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Red Module

Patient Charts

QuestionAnswer
What is the first page of a client chart contains client information Admission sheet or Face sheet
What is the second page of a client chart for tracking initial of health care professional Signature sheet
What is the third page of a client chart-these must always be signed and dates with each addition or change Doctor's notes
What is the fourth page of a client chart for blood pressure, pulse rate, temperature etc. Vital signs sheet
What is the fifth page of a client chart-(if needed. May only be in chart if client has undergone surgery Fluid balance sheet )
What is the sixth page of a client chart- for other healthcare professional such as respitory, radiology etc Multidisciplinary notes
What is the seventh page of a client chart tracks blood tests, specimens and Xrays. Lab and diagnostic tests
What is the eight page of a client chart- provided by specialist consultation reports
What is the last page of a client chart- overall summary of client health progress report
What is the first page of a Surgical Chart contains client signature Consent form
What is the second page of a Surgical Chart- must be completed for anestheologist Preanestica questionnaire
What is the third page of a Surgical Chart information taken by RN during pre OP. History and physical assessment
What is the fourth page of a Surgical Chart-Final review of information PreOp checklist
What is the fifth page of a Surgical Chart-any concerns or issues with anesthesia Anesthetic record
What is the last page of a Surgical Chart- transferred to client record while in recovery. Fluid balance sheet
Created by: amatt
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