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Presented By – Atul Yadav(RN.RM)
RECORDS AND REPORTS
Good record-keeping is an essential and important
duty of all health personnel. This is because memories
are short, and information collected from memory can
never be reliable. Therefore records must be accurately
made at the time of the event and should be available
when required. Records and reports must be kept as
laid down by the employing authority. Records are
designed to encourage high standards of health care.
Uses of record
 effective means of communication
 helps in providing best possible service to the
individual, family and community
 can save effort and money
 the health worker can organize his work and make the
most effective use of his time
 useful in research
 can be useful as an instrument of health education
(e.g., Growth charts).
Types of records
 The kinds of records which are normally kept will vary
with the activities. They include the following :
 1. Village record
 2. Family folders, household and family record and
individual health cards
 3.Eligible couple records
 4.Maternal and child health records(including
antenatal care, postnatal nutrition, care, childcare,
immunization)
Cont…
 5. The tuberculosis (TB) card
 6. The leprosy record
 7. School health records
 8. Birth and death registers
 9.Outdoor attendance register
 10. Operation register
 11. Indoor patient register
 12. Records of medical care
 13. Stock registers
 14. Monthly reports
 15. Daily diary.
Essential requirements of records
 they should be complete in detail
 they should be accurate
 they should be written in such a way that the
minimum of clerical work is involved.
 they should be kept confidential. They should not be
shown or discussed with persons other than those
providing the health care.
Cumulative records
 Cumulative records contain information gathered
over a period of time in respect of each patient in
different situations. When completed the cumulative
record (i.e.., immunization card, school health
record)reveals the whole health history of the person.
Design of cards
 There are three designs of cards/records :
 A) Folder type: It is a broad card which can be folded
into many parts say 8 or 10 pages. Some pages may be
kept blank for future entries.
 (b) File type : For each patient, a file is maintained.
The outer cover of the file is usually printed with
columns for summarizing information .The periodical
data are entered in separate leaves of paper and
inserted into the file.
Cont…
 (c) Envelope type The file type when closed on three
sides and kept open on one will form an envelope. The
data are entered on separate leaves, tagged together
and inserted into the envelope.
Records and reports Unit - VIII CHN

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Records and reports Unit - VIII CHN

  • 1. Presented By – Atul Yadav(RN.RM)
  • 2.
  • 3. RECORDS AND REPORTS Good record-keeping is an essential and important duty of all health personnel. This is because memories are short, and information collected from memory can never be reliable. Therefore records must be accurately made at the time of the event and should be available when required. Records and reports must be kept as laid down by the employing authority. Records are designed to encourage high standards of health care.
  • 4. Uses of record  effective means of communication  helps in providing best possible service to the individual, family and community  can save effort and money  the health worker can organize his work and make the most effective use of his time  useful in research  can be useful as an instrument of health education (e.g., Growth charts).
  • 5. Types of records  The kinds of records which are normally kept will vary with the activities. They include the following :  1. Village record  2. Family folders, household and family record and individual health cards  3.Eligible couple records  4.Maternal and child health records(including antenatal care, postnatal nutrition, care, childcare, immunization)
  • 6. Cont…  5. The tuberculosis (TB) card  6. The leprosy record  7. School health records  8. Birth and death registers  9.Outdoor attendance register  10. Operation register  11. Indoor patient register  12. Records of medical care  13. Stock registers  14. Monthly reports  15. Daily diary.
  • 7. Essential requirements of records  they should be complete in detail  they should be accurate  they should be written in such a way that the minimum of clerical work is involved.  they should be kept confidential. They should not be shown or discussed with persons other than those providing the health care.
  • 8. Cumulative records  Cumulative records contain information gathered over a period of time in respect of each patient in different situations. When completed the cumulative record (i.e.., immunization card, school health record)reveals the whole health history of the person.
  • 9. Design of cards  There are three designs of cards/records :  A) Folder type: It is a broad card which can be folded into many parts say 8 or 10 pages. Some pages may be kept blank for future entries.  (b) File type : For each patient, a file is maintained. The outer cover of the file is usually printed with columns for summarizing information .The periodical data are entered in separate leaves of paper and inserted into the file.
  • 10. Cont…  (c) Envelope type The file type when closed on three sides and kept open on one will form an envelope. The data are entered on separate leaves, tagged together and inserted into the envelope.