Patient Demographics: Include essential information about the patient, such as their full name, date of birth, gender, and contact details. For example:
- Monique Smith
- Date of Birth: February 1, 1980
- Gender: Female
- Contact Number: (123) 444 60 99
Medical History: Summarize the patient's medical history, including any chronic conditions, allergies, surgeries, or significant events. Here's an example:
- Diagnosed with diabetes mellitus type 2
- Allergic to penicillin
- Underwent appendectomy in 2015
Current Condition: Provide a brief overview of the patient's current health status, including vital signs and any ongoing treatments or interventions. For instance:
- Blood pressure: 120/80 mmHg
- Heart rate: 70 bpm
- Receiving intravenous antibiotics for a respiratory infection
Medications: List all medications the patient is currently taking, including the name, dosage, frequency, and route of administration. Here's an example:
- Metformin 500 mg, twice daily, oral
- Lisinopril 10 mg, once daily, oral
- Paracetamol 1 g, as needed, intravenous or oral
Pending Tasks: Document any pending tasks or follow-up actions required for the patient's care, including laboratory tests, consultations, or procedures. For example:
- Order complete blood count (CBC) tomorrow morning
- Consultation with the respiratory therapist for inhalation therapy
Remember, this checklist serves as a guide to ensure crucial information is properly conveyed during handovers. Adapt it to your specific healthcare setting and consider any additional items that may be relevant. Always prioritize patient safety and effective communication among healthcare professionals.
Informatix Health Inc
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