COURSES
Topics
- Continuation Sheet
- Patient Label
- If no label – 3 demographics – Name, DOB, Hospital Number
- Date, Time
- Charts EWS, I/O, Antibiotics – Start/End date
- History – Diagnosis
- Examination – Chaperone
- Results – Bloods, Imaging, Urine, Swabs
- Plan
- Sign, Name, Bleep, GMC Number
- If Med Student – needs countersigning
- Document everything you do – if it is not documented, it has not been done
Images
