The document discusses admission and discharge processes in nursing. It defines admission as allowing a patient to stay in the hospital for care and treatment. The main purposes of admission are for evaluation, treatment, and providing emotional support. There are two main types of admission - emergency and routine. Discharge planning involves coordinating between medical staff, nursing, and the patient/family. The nurse's role includes preparing patients and families for discharge, ensuring understanding of home care needs, and proper documentation.
Admission process of client in hospital
- types of admission
- process of admission
- preparation of unit
- tranfer procedure
- role of nurse in admission
Admission process of client in hospital
- types of admission
- process of admission
- preparation of unit
- tranfer procedure
- role of nurse in admission
Few would disagree that nursing is one of the most underrated professions in modern times. Being a nurse isn’t easy. In fact, it is a field that can be extremely demanding and even unforgiving to those who pursue it. Being around the ailing and the frazzled for long hours and dealing with them patiently day after day can be challenging, to say the least.
MATERIALS AND ITS TYPES
machinary , equipments and linen using in hospitals and their care
EQUIPMENTS AND ITS TYPES
CARE OF LINEN
CARE OF RUBBER GOODS
CARE OF STAINLESS STEEL GOODS
CARE OF GLASS EQUIPMENTS
CARE OF PLASTIC ITEMS
CARE OF FURNITURE
CARE OF MACHINERY EQUIPMENTS
MAINTANENCE OF WARD INVENTORY
In this topic the student will be easily learn about how to collect history from the patient and also helpful nursing students to write their care plan and care study.
Few would disagree that nursing is one of the most underrated professions in modern times. Being a nurse isn’t easy. In fact, it is a field that can be extremely demanding and even unforgiving to those who pursue it. Being around the ailing and the frazzled for long hours and dealing with them patiently day after day can be challenging, to say the least.
MATERIALS AND ITS TYPES
machinary , equipments and linen using in hospitals and their care
EQUIPMENTS AND ITS TYPES
CARE OF LINEN
CARE OF RUBBER GOODS
CARE OF STAINLESS STEEL GOODS
CARE OF GLASS EQUIPMENTS
CARE OF PLASTIC ITEMS
CARE OF FURNITURE
CARE OF MACHINERY EQUIPMENTS
MAINTANENCE OF WARD INVENTORY
In this topic the student will be easily learn about how to collect history from the patient and also helpful nursing students to write their care plan and care study.
Admission Procedure for Hospital services NABH ppt.pptxanjalatchi
Personal details of the patient are recorded. The tests ordered by the patient's doctor are charged. The room is assigned after the patient has been updated by either the Patient Accounting Department or the Customer Service Department.
Chest physiotherapy (CPT) refers to a group of therapies used in combination to mobilize pulmonary secretions. CPT is helpful to mobilize or loosen the secretions in the lungs and respiratory tract especially for patients with large amount of secretions or ineffective cough.
this slide will help the students and other care provider to know about importance of chest physiotherapy and its practical use and able to write in exam if asked
and to improve nurses in their skills regarding chest physiotherapy as well as to teach to their colleague and students
thank you !!!!
otitis media is the inflammation of the ear drum or tympanic membrane this topic include its definition , etiology, pathophysiology, clinical manifestation, diagnosis and its treatment which can be used by nursing students for taking care of the patient suffering from otitis media and for learning for their examination and knowledge purpose
and care of the child with acute otitis media and chronic otitis media and make their family aware about the complication of the otitis media like hearing loss meningitis
Anatomy and physiology of male reproductive systemPallavi Lokhande
The organs of the male reproductive system include the testes, a system of ducts (including the epididymis, ductus deferens, ejaculatory ducts, and urethra), accessory sex glands (seminal vesicles, prostate, and bulbourethral glands), and several supporting Structures, including the scrotum and the penis.
and knowledge of this system can help in knowing abnormality in it as well as can be used as study material
The respiratory system (also respiratory apparatus, ventilatory system) is a biological system, consisting of specific organs and structures used for gas exchange in human.
