Appendix C/Patient Reports
Axia College Material
Appendix C
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 |States what patients whishes are concerning their end of |The patient usually sign the |It’s upon admission. |
| |life care. |report. | |
|Informed Consent |Patient is advised of treatment option and possible |The physician and the |Before procedures are |
| |affects of treatment. |patient. |performed. |
|Patient Property Form |List of patient belongings which was with the patient upon|Patient and admitting staff |(Not stated in the text, but |
| |arrival at medical center. |center. |probably at the time property |
| | | |is taken from the patient) |
|Discharge Summary |States instructions that were given to the patient upon |Attending physician |Within 30 days of discharge. |
| |release from
Appendix C
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 |States what patients whishes are concerning their end of |The patient usually sign the |It’s upon admission. |
| |life care. |report. | |
|Informed Consent |Patient is advised of treatment option and possible |The physician and the |Before procedures are |
| |affects of treatment. |patient. |performed. |
|Patient Property Form |List of patient belongings which was with the patient upon|Patient and admitting staff |(Not stated in the text, but |
| |arrival at medical center. |center. |probably at the time property |
| | | |is taken from the patient) |
|Discharge Summary |States instructions that were given to the patient upon |Attending physician |Within 30 days of discharge. |
| |release from