IPD FILE CHECKLIST ,
S. No. ASSEMBLING ORDER CHECKED
1. Discharge Summary
2. Admission Order& Plan of care
3. Package / Estimate Sheet
4. Admission / Discharge Record
5. Nursing Initial assessment Sheet
6. Doctor Initial assessment Sheet
7. Nutritional Assessment and Reassessment
8. Plan of Care
9. Doctor Order / Progress Sheet
10. Nursing Note/ Progress Chart
11. TPR Chart
12. Blood Sugar Chart
13. Intake/ Output Chart
14. Consent for Blood & Blood product Transfusion
15. Blood Transfusion Monitoring Chart
16. PAC Form
17. Anaesthesia Record
18. Consent form for Anaesthesia
19. Consent form for procedure
20. Checklist before sending patient to OT
21. Surgical Safe Checklist
22. Post-operative Note
23. Post- Anaesthesia Care
24. Investigation Reports (X-Ray, Lab & USG etc)
Filled By: Verified By:
Date:
Verification Time :
Please state the reason for discrepancies if any : ……………………………………………………………………….
................................................................................................................................................................