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Title Page Use Discharge Form 2 A summary of patient’s care while an inpatient. It is sent to the local doctor and/or district nurse to ensure continuity of care (Unit 10). ECG request form 3 This is ordered if a patient complains of chest pain (Unit 1) and used in the pre-operative check list as part of anaesthetic work-up (Unit 8). Biochemistry Non-blood request form 4 A request for screening of body fluids other than blood e.g. urine, faeces, semen, cerebrospinal fluid (CSF) and sweat. Various substances are tested in the body fluids. (Unit 5). Biochemistry and Haematology Request form 5 A Full Blood Count as a general indicator of the patient’s health (Unit 2), as an INR (International Normalised Ratio) check when taking warfarin (Unit 8) and to check cholesterol and triglyceride levels when taking cholesterol- lowering medication (Unit 6). Clinical Microbiology 6 Testing urine specimens for infection (Unit 5). Laboratory Request Form (UK) 7 A request for particular tests from Pathology (Unit 5). Laboratory Request Form (Aus) 8 Cardiac Care Unit 9 Combination of Glasgow Coma Scale chart (Unit 9), Diabetic Chart (unit 4) and Vascular obs. chart - used to assess blood circulation in vascular ulcers (Unit 3). It also notes specialised IV lines, IV cannulas (Unit 7), drains (Unit 9) and catheters (Unit 5). Day Surgery Follow-up 10 This is used to check on patients after day surgery. A phone call is made to check on pain level, wound status and mobility (Unit 10). Patient Preparation 11 Information on special preparation needed for certain tests, e.g. bowel prep (Unit 8). 1 Cambridge English for Nursing Cambridge University Press 2008 www.cambridge.org/elt/englishfornursing PHOTOCOPIABLE Cambridge English for Nursing TEACHER’S NOTES Professional English Sample medical charts and forms

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Title Page UseDischarge Form 2 A summary of patient’s care while an inpatient. It is sent to

the local doctor and/or district nurse to ensure continuity of care (Unit 10).

ECG request form 3 This is ordered if a patient complains of chest pain (Unit 1) and used in the pre-operative check list as part of anaesthetic work-up (Unit 8).

Biochemistry Non-blood request form

4 A request for screening of body fluids other than blood e.g. urine, faeces, semen, cerebrospinal fluid (CSF) and sweat. Various substances are tested in the body fluids. (Unit 5).

Biochemistry and Haematology Request form

5 A Full Blood Count as a general indicator of the patient’s health (Unit 2), as an INR (International Normalised Ratio) check when taking warfarin (Unit 8) and to check cholesterol and triglyceride levels when taking cholesterol-lowering medication (Unit 6).

Clinical Microbiology 6 Testing urine specimens for infection (Unit 5).

Laboratory Request Form (UK)

7 A request for particular tests from Pathology (Unit 5).

Laboratory Request Form (Aus)

Cardiac Care Unit 9 Combination of Glasgow Coma Scale chart (Unit 9), Diabetic Chart (unit 4) and Vascular obs. chart - used to assess blood circulation in vascular ulcers (Unit 3). It also notes specialised IV lines, IV cannulas (Unit 7), drains (Unit 9) and catheters (Unit 5).

Day Surgery Follow-up 10 This is used to check on patients after day surgery. A phone call is made to check on pain level, wound status and mobility (Unit 10).

Patient Preparation 11 Information on special preparation needed for certain tests, e.g. bowel prep (Unit 8).

1 Cambridge English for Nursing Cambridge University Press 2008 www.cambridge.org/elt/englishfornursing

PhotocoPiable

Cambridge English for

NursingTEACHER’S NOTES

Professional English

Sample medical charts and forms

Page 2: Cambridge.es - TEACHER’S NOTES · Title Page Use Discharge Form 2 A summary of patient’s care while an inpatient. It is sent to the local doctor and/or district nurse to ensure

Cambridge English for

NursingTEACHER’S NOTES

2 Cambridge English for Nursing Cambridge University Press 2008 www.cambridge.org/elt/englishfornursing

PhotocoPiable

Discharge Form

Cambridge English for

NursingTEACHER’S NOTES

3 Cambridge English for Nursing Cambridge University Press 2008 www.cambridge.org/elt/englishfornursing

PhotocoPiable

ECG Request Form

Page 4: Cambridge.es - TEACHER’S NOTES · Title Page Use Discharge Form 2 A summary of patient’s care while an inpatient. It is sent to the local doctor and/or district nurse to ensure