and the knowledge of this system give details view regarding respiratory system and its abnormality
vitals sign is the basic parameter used for all the patients to know the vital and general parameter for the patients and any changes in this parameter can cause the life threatening condition for the patients or clients life the proper technique and its alternatives assessment knowledge can help the nurses to improve academic performance and can be apply this knowledge in their clinical practices
pelvic inflammatory disease is the infectious disease in the female upper genital organ and its causes discomfort to the patient and knowledge of this ppt can help the patients and nurses to know the disease process well and can apply this knowledge into their clinical practices
amenorrhea is a condition when female do not have regular mensural cycles by puberty or due to any causes this ppt can help the patient and nurses to gain knowledge about this disease process and apply their knowledge into their clinical practices
abortion or miscarriage is the condition which causes the end of pregnancy before the child can survive extrauterine area this ppt include abortion and its management and this ppt help nurses to know this condition well and apply this condition in their clinical practice
abnormal uterine bleeding or vaginal bleeding the the conditions refer to female genital organ disfunction and term with their meaning this ppt include different bleeding pattern in female its terminology and its management this ppt help the nurses to know the disease condition well and apply this knowledge in their clinical practice and in their academic performance
stomach cancer is the common melignancy in male and female can leads to death of patient this ppt help in knowing the condition and its management and help nurses for their knowledge, to improve academic performance and application in their clinical practice
cancer of rectum is the abnormal proliferation of the rectal cells this ppt will help the nursing students to know the disease process and its management and also this help the students to apply these in their clinical practice and to improve their academic performance
cancer of the larynx is also known as the cancer of voice box and basic knowledge about this is important to treat the patient and give better care for the patient this knowledge will help the nursing students to give better care, to improve their academic performance and to improve their skills in their clinical practice
lungs cancer is the 2nd most common cancer in males with high morbidity and mortality the treatment of this type cancer and its knowledge, awareness is very important in both health care workers and general public this ppt is help nurses to know about this type of cancer and application of this knowledge in there clinical practice and in their theoretical knowledge, examination
documentation and reporting is the basic of nursing care and can be used in all health care setting why, how and when to documented that is described in the ppt the nurses and all health care professional for study, examination and application of this knowledge into their clinical practice
bone marrow transplant is the surgical procedure for replacement of the cancerous or abnormal cells present in the blood or cells and to improve the blood quality and quantity to fight against the diseases and for learning purpose for all the nursing student and application of these knowledge in their clinical practice
directing process is a process of advising, supervision, motivation, and capacity of influence other in any organization, it helps in formulating leader, leadership skills and also can be used as a study material by nurses and nurse manager for their knowledge skill development and application in their clinical practice and examination
oral cancer is the common melignancy in male and can leads to death of patient and social isolation among patient this ppt help in knowing the condition and refers by nurses for their knowledge and application in their clinical practice
cervical cancer is the most common type of cancer in females and death by its meglancy, there are many female who are unaware of this cancer and its treatment, early detection and its treatment can help females in good prognosis and speedly recovery and can be refer by all nursing student for their knowledge, study, improving skills and application in their clinical practices
breast cancer is the malignent condition of breast and it is the 2nd most common cancer in females with needs to be special attention as it its a very private things for female for early detection and its treatment, and provide a brief knowledge regarding breast cancer to all the nursing students and for their application in their c
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
2. Hospital
• A hospital is a place where people who are
ill are looked after by Nurses and Doctors.
• Hospital is an institution providing medical
and surgical treatment and nursing care
for sick or injured people.
3. Definition
• Admission is defined as allowing a patient
to stay in hospital for observation,
investigation, treatment and care.
• Admission is the entry of a patient into a
hospital /ward for therapeutic /diagnostic
purposes.
4. Purposes of admission
• To undergo evaluation & treatment
• To know what is really happening in
his/her body right oft it to be fixed
• To provide emotional security to the newly
admitted patient and his family
5. principles
• Sudden change or strangeness in the
environment produces fear and anxiety
• Entering the hospital is a threat to one’s
personal identity
• People have diversity of habits and modes of
behaviour
• Illness can be novel experience for the client
and bring the stress on his physical and
mental health
7. Emergency admission
• Patients are admitted in acute conditions
requiring immediate treatment. Examples.
Patient with RTA, Poisoning, burns and
cardiac or respiratory emergency.
8. Routine admission
• Patients are admitted for investigation,
diagnostic and medical or surgical
treatment. Treatment is given according to
patients problem. E.g. Patient with
hypertension, diabetes mellitus etc.
9. Unit and it’s preparation
• Unit or ward is a place where the patient is
kept during hospital stay. The admitting
department notifies the unit prior to the
patients arrival so that room /bed can be
prepared.
10. • Prepare the treatment table
• Ensure all the equipment are completed
• Check ventilation
• Ensure patient privacy
11. Special consideration
• Admission cause undue stress (emotional
factors as well as financial capability must
given utmost importance)
• Be observant consider the individual
patient needs
• Provide an individual admission procedure
• Show may efficiency and concerns
12. Admission procedure
• Meet and receive the patient
• Verify the patient data, by checking the
record sheet, chart.
• Introduce immediate personal
• Assist patient to the treatment area
• Inpatients department (I.P.D)
13. • Transporting the client from O.P.D to I.P.D
• Reception of the client by the ward sister
• Preliminary observation of the client
• Helping the client to occupy his bed
• Ask the patient to change clothes into
hospital gown
• Care of the valuable and cloths
14. Perform examination and
evaluation procedure
• Perform examination and evaluation
procedure establish base line values like
vital signs, do history taking, physical
examination etc.
• Coordinate with the physician and carry
out initial orders
• Give the treatment and instructions as
need
15. Orientation to the patient and
relatives
• The equipments /instruments
• Use of call system and telephone
• Treatment schedule
• Visitors timings
• Other health care team members
• Policy and rules and regulations
• Care of patients valuable etc.
16. Record & Report
• Admission Book
• Preparation of Paper
• Drug Book
• Diet Book
• HMIS Entry
• Cot List/bed list
17. Medico – Legal issues
• Medico-legal cases (MLC) are an integral
part of medical practice that is frequently
encountered by Medical Officers
• Proper handling and accurate
documentation of these cases is of prime
importance to avoid legal complications
and to ensure that the Next of Kin (NOK)
receive the entitled benefits.
