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Practice File

The document contains a checklist of patient admissions and discharges, detailing the names, ward information, and medication orders for each patient. It highlights discrepancies in documentation, such as missing quantities and times, as well as verbal orders that were not properly recorded. Overall, it emphasizes the need for accurate record-keeping in patient care processes.

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d7jw7rgsjr
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43 views2 pages

Practice File

The document contains a checklist of patient admissions and discharges, detailing the names, ward information, and medication orders for each patient. It highlights discrepancies in documentation, such as missing quantities and times, as well as verbal orders that were not properly recorded. Overall, it emphasizes the need for accurate record-keeping in patient care processes.

Uploaded by

d7jw7rgsjr
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd

Findings

Admission Discharge Posted


Patient Ward Check List:
SL No Reg No Discharge By Date & Date &
Name Name Medicine Medicine/Product Doctor Order Value Sheet
Medicine
Posted By Others
Time Time Name Sheet on
software
Metacard MR 1 1 0
1 E1365/11/23 Rahmat CCU Shaown
23/11/23 23/11/23 Nasal Canula 1 0 Rohim
Value sheet not mention Qty.
Ali 11.22PM 11.22PM or Paitent Supply
Nidocard RTD 5 2 0

Doctor wrote OMIT. Date


2 E1244/11/23 Md Anaf Paed+
Cabin Masum
20/11/23
08.26PM
22/11/23
01.29PM Ok Ok Ok Ok Ok Karim already mentioned. But time
not mentioned.

Gynae+ 18/11/23 22/11/23 Oxitocin 0 3 9


3 G700/11/23 Liza Cabin Masum 01.20PM 01.13PM Medha
Gloves 6 0

Nemayat 16/11/23 22/11/23 Doctor wrote OMIT.But


4 G640/11/23 ENT Hanif
Ullah 4.22PM 11.56PM time not mentioned.

Disposible Syring 11 1

Fosfen IM 2 2 1 Ward charge Mrs Rita said


20/11/23 23/11/23 that Hypnofasr she gave to
5 E1219/11/23 Tanjina Pead Subir Verbal Order Zuma
03.09PM 11.16PM Hypnofast 7 3 paitent by the verbal order
of doctor of medical officer.
Iracet 3 3 2

Serozid(1gm) 1 2 2

1 (Found on
Uromax-D 1 Medication) but 0 Software Posting not found
qty wrote (0) Shopna due to On value sheet
18/11/23 22/11/23
6 G694/11/23 Ali Hasim MSW Hanif
12.28PM 12.49 quantity not written. Also
2 (Found on not mentioned anything
Duralax 1 Medication) but 0
qty wrote (0)

DNS 2.5L 0 5

19/11/23 22/11/23
7 E1154/11/23 Zarif Pead Hanif
03.40PM 01.36PM
Ok Ok 1 3 Ok Zuma
19/11/23 22/11/23
7 E1154/11/23 Zarif Pead Hanif
03.40PM 01.36PM
Ok Ok 1 3 Ok Zuma

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