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MRD Checklist: All Patient Sr. No. IPD Responsibilities

The document lists various forms and checklists required for patient admission, treatment, and discharge at a hospital. It includes admission records, consent forms, assessment forms, doctors' orders, medical charts, discharge summaries, and more. Responsibilities for completing each form are assigned to roles like doctors, nurses, receptionists, and patients/relatives. Additional forms needed for surgical patients and procedures are also outlined. Standard formats are mentioned for informed consent for procedures, transfusions, dialysis and more.

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amit
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8K views1 page

MRD Checklist: All Patient Sr. No. IPD Responsibilities

The document lists various forms and checklists required for patient admission, treatment, and discharge at a hospital. It includes admission records, consent forms, assessment forms, doctors' orders, medical charts, discharge summaries, and more. Responsibilities for completing each form are assigned to roles like doctors, nurses, receptionists, and patients/relatives. Additional forms needed for surgical patients and procedures are also outlined. Standard formats are mentioned for informed consent for procedures, transfusions, dialysis and more.

Uploaded by

amit
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Formats and Reports Required: Lists required formats and reports needed for documentation and standard hospital procedures.
  • Checklist for Patients Undergoing Surgical Procedure: Details the required consents and documents for patients scheduled for surgical procedures.
  • Checklist for All Patients: Covers necessary documents and responsibilities for all patients during the hospital admission process.

MRD Checklist

ALL PATIENT
SR. NO. IPD RESPONSIBILITIES
1. ADMISSION RECORD ADMISSION/ RECEPTIONIST
2. GENERAL INFORMED CONSENT ADMISSION/ RECEPTIONIST
3. INITIAL COUNSELING FORM ADMISSION/ RECEPTIONIST
4. रुग्णांच्या मौल्यवान वस्तूंचे हस्तांतरण पत्र NURSE
4.A रुग्णाने द्यावयाची माहिती PATIENT OR RELATIVE
5. INITIAL ASSESSMENT FORM DOCTOR
6. NUTRITIONAL ASSESSMENT FORM NURSE/ DOCTOR
7. DOCTORS ORDER SHEET DOCTOR
8. NURSES DAILY RECORDS NURSE
9. DRUG ADMINISTRATION FORM DOCTOR/NURSES
10. TPR CHART NURSE
11. DISCHARGE CARD SUMMARY DOCTOR
12. PATIENT FEEDBACK FORM - IPD/OPD ADMISSION/ RECEPTIONIST

When Patient is for surgical Procedure


Sr. No. IPD Responsibilities
12. INFORMED CONSENT FOR ANESTHESIA Nurse
13. INFORMED CONSENT FORM FOR SURGERY/PROCEDURE Nurse/ Doctor
14.a PRE OPERATIVE FITNESS ASSESSMENT BY PHYSICIAN Doctor
14.b PRE OPERATIVE FITNESS ASSESSMENT BY PEDIATRICIAN Doctor
15. PRE OPERATIVE ASSESSMENT BY ANESTHETIST Doctor
16. PRE - OPERATIVE CHECKLIST NURSE Nurse / OT Assistant
17. INTRA OPERATIVE ANESTHESIA EVALUATIONS Doctor/ Anesthesia
18. POST OPERATIVE CHECK LIST Doctor/ Anesthesia
19. OPERATIVE NOTES BY SURGEON Doctor
20. POST ANESTHESIA OBSERVATION AND INSTRUCTIONS Doctor/ Anesthesia
21. HISTOPATHOLOGY Doctor
22. INFORMED CONSENT FORM FOR HIV ANTIBODIES TEST Doctor/ Nurse
23. SURGICAL SITE CHECKLIST Nurse

Formats As and Required


Sr. No. IPD Responsibilities
24. INFORMED CONSENT FOR TRANSFUSION OF BLOOD/ BLOOD COMPONENTS NURSE
25. BLOOD AND BLOOD PRODUCT TRANSFUSION RECORD DOCTOR/ NURSE
26. CRITICAL CARE CHART NURSES
27. HIGH RISK CONSENT DOCTOR/ NURSE
28. REFUSAL OF TREATMENT PATIENT /RELATIVE
29 THROMBOLYSIS CONSENT FORM STANDARD FORMS-
30. INFORMED CONSENT FORM FOR DIALYSIS DOCTOR/ NURSE
31. INFORMED CONSENT FOR MINOR PROCEDURES DOCTOR/ NURSE
32. INFORMED CONSENT FORM FOR ENDOSCOPY DOCTOR/ NURSE
33. INFORMED CONSENT FOR PHYSIOTHERAPY TREATMENT DOCTOR/ NURSE
34. DAMA/LAMA DISCHARGE CONSENT DOCTOR/ NURSE
35. CHEMOTHERAPY DOCTOR/ NURSE
36. TRANSFER REFERRAL FORM DOCTOR/ RECEPTION

MRD Checklist ALL PATIENT SR. NO. IPD RESPONSIBILITIES 1. ADMISSION RECORD ADMISSION/ RECEPTIONIST 2. GENERAL INFORMED CONSEN

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