Evaluation of the Patients

Objective Elements:

• All patients to under go a unified assessment with privacy

and dignity.

• The nurse / ANM should carry out assessment in terms of

noting the vitals, height and weight of the patient in a pre
designated area of the OPD card.

• Medical officer to documented the findings of the patient

in a definite area in the OPD card.

• Advise for medication and investigation to be

documented in predefined areas of the card.

• The documentation to be legible, timed, dated, named

and signed by the medical officers.

• The instructions to be communicated to the patient in an

understandable (variable and written) manner.

• The assessment of the patient is uniform in all settings

i.e. casualty, OPD, Wards etc.

• Records of all such assessments to be maintained (for

time limits as per regulations) in the facility.