Cambridge English for

NursingTEACHER’S NOTES

4 Cambridge English for Nursing Cambridge University Press 2008 www.cambridge.org/elt/englishfornursing

PhotocoPiable

Page 5: Cambridge.es - TEACHER’S NOTES · Title Page Use Discharge Form 2 A summary of patient’s care while an inpatient. It is sent to the local doctor and/or district nurse to ensure

Cambridge English for

NursingTEACHER’S NOTES

5 Cambridge English for Nursing Cambridge University Press 2008 www.cambridge.org/elt/englishfornursing

PhotocoPiable

Page 6: Cambridge.es - TEACHER’S NOTES · Title Page Use Discharge Form 2 A summary of patient’s care while an inpatient. It is sent to the local doctor and/or district nurse to ensure

Cambridge English for

NursingTEACHER’S NOTES

6 Cambridge English for Nursing Cambridge University Press 2008 www.cambridge.org/elt/englishfornursing

PhotocoPiable

Page 7: Cambridge.es - TEACHER’S NOTES · Title Page Use Discharge Form 2 A summary of patient’s care while an inpatient. It is sent to the local doctor and/or district nurse to ensure

Cambridge English for

NursingTEACHER’S NOTES

7 Cambridge English for Nursing Cambridge University Press 2008 www.cambridge.org/elt/englishfornursing

PhotocoPiable

Laboratory Request Form (UK)

Page 8: Cambridge.es - TEACHER’S NOTES · Title Page Use Discharge Form 2 A summary of patient’s care while an inpatient. It is sent to the local doctor and/or district nurse to ensure

Cambridge English for

NursingTEACHER’S NOTES

8 Cambridge English for Nursing Cambridge University Press 2008 www.cambridge.org/elt/englishfornursing

PhotocoPiable

Laboratory Request Form (Australia)

Page 9: Cambridge.es - TEACHER’S NOTES · Title Page Use Discharge Form 2 A summary of patient’s care while an inpatient. It is sent to the local doctor and/or district nurse to ensure

Cambridge English for

NursingTEACHER’S NOTES

9 Cambridge English for Nursing Cambridge University Press 2008 www.cambridge.org/elt/englishfornursing

PhotocoPiable

Cardiac Care OBS Chart

Page 10: Cambridge.es - TEACHER’S NOTES · Title Page Use Discharge Form 2 A summary of patient’s care while an inpatient. It is sent to the local doctor and/or district nurse to ensure

Cambridge English for

NursingTEACHER’S NOTES

10 Cambridge English for Nursing Cambridge University Press 2008 www.cambridge.org/elt/englishfornursing

PhotocoPiable

Page 11: Cambridge.es - TEACHER’S NOTES · Title Page Use Discharge Form 2 A summary of patient’s care while an inpatient. It is sent to the local doctor and/or district nurse to ensure

Cambridge English for

NursingTEACHER’S NOTES

11 Cambridge English for Nursing Cambridge University Press 2008 www.cambridge.org/elt/englishfornursing

PhotocoPiable

INPATIENT AFFILIATION PROVIDER MANUAL€¦ · INPATIENT AFFILIATION PROVIDER MANUAL INPATIENT, PARTIAL HOSPITALIZATION, ELECTROCONVULSIVE THERAPY SERVICES FY2018 ... • Based on

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Inc., Group Hospitalization and Medical Services, …...Observation services are necessary to evaluate a patient’s condition or to determine the need for admission as an inpatient

Improving Hospital Inpatient Nursing Care - · PDF fileWORKING Improving Hospital Inpatient Nursing Care A Case Study of One Hospital’s Intervention to Improve the Patient’s Care

Risk-Adjusting Hospital Inpatient Mortality Using Automated Inpatient, Outpatient… · 2009-09-15 · Risk-Adjusting Hospital Inpatient Mortality Using Automated Inpatient, Outpatient,

CHAPTER 59E-7 INPATIENT DATA COLLECTIONCHAPTER 59E-7 INPATIENT DATA COLLECTION 59E-7.012 Inpatient Data Reporting Instructions 59E-7.021 Definitions 59E-7.022 Inpatient Data Reporting

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Chief Psychiatrist's investigation of inpatient deaths ...docs2.health.vic.gov.au/.../$FILE/cp-investigation-inpatient-deaths.pdf · Chief Psychiatrist’s investigation of inpatient