Records and reports at community
              level
INTRODUCTION


 All documents information , regardless its
  characteristics, media, physical form and the manner
  it is recorded or stored.
 Records function as evidence of activities.
 Express or presenting facts, data, figures or other
  information in writing is called records means written
  inf. Of information.
RECORDS

 .


      Health records refers to the forms
       on which information about an
       individual or family is recorded
REPORTS



 these are account or statement describing in
detail an event, situation, or like, usually as the
 result of observation, inquiry, etc. a formal or
          official presentation of facts .
TYPES OF RECORDS


1.) PERIODICAL:
A.) Permanent records (cumulative)
B.) Temporary records(casual/daily records)
CONT….

2.) UNIT BASED RECORDS:

a.) individual(individual health cards)
b.) related to family(family folders)
c.) related to community(community folders)
d.) National(national health programms records)
Cont….

3.) SUBJECT BASED:
a.) economical(financial structure of family, village
b.) social(records of social structure
c.)Political
d.)Medical and nursing (treatment and medicine
  recods))
Cont….



4.) COLLECTION PLACE BASED:

a.) Collected at institutions(records of hospitals/ ealth
  centers
b) Records to be kept with the individual(immunization
  cards, disease cards)
Records related to community



2 categories:
 A.) Records to be kept under health centers
 B.)Records to be kept with the patient
Records to be kept under health centers

1) family folders
 MCH cards
 Antenatal card/ postnatal cards
 Infant card
 Pre-school child card
 Medicine distribution card include records of iron
  and folic acid distribution cards
 Family welfare records: eligible couple, mtp, family
  planning.
Cont…….
 Treatment and referral records
 Vital event records: birth and death records
 General information records; individual records,
  family, village, map of community
 Other records:
- antenatal records
- Medicine records
- Monthly/ yearly records
- Consumable stock register
Cont…….



 Stationary stock register
 Daily diary, cumulative records
To be kept with the Patient
Kept under supervision of community health nurse:
 These are:
- health record of school going children
- infant health card
- maternal card
- tb patient card
- individual health card
- Birth and death record
- Inpatient and outpatient record
Cont…

 Eligible couple records
 Movement register
 Medicine stock register
IMPORTANT HEALTH RECORDS

1.) Daily diary: daily activities of community health
  nurse
2.) Village record: it consist of
Name of village,
distance from health center
Total no of families
Total population
Religious beliefs
No. of women under different age group
Cont….

 No of trained dais
 No of eligible couples
 Community health institutions anganwari etc
 Schools, post offices, police stations, place of
  worship
 Means of transportation and communication
 Environment conditions
Cummulative records

 Cumulative means gradual increasing in amount by
  one adding after another
 It is continuing record procedure
 Time saving, economical, review total history of
  individual
 Evaluate progress for longer peroid (nursing
  students clinical record)
Family folder


 Condition and address of residence
 Name of head of family
 Religion and cast
 Name of family member
 Education, occupation, economic status, diet,
 eligible couple, environment.
REPORTS



 Account or statement describing in detail an event,
 situation or like usually as the result of observation,
 inquiry etc.
Cont…..

 A formal or official presentation of facts
 Reports means fact findings
 Reports can be oral or written.
 Can be daily, monthly, quarterly, half yearly and
  annual.
 Analytical aspect of a subject or services is
  presented in a report.
TYPES OF REPORTS

 2 TYPES:
 1.) Verbal report
 2.) Written report


In hospital important reports are;
24hrs reports
Night and day report
Cont….
 Supervision report
 Patient census report
 Accident report


 IN COMMUNITY:
 Anecdotal reports
 Monthly, quaterly, yearly or annually reports
 Evaluatory report
IMPORTANCE OF RECORDS AND
  REPORTS;
 Assess health level of community.
 Helps in collecting data.
 Assessment and evaluation of work.
 Basis for formulating plans
 Tool or medium for health education.
 Determine needs of resources.
 Legal documentation
 Means of communication
 Provide information of good nursing
 Conduct training and research work
 Assess health problems.
MAINTANENCE OF RECORDS AND
 REPORTS
 Filling of records: Alphabetically, numerically and
 geographically.

