13022010
TO TQSD
Allow me to make this proposal to improve the chart completion in our center. As i understand, we have the following predicaments, among others we already know:
- Space problem in nurse station for incomplete charts
- SPace problem in Medical records itself for incomplete charts
-MEdical REcords not open beyond 10pm
-MDs (consutlants, interns, fellows, residents) needing to go there and finish charts.
The PROPOSAL described below is SIMPLE, CRISP and DOABLE, and most of ALL will address the following :
- DOCTORS CAN ACCESS THE CHART WHENEVER HE MAKES ROUNDS, because it IS right there in the nurse station;
-it is safeguarded by being in ftont or within the nurse station
- it will address the issue of clogging the nurse stations' desks or medical records place for incomplete charts; it will ACTUALLY BRIDGE the gap between helping nurse stations be cleared of incomplete charts and so for the medical records itself;
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Once created and table and chairs and panels installed, the place will be RESTRICTED - FOR DOCTORS ONLY, instead of just making them for patients' relatives comfort, or dining table.
To address the issue of Medical REcords preference that charts should be WITHIN Medical REcords' premises if they are not within nurse stations, these sites can be OFFICIALLY ASSIGNED as "MEdical REcords Satellite Unit" thereby allowing MDs to complete the charts when they go arounds in the area. This approach addresses many predicaments we have....
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Other nurse stations like these in 7Rear , for example, have EXTRA SPACES which can be OFFICIALLY labeled "Medical Records Satellite Unit", if only to address the issue of keeping the charts within the presribed period.
 | Assigning a "Medical Records Satellite Unit" in each Nurse Station in the circular can also address the same predicaments, by bridging the gaps between what Rules to Comply, What Set-up we can make ,How we Help Doctors comply, what Nursing Service Wants, and What Philhealth wants us to do.... Making charts available anytime and right where doctors make rounds, without breaking the security of chart handling , without breaking medical records rules and hospital policy is , in my opinion, doable... and worth the try. |
