;top: 50%;left: 50%;-webkit-transform: translateX(-50%) translateY(-50%); -moz-transform: translateX(-50%) translateY(-50%);-ms-transform: translateX(-50%) translateY(-50%); -o-transform: translateX(-50%) translateY(-50%);transform: translateX(-50%) translateY(-50%);}.uabb-transparent-fill-diagonal-btn:after,.uabb-transparent-fill-horizontal-btn:after {width: 100%;height: 0;top: 50%;left: 50%;}.uabb-transparent-fill-diagonal-btn{overflow: hidden;}.uabb-transparent-fill-diagonal-btn:after{-webkit-transform: translateX(-50%) translateY(-50%) rotate( 45deg ); -moz-transform: translateX(-50%) translateY(-50%) rotate( 45deg );-ms-transform: translateX(-50%) translateY(-50%) rotate( 45deg ); -o-transform: translateX(-50%) translateY(-50%) rotate( 45deg );transform: translateX(-50%) translateY(-50%) rotate( 45deg );}.uabb-transparent-fill-horizontal-btn:after{-webkit-transform: translateX(-50%) translateY(-50%); -moz-transform: translateX(-50%) translateY(-50%);-ms-transform: translateX(-50%) translateY(-50%); -o-transform: translateX(-50%) translateY(-50%);transform: translateX(-50%) translateY(-50%);}.uabb-creative-button-wrap .uabb-creative-threed-btn.uabb-threed_down-btn,.uabb-creative-button-wrap .uabb-creative-threed-btn.uabb-threed_up-btn,.uabb-creative-button-wrap .uabb-creative-threed-btn.uabb-threed_left-btn,.uabb-creative-button-wrap .uabb-creative-threed-btn.uabb-threed_right-btn {-webkit-transition: none; -moz-transition: none;-ms-transition: none; -o-transition: none;transition: none;}.perspective {-webkit-perspective: 800px; -moz-perspective: 800px;perspective: 800px;margin: 0;}.uabb-creative-button.uabb-creative-threed-btn:after {content: '';position: absolute;z-index: -1;-webkit-transition: all 200ms linear; -moz-transition: all 200ms linear;transition: all 200ms linear;}.uabb-creative-button.uabb-creative-threed-btn {outline: 1px solid transparent;-webkit-transform-style: preserve-3d; -moz-transform-style: preserve-3d;transform-style: preserve-3d;}.uabb-creative-threed-btn.uabb-animate_top-btn:after {height: 40%;left: 0;top: -40%;width: 100%;-webkit-transform-origin: 0% 100%; -moz-transform-origin: 0% 100%;transform-origin: 0% 100%;-webkit-transform: rotateX(90deg); -moz-transform: rotateX(90deg);transform: rotateX(90deg);}.uabb-creative-threed-btn.uabb-animate_bottom-btn:after {width: 100%;height: 40%;left: 0;top: 100%;-webkit-transform-origin: 0% 0%; -moz-transform-origin: 0% 0%;-ms-transform-origin: 0% 0%;transform-origin: 0% 0%;-webkit-transform: rotateX(-90deg); -moz-transform: rotateX(-90deg);-ms-transform: rotateX(-90deg);transform: rotateX(-90deg);}.uabb-creative-threed-btn.uabb-animate_left-btn:after {width: 20%;height: 100%;left: -20%;top: 0;-webkit-transform-origin: 100% 0%; -moz-transform-origin: 100% 0%;-ms-transform-origin: 100% 0%;transform-origin: 100% 0%;-webkit-transform: rotateY(-60deg); -moz-transform: rotateY(-60deg);-ms-transform: rotateY(-60deg);transform: rotateY(-60deg);}.uabb-creative-threed-btn.uabb-animate_right-btn:after {width: 20%;height: 100%;left: 104%;top: 0;-webkit-transform-origin: 0% 0%; -moz-transform-origin: 0% 