National Guidelines for Improvement of Quality and Safety of ...
National Guidelines for Improvement of Quality and Safety of ...
National Guidelines for Improvement of Quality and Safety of ...
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ANNEX 4: Discharge Checklist (Sample)Discharge Checklist (Sample)Patient’s name:UNIT/WD:01 Diagnosis card givenBHT number:Yes N/A N/O Signature Patient’s Signature02 OPD chits <strong>for</strong> drugs given03 Private drugs chits given04 Investigation chits given05 Biopsy chits & Biopsy report note given06 Catheter removed07 N.G. tube removed08 Canula removed09 X-ray film & E.C.G. strips given10 Review in clinics or ward instructed11 Medico-legal examination <strong>for</strong>m (M.L.E.F) given12 Preventive medications given13 Patient’s satisfaction <strong>and</strong> comments about careasked14 If Patient is below 16years <strong>of</strong> age, name &address <strong>of</strong> the guardian asked15 Clinics book given16 Medical certificate givenName <strong>of</strong> N/O: Signature: Date (D/M/Y): / /(In<strong>for</strong>mation provided by courtesy <strong>of</strong> DGH Ampara)41
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