18. Definition of MLC
• MLC is defined as “any case of injury or
ailment where, the attending doctor after
history taking and clinical examination,
considers that investigations by law
enforcement agencies (and also superior
military authorities) are warranted to
ascertain circumstances and fix
responsibility regarding the said injury or
ailment according to the law”.
19. Examples of MLCs.
• Accidents like Road Traffic Accidents
• Cases of trauma with suspicion of foul play
• Electrical injuries
• Poisoning, Alcohol Intoxication
• Burns and Scalds
• Sexual Offences
• Attempted suicide
20. • Role and Responsibilities of Nurse in
admission procedure
Nurse should deal every effort to be
friendly and courteous with the patient and
family members
Make proper observation of patients
condition
Orient patient and relatives regarding
hospital polices
21. • Deal with patient carefully who is suffering
from communicable disease or illness.
Isolate if necessary
• Patients valuables and clothes should be
handed over to relatives with proper
recording.
22. Discharge Procedure
• The patient, the family, medical staff,
nursing staff, social worker, dietician all
work together to coordinate the discharge.
• The doctor plans the discharge with the
patient and leaves a written order on the
patient’s chart.
23. Introduction
• The patient may have concerns regarding
managing own care at home. Provisions
such as home health care may be needed,
as ordered.
• Assessment needs to be done as to what
help the patient will need at home.
Discharge planning involves the entire
healthcare team.
24. Definition
• “Discharge of patient from the hospital
means, reliving a person from hospital
setting, who admitted as an inpatient in
that hospital”.
25. Types of Discharge
1. PLANNED DISCHARGE:- Patient completes the
initial, actual management in the hospital and
now he or she need not to be under direct
supervision of that hospital.’
2. DAMA/LAMA: Discharge/Leave Against Medical
Advice
3. TRANSFER: Transfer to other unit or hospital
4. ABSCOND: Abscond from Hospital
5. REFFERAL : Referred for further management
26. Consent for DAMA
• I am leaving the hospital ward against
medical advice. Doctor explained me about
my disease condition and ill effects of
discharge against medical advice. Doctors
and Nursing staffs will not be responsible for
any ill effects happening after my departure”.
• Name of the patient / relative :-
• Relation:-
• Signature:-
• Date :- Time:-
27. Rehabilitation of the client
• The rehabilitation begins when a client 1st
come in contact with the health care team.
The nurse is concerned with facilitating
optimal independence for a client weather a
client is experiencing a short term illness or a
crippling health problem
28. • The rehabilitation has a following objective:
a) To return to those ability which have been
affected by illness to the highest level
possibility
b) To prevent further disability
c) To protect the client present abilities
d) To assist the client to use his existing abilities
29. Discharge planning
• A suitable day is fixed for the termination of
care in the hospital and the relatives are
informed of it, so that they could prepare to
take the client home. It enable the relative to
clear the bill without hurry and to bring the
clothing for the client
30. • Some of the nursing procedure which the
client may have to continue at home, should
be taught to him or anyone of his family
members who will be caring for him at home.
• The client should be given the explanations or
instructions about his treatment, diets,
exercise, or medications etc. sufficiently early
so that he can make clarifications and be sure
that he has understood all the explination
31. • The client should be demonstrate and made
familiar with type of diet he has to continue at
home
• Watch for the reaction of the client about his
discharge. Most clients are happy when their
physicians tell them that they can leave
Hospital.
•
32. Discharge procedure
• Written order by doctor.
• Discharge card.
• Informing other departments.
• Check payment of the bills.
• Hospital glossaries taken back.
• Returning of the personal belongings.
• Arrangement for transport.
• Documentation.
33. Steps involved in the Discharge
Planning
• Evaluation of the patient by qualified
personnel
• Discussion with the patient or his relatives
• Planning for homecoming or transfer to other
place
• Determining if caregiver training or for other
support
• Referrals to home care agency or appropriate
support
• Arranging for follow-up appointments or tests
34. Nurses Responsibility in Discharge
• PREPARATION FOR DISCHARGE
• Planning in the beginning.
• Plan for rehabilitation and follow-up need.
• Teach nursing procedures to be continued
at home, get it’s practice done.
• Arrangement for transport.
35. • DURING DISCHARGE PROCEDURE
• See doctor’s written order.
• Explanations.
• Hand over personal belongings.
• Check and receive any hospital property.
• Confirm bill paid.
• Inform other departments regarding
discharge
• Arrange transport.
• DAMA:- check consent
37. MLC Discharge
• Check for medico legal history.
• Notify medical officer in charge.
• Abscond cases immediately contact medical
officer in charge.
• Maintain all documents in a proper manner.
• Take in written handing over and taking of
articles.
• Never discharge patient without written order
by physician.
38. Checklist method
• M = MEDICATION
• E = ENVIRONMENT
• T = TREATEMENT
• H = HEALTH TEACHING
• O = OUT PATIENT REFFERAL
• D = DIET