Friday, June 25, 2021

Documentation and reporting

 Part 2

          Types of records___

1. Patient clinical records 

2. Medical /Nursing records

 3. Ward records

 4. Administrative records


Patient  clinical record

It is the knowledge of involved in the patients illness progress in his recovery and the type of care provided by the hospital personnel. All records basically contain the following information ______

1. Client's identification and demography data.

2. The present complaints 

3. Informed content for treatment and procedures 

4. Admission nursing history

 5. Family history

6. Physical examination findings

 7.Nursing diagnosis and problems

 8. Nursing care plan 

9. Medical history 

10. Tentative diagnosis 

11. Medical diagnosis

 12. Therapeutic orders

13. Treatment given

 14. Reports of diagnostic studies

 15. Final diagnosis

 16. Client education

 17. Summary of operative procedures

 18. Discharge plan and summary 

19. Any specific special instruction

Medical records

Medical record is a legal document providing information of a patient medical history and data by physician , nurse practitioner and other members of the health care.

 Some  information contained in the medical records____

Identification information of the patient .

Patient health is information on a patient tell the health care providers about their past and present health status.

Medical examination findings.

Nursing records

Progress notes :- it should be written at least once every 24 hours and for each of the following events.

a) Admission 

b) Transfer

c) Discharge

d) Treatment or procedure 

e) Charge in patients condition.

 f) Patient incident note.

 g) Patient or parent /caregiver education.

Worksheet and kardexes :- nurse use worksheet to organise the care they provide and to manage their time and multiply priorities. Kardexes are used to communicate current orders , upcoming test or surgery is special clients for the use of aids  for independent.

Flow sheets :-  A new flow sheet  is to be initiated for each 24 hours period , by signing and initiating the flow sheets  the RN indicate.

A safety check has been performed the presence of correct ID band 

The presence of an accurate allergy band.

The documentation of the monitor control number and assessment of appropriate alarm limits.


Intake/output section


Hourly IV site/ rate check.

Cumulative IV volume infused hourly. 

Complete description of all IV solutions.

 All medication given.


Vital signs section

Document vital signs in the space provided. Graph by the vital sign using the graph legend symbol and assessment legend.

Client care plan

Care plan outlines of the care for individual clients and make a part of the permanent health records.

Care plan written in ink ,  up-to-date and clearly identify the needs and wishes of the client


E - Health records

There is no doubt that the computerization of the health care records has  many benefits .  The same principle apply whether documentation is completed in the paper health care records or electronically.

Wards records

Ward records include ;-

Admission and discharge record

Line in record

Record of production or increasing beds.

Index books

Round book , attendance book and record book 

Treatment records


Administration records

It includes record of______

Treatment

Admission

Equipment losses and replacement .

Personal performance

Organiszational records









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