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WEEkly Senior Chart Round Cheklist

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166 views3 pages

WEEkly Senior Chart Round Cheklist

Uploaded by

finfineabdi2
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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DEDER GENERAL HOSPITAL

WEEKLY SENIOR CHART ROUND CHECKLIST

JULY 2016 E.C


DEDER, EASTERN ETHIOPIA
Instruction: if completed/present write “YES”, if not write “NO”

Name of Senior Physician____________________________________________ Date_______________________ Sign_____________________

S/ Indicators Verification MRN


N
1. Complete History System based history that
support the working diagnosis
& rule out DDX
2. Complete System based physical
Physical examination that includes the
examination pertinent positive and pertinent
negative (to rule in the DX &
rule out DDX)
3. Investigation Appropriate investigation was
requested based on Hx,& P/E
findings (that avoids
unnecessary request & repeat of
diagnostic workup and
requesting diagnostic that
unnecessarily delays the
emergency intervention )except
routine or base line
investigation
4. Appropriate The diagnosis is justified by
diagnosis based Hx, P/E, and investigation
on Hx, P/E, and Ix
workup
5. Appropriate Appropriate treatment(timely,
treatment and in agreement with STG)
6. Appropriate The NCP should have
nursing care plan assessment, diagnosis, planning,
implantation, and evaluation
that align with the patient’s
clinical condition
7. Rational drug use Rational use of drug that avoids
extravagancy, over prescribing,
incorrect prescribing, multiple
prescribing, and under
prescribing

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