Thursday, April 21, 2016

Medical Records

Components of the Hospital Chart

Discharge Summary

·         a complete summarization of a patients course while in the hospital, prepared by the patients physician.
·         contains admitting problems and diagnosis, treatment and medications, lab results and radiology studies, a summary of consultations, discharge diagnosis, prognosis and a plan for treatment following diagnosis.

Admission Record

·         typed record noting the reason for admission
·         results of preliminary tasting, relevant history proposed plan of treatment

Emergency Room Record

·         there is an admission chart in the E.R.

History and Physical

·         outlines the patients chief complaint as well as complete medical history prior treatment and medications as well as family medical history

Progress Records

·         daily handwritten notes of the attending physician

Physician Orders

·         orders for treatment written by the physician
·         include all tests and medications and procedures to be performed
·         the nurse pulls the orders from the chart and renders the medications

Consultations

·         examinations and consultations by various doctors

Pre-Op Note

·         record of patients history treatments

Operative Note

·         surgeons records and a detailed outline from start to finish

Anesthesiology

·         a record of pre-anesthesia medical history, heart, pulse rate, start and stop times, typed rendered dosages, vital signs, respiration, oxygen, fluid rate, heart rate, airway, machine and ventilation

Medication

·         list of medications taken, dosage and times drugs are given

Nurses Notes

·         chronological, clinical picture of nursing care rendered beginning with patients admission
·         condition on arrival, previous instances, hospital stays, prior medical problems, complaints and other info.

Graphic Charts

·         pulse, temperature, respiration, blood pressure, vital signs, patients weight and fluid intake

Lab and Pathology Reports

Tests

·         blood
·         urine
·         pregnancy

Radiology Reports

X-ray

·         basic background info
·         name
·         address
·         history

Consent Forms

·         patients signs upon admission



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