0%;-ms-transform-origin: 0% 0%;transform-origin: 0% 0%;-webkit-transform: rotateY(120deg); -moz-transform: rotateY(120deg);-ms-transform: rotateY(120deg);transform: rotateY(120deg);}.uabb-animate_top-btn:hover{-webkit-transform: rotateX(-15deg); -moz-transform: rotateX(-15deg);-ms-transform: rotateX(-15deg); -o-transform: rotateX(-15deg);transform: rotateX(-15deg);}.uabb-animate_bottom-btn:hover{-webkit-transform: rotateX(15deg); -moz-transform: rotateX(15deg);-ms-transform: rotateX(15deg); -o-transform: rotateX(15deg);transform: rotateX(15deg);}.uabb-animate_left-btn:hover{-webkit-transform: rotateY(6deg); -moz-transform: rotateY(6deg);-ms-transform: rotateY(6deg); -o-transform: rotateY(6deg);transform: rotateY(6deg);}.uabb-animate_right-btn:hover{-webkit-transform: rotateY(-6deg); -moz-transform: rotateY(-6deg);-ms-transform: rotateY(-6deg); -o-transform: rotateY(-6deg);transform: rotateY(-6deg);}.uabb-creative-flat-btn.uabb-animate_to_right-btn,.uabb-creative-flat-btn.uabb-animate_to_left-btn,.uabb-creative-flat-btn.uabb-animate_from_top-btn,.uabb-creative-flat-btn.uabb-animate_from_bottom-btn {overflow: hidden;position: relative;}.uabb-creative-flat-btn.uabb-animate_to_right-btn i,.uabb-creative-flat-btn.uabb-animate_to_left-btn i,.uabb-creative-flat-btn.uabb-animate_from_top-btn i,.uabb-creative-flat-btn.uabb-animate_from_bottom-btn i {bottom: 0;height: 100%;margin: 0;opacity: 1;position: absolute;right: 0;width: 100%;-webkit-transition: all 200ms linear; -moz-transition: all 200ms linear;transition: all 200ms linear;-webkit-transform: translateY(0); -moz-transform: translateY(0); -o-transform: translateY(0);-ms-transform: translateY(0);transform: translateY(0);}.uabb-creative-flat-btn.uabb-animate_to_right-btn .uabb-button-text,.uabb-creative-flat-btn.uabb-animate_to_left-btn .uabb-button-text,.uabb-creative-flat-btn.uabb-animate_from_top-btn .uabb-button-text,.uabb-creative-flat-btn.uabb-animate_from_bottom-btn .uabb-button-text {display: inline-block;width: 100%;height: 100%;-webkit-transition: all 200ms linear; -moz-transition: all 200ms linear;-ms-transition: all 200ms linear; -o-transition: all 200ms linear;transition: all 200ms linear;-webkit-backface-visibility: hidden; -moz-backface-visibility: hidden;backface-visibility: hidden;}.uabb-creative-flat-btn.uabb-animate_to_right-btn i:before,.uabb-creative-flat-btn.uabb-animate_to_left-btn i:before,.uabb-creative-flat-btn.uabb-animate_from_top-btn i:before,.uabb-creative-flat-btn.uabb-animate_from_bottom-btn i:before {position: absolute;top: 50%;left: 50%;-webkit-transform: translateX(-50%) translateY(-50%);-moz-transform: translateX(-50%) translateY(-50%);-o-transform: translateX(-50%) translateY(-50%);-ms-transform: translateX(-50%) translateY(-50%);transform: translateX(-50%) translateY(-50%);}.uabb-creative-flat-btn.uabb-animate_to_right-btn:hover i,.uabb-creative-flat-btn.uabb-animate_to_left-btn:hover i {left: 0;}.uabb-creative-flat-btn.uabb-animate_from_top-btn:hover i,.uabb-creative-flat-btn.uabb-animate_from_bottom-btn:hover i {top: 0;}.uabb-creative-flat-btn.uabb-animate_to_right-btn i {top: 0;left: -100%;}.uabb-creative-flat-btn.uabb-animate_to_right-btn:hover .uabb-button-text {-webkit-transform: translateX(200%); -moz-transform: translateX(200%);-ms-transform: translateX(200%); -o-transform: translateX(200%);transform: translateX(200%);}.uabb-creative-flat-btn.uabb-animate_to_left-btn i {top: 0;left: 100%;}.uabb-creative-flat-btn.uabb-animate_to_left-btn:hover .uabb-button-text {-webkit-transform: translateX(-200%); -moz-transform: translateX(-200%);-ms-transform: translateX(-200%); -o-transform: translateX(-200%);transform: translateX(-200%);}.uabb-creative-flat-btn.uabb-animate_from_top-btn i {top: -100%;left: 0;}.uabb-creative-flat-btn.uabb-animate_from_top-btn:hover .uabb-button-text {-webkit-transform: translateY(400px); -moz-transform: translateY(400px);-ms-transform: translateY(400px); -o-transform: translateY(400px);transform: translateY(400px);}.uabb-creative-flat-btn.uabb-animate_from_bottom-btn i {top: 100%;left: 0;}.uabb-creative-flat-btn.uabb-animate_from_bottom-btn:hover .uabb-button-text {-webkit-transform: translateY(-400px); -moz-transform: translateY(-400px);-ms-transform: translateY(-400px); -o-transform: translateY(-400px);transform: translateY(-400px);}.uabb-tab-acc-content .wp-video, .uabb-tab-acc-content video.wp-video-shortcode, .uabb-tab-acc-content .mejs-container:not(.mejs-audio), .uabb-tab-acc-content .mejs-overlay.load,.uabb-adv-accordion-content .wp-video, .uabb-adv-accordion-content video.wp-video-shortcode, .uabb-adv-accordion-content .mejs-container:not(.mejs-audio), .uabb-adv-accordion-content .mejs-overlay.load {width: 100% !important;height: 100% !important;}.uabb-tab-acc-content .mejs-container:not(.mejs-audio),.uabb-adv-accordion-content .mejs-container:not(.mejs-audio) {padding-top: 56.25%;}.uabb-tab-acc-content .wp-video, .uabb-tab-acc-content video.wp-video-shortcode,.uabb-adv-accordion-content .wp-video, .uabb-adv-accordion-content video.wp-video-shortcode {max-width: 100% !important;}.uabb-tab-acc-content video.wp-video-shortcode,.uabb-adv-accordion-content video.wp-video-shortcode {position: relative;}.uabb-tab-acc-content .mejs-container:not(.mejs-audio) .mejs-mediaelement,.uabb-adv-accordion-content .mejs-container:not(.mejs-audio) .mejs-mediaelement {position: absolute;top: 0;right: 0;bottom: 0;left: 0;}.uabb-tab-acc-content .mejs-overlay-play,.uabb-adv-accordion-content .mejs-overlay-play {top: 0;right: 0;bottom: 0;left: 0;width: auto !important;height: auto !important;}.fl-row-content-wrap .uabb-row-particles-background,.uabb-col-particles-background {width:100%;height:100%;position:absolute;left:0;top:0;}.uabb-creative-button-wrap a,.uabb-creative-button-wrap a:visited {font-size: 18px;line-height: 1.4px;text-transform: none;}.uabb-dual-button .uabb-btn,.uabb-dual-button .uabb-btn:visited {font-size: 18px;line-height: 1.4px;text-transform: none;}.uabb-js-breakpoint {content:"default";display:none;}@media screen and (max-width: 992px) {.uabb-js-breakpoint {content:"992";}}@media screen and (max-width: 768px) {.uabb-js-breakpoint {content:"768";}}, Including updates on CPT and CMS coding changes for 2023.