UNIT4-HC311-IP

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hc311_deficiency_slipblank.pdf
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Deficiency Slip Patient Name: Patient Number: Admission Date:

NAME OF REPORT Dr 1: Dr

2: Dr 2:

Inpatient Face Sheet Sign No Abbreviations

Complete ____

DISCHARGE SUMMARY Dictate Sign

History & Physical Dictate Sign

Consultation Report Dictate Sign Dictate Sign

Admission Progress Note Document Date Sign

Daily Progress Notes Document Date Sign Document Date Sign Document Date Sign

Discharge Progress Note Document Date Sign

Physician Orders Document Date Sign Document Date Sign Document Date Sign

Discharge Order Document Date Sign

Anesthesia Report Document Sign Document Sign

Preanesthesia Evaluation Document Sign Document Sign

Postanesthesia Evaluation

Document Sign Document Sign

Operative Report Dictate Sign Dictate Sign Dictate Sign

Pathology Report Dictate Sign Dictate Sign

Recovery Room Record Document Sign Document Sign

Radiology Report

Document Sign Document Sign

Other: ___

___

Document Dictate

Date Sign

Document Dictate

Date Sign

Document Dictate

Date Sign

Green
FIGURE 5-1 QUANTITATIVE ANALYSIS DEFICIENCY SLIP INSTRUCTIONS: Click on the box at the right of Patient Name:, and enter the patient's complete name. Then, tab to the next box to continue entering patient and physician information. Review the patient record to determine the chart deficiencies, and click on the appropriate check boxes to indicate deficiencies. Print your completed work to PDF (using free CutePDF software, available as a download from www.cutepdf.com), saving your file as YourLastNameCaseNoDefSlip.pdf (e.g., GreenCase01DefSlip.pdf). Send each file created to your instructor as an email attachment for evaluation.
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