Associate Level Material
Acute Care Patient Reports
Fill in the following table with a general description of each type of patient report, who may have to sign or authenticate it, and the standard time frame that JCAHO or AOA requires for it to be completed or placed in the patient’s record. Four of the reports have been done for you.
|Name of Report |Brief Description of Contents |Who Signs the Report |Filing Standard | |Face Sheet |Patient identification, financial data, clinical |Attending physician |30 days following patient | | |information (admitting and final diagnoses) | |discharge | |Advanced Directives |Health care proxy, living will, medical power of |Patient |Upon admission | | |attorney. Provides instructions as to how someone wants | | | | |to be treated in the event they become too ill. | | | |Informed Consent |Explanation of the risks and benefits of a treatment or |Patient and attending |Before anesthesia and | | |procedure, alternatives to the treatment, and evidence |physician with date and time. |performance of any surgical | | |that the patient or legal guardian understands and | |procedure. | | |consents to undergo treatment. | | | |Patient Property Form |Records items patients bring with them to the hospital. |Patient and hospital staff |(Not stated in the text, but | | |...