The acute care facility inpatient record contains numerous reports that are documented by various facility personnel and medical staff providers. Each facility establishes a filing order for inpatient and discharged patient reports to ensure that information can be easily located in the record. This assignment will familiarize you with the content of an inpatient record and the typical order of reports filed in a discharged patient record.
1. the chart below contains a list of acute care discharged patient reports.
2. reorder the reports (1-15) according to the way they should be filed in a discharged patient record (to get you started, numbers 1 and 15 have been entered.)
3. Post your reordered results on the discussion board and review the posts of your classmates. Reply to the post of one of your classmates, following netiquette rules. Make sure you are specific in your responses, and that you do not just rewrite what someone else has posted.
Ancillary testing reports
Consent to admission
1 Face sheet
History and physical examination
15 Patient Property form
Physician progress notes
Recovery room record