GUIDELINES:
 Clear, appropriate and readable.
 Real or based on facts.
 Abbribations and short forms should be of standard.
 Sentences should be short and clear.
 Signature of person filled records.
PRECAUTIONS

 1.) Kept carefully.
 2.) Protected against termites and insects.
 3.) Good filling system
 4.) Easily available on time.
 5.) Kept at definite place.
 6.) Confidential
SUMMARY
RECAPTULIZATION
REFERENCES

Records.ppt

  • 1.
    Records and reportsat community level
  • 2.
    INTRODUCTION  All documentsinformation , regardless its characteristics, media, physical form and the manner it is recorded or stored.  Records function as evidence of activities.  Express or presenting facts, data, figures or other information in writing is called records means written inf. Of information.
  • 3.
    RECORDS  . Health records refers to the forms on which information about an individual or family is recorded
  • 4.
    REPORTS these areaccount or statement describing in detail an event, situation, or like, usually as the result of observation, inquiry, etc. a formal or official presentation of facts .
  • 5.
    TYPES OF RECORDS 1.)PERIODICAL: A.) Permanent records (cumulative) B.) Temporary records(casual/daily records)
  • 6.
    CONT…. 2.) UNIT BASEDRECORDS: a.) individual(individual health cards) b.) related to family(family folders) c.) related to community(community folders) d.) National(national health programms records)
  • 7.
    Cont…. 3.) SUBJECT BASED: a.)economical(financial structure of family, village b.) social(records of social structure c.)Political d.)Medical and nursing (treatment and medicine recods))
  • 8.
    Cont…. 4.) COLLECTION PLACEBASED: a.) Collected at institutions(records of hospitals/ ealth centers b) Records to be kept with the individual(immunization cards, disease cards)
  • 9.
    Records related tocommunity 2 categories:  A.) Records to be kept under health centers  B.)Records to be kept with the patient
  • 10.
    Records to bekept under health centers 1) family folders  MCH cards  Antenatal card/ postnatal cards  Infant card  Pre-school child card  Medicine distribution card include records of iron and folic acid distribution cards  Family welfare records: eligible couple, mtp, family planning.
  • 11.
    Cont…….  Treatment andreferral records  Vital event records: birth and death records  General information records; individual records, family, village, map of community  Other records: - antenatal records - Medicine records - Monthly/ yearly records - Consumable stock register
  • 12.
    Cont…….  Stationary stockregister  Daily diary, cumulative records
  • 13.
    To be keptwith the Patient Kept under supervision of community health nurse:  These are: - health record of school going children - infant health card - maternal card - tb patient card - individual health card - Birth and death record - Inpatient and outpatient record
  • 14.
    Cont…  Eligible couplerecords  Movement register  Medicine stock register
  • 15.
    IMPORTANT HEALTH RECORDS 1.)Daily diary: daily activities of community health nurse 2.) Village record: it consist of Name of village, distance from health center Total no of families Total population Religious beliefs No. of women under different age group
  • 16.
    Cont….  No oftrained dais  No of eligible couples  Community health institutions anganwari etc  Schools, post offices, police stations, place of worship  Means of transportation and communication  Environment conditions
  • 17.
    Cummulative records  Cumulativemeans gradual increasing in amount by one adding after another  It is continuing record procedure  Time saving, economical, review total history of individual  Evaluate progress for longer peroid (nursing students clinical record)
  • 18.
    Family folder  Conditionand address of residence  Name of head of family  Religion and cast  Name of family member  Education, occupation, economic status, diet, eligible couple, environment.
  • 19.
    REPORTS  Account orstatement describing in detail an event, situation or like usually as the result of observation, inquiry etc.
  • 20.
    Cont…..  A formalor official presentation of facts  Reports means fact findings  Reports can be oral or written.  Can be daily, monthly, quarterly, half yearly and annual.  Analytical aspect of a subject or services is presented in a report.
  • 21.
    TYPES OF REPORTS 2 TYPES:  1.) Verbal report  2.) Written report In hospital important reports are; 24hrs reports Night and day report
  • 22.
    Cont….  Supervision report Patient census report  Accident report  IN COMMUNITY:  Anecdotal reports  Monthly, quaterly, yearly or annually reports  Evaluatory report
  • 23.
    IMPORTANCE OF RECORDSAND REPORTS;  Assess health level of community.  Helps in collecting data.  Assessment and evaluation of work.  Basis for formulating plans  Tool or medium for health education.  Determine needs of resources.  Legal documentation  Means of communication  Provide information of good nursing  Conduct training and research work  Assess health problems.
  • 24.
    MAINTANENCE OF RECORDSAND REPORTS  Filling of records: Alphabetically, numerically and geographically. GUIDELINES:  Clear, appropriate and readable.  Real or based on facts.  Abbribations and short forms should be of standard.  Sentences should be short and clear.  Signature of person filled records.
  • 25.
    PRECAUTIONS  1.) Keptcarefully.  2.) Protected against termites and insects.  3.) Good filling system  4.) Easily available on time.  5.) Kept at definite place.  6.) Confidential
  • 26.
  • 27.
  • 28.