Records.ppt
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Records and reports at the community level provide important health information. Records include individual health cards, family folders, community folders, and national health program records. They are categorized by type (e.g. periodic, unit-based), subject (e.g. medical, social), and collection place (e.g. health centers, with individuals). Important records kept at health centers include family folders, MCH cards, and treatment/referral records. Records kept with patients include health cards and medicine stock registers. Maintaining accurate, organized records and reports is essential for assessing community health, collecting data, planning, and conducting research.
Records.ppt
- 1. Records and reports at community level
- 2. INTRODUCTION All documents information , regardless its characteristics, media, physical form and the manner it is recorded or stored. Records function as evidence of activities. Express or presenting facts, data, figures or other information in writing is called records means written inf. Of information.
- 3. RECORDS . Health records refers to the forms on which information about an individual or family is recorded
- 4. REPORTS these are account or statement describing in detail an event, situation, or like, usually as the result of observation, inquiry, etc. a formal or official presentation of facts .
- 5. TYPES OF RECORDS 1.) PERIODICAL: A.) Permanent records (cumulative) B.) Temporary records(casual/daily records)
- 6. CONT…. 2.) UNIT BASED RECORDS: a.) individual(individual health cards) b.) related to family(family folders) c.) related to community(community folders) d.) National(national health programms records)
- 7. Cont…. 3.) SUBJECT BASED: a.) economical(financial structure of family, village b.) social(records of social structure c.)Political d.)Medical and nursing (treatment and medicine recods))
- 8. Cont…. 4.) COLLECTION PLACE BASED: a.) Collected at institutions(records of hospitals/ ealth centers b) Records to be kept with the individual(immunization cards, disease cards)
- 9. Records related to community 2 categories: A.) Records to be kept under health centers B.)Records to be kept with the patient
- 10. Records to be kept under health centers 1) family folders MCH cards Antenatal card/ postnatal cards Infant card Pre-school child card Medicine distribution card include records of iron and folic acid distribution cards Family welfare records: eligible couple, mtp, family planning.
- 11. Cont……. Treatment and referral records Vital event records: birth and death records General information records; individual records, family, village, map of community Other records: - antenatal records - Medicine records - Monthly/ yearly records - Consumable stock register
- 12. Cont……. Stationary stock register Daily diary, cumulative records
- 13. To be kept with the Patient Kept under supervision of community health nurse: These are: - health record of school going children - infant health card - maternal card - tb patient card - individual health card - Birth and death record - Inpatient and outpatient record
- 14. Cont… Eligible couple records Movement register Medicine stock register
- 15. IMPORTANT HEALTH RECORDS 1.) Daily diary: daily activities of community health nurse 2.) Village record: it consist of Name of village, distance from health center Total no of families Total population Religious beliefs No. of women under different age group
- 16. Cont…. No of trained dais No of eligible couples Community health institutions anganwari etc Schools, post offices, police stations, place of worship Means of transportation and communication Environment conditions
- 17. Cummulative records Cumulative means gradual increasing in amount by one adding after another It is continuing record procedure Time saving, economical, review total history of individual Evaluate progress for longer peroid (nursing students clinical record)
- 18. Family folder Condition and address of residence Name of head of family Religion and cast Name of family member Education, occupation, economic status, diet, eligible couple, environment.
- 19. REPORTS Account or statement describing in detail an event, situation or like usually as the result of observation, inquiry etc.
- 20. Cont….. A formal or official presentation of facts Reports means fact findings Reports can be oral or written. Can be daily, monthly, quarterly, half yearly and annual. Analytical aspect of a subject or services is presented in a report.
- 21. TYPES OF REPORTS 2 TYPES: 1.) Verbal report 2.) Written report In hospital important reports are; 24hrs reports Night and day report
- 22. Cont…. Supervision report Patient census report Accident report IN COMMUNITY: Anecdotal reports Monthly, quaterly, yearly or annually reports Evaluatory report
- 23. IMPORTANCE OF RECORDS AND REPORTS; Assess health level of community. Helps in collecting data. Assessment and evaluation of work. Basis for formulating plans Tool or medium for health education. Determine needs of resources. Legal documentation Means of communication Provide information of good nursing Conduct training and research work Assess health problems.
- 24. MAINTANENCE OF RECORDS AND REPORTS Filling of records: Alphabetically, numerically and geographically. GUIDELINES: Clear, appropriate and readable. Real or based on facts. Abbribations and short forms should be of standard. Sentences should be short and clear. Signature of person filled records.
- 25. PRECAUTIONS 1.) Kept carefully. 2.) Protected against termites and insects. 3.) Good filling system 4.) Easily available on time. 5.) Kept at definite place. 6.) Confidential
- 26. SUMMARY
- 27. RECAPTULIZATION
- 28. REFERENCES