The Need for Good Records
Exercise 1:
Fill in the
blanks with information from the text:
1- The Medical Director’s memo is addressed to
_______________ at the hospital in the UK.
2- In writing notes and records, medical staff must use
black ink to ______________.
3- Print your name underneath ________________.
4- In your records focus on ____________.
5- If you think that a patient has been involved in an
assault or self-harm, make a note of this to _______________.
Exercise 2:
Answer each of these questions in a complete sentence:
1) Why are a number of problems occurring throughout the
hospital?
2) What are the principles that should be followed in
record-keeping?
3) Why should the medical staff write clearly and without
spelling mistakes?
4) Why should the medical staff use only abbreviations which
are in common use in this hospital?
5) Why should the medical staff document all care as soon as
it is given?
Exercise 3:
Translate the following points into Arabic:
Practice:
· Use black ink to make photocopying
easier.
· Write clearly and without
spelling mistakes.
· Print your name underneath
your signature.
· In your records highlight
any important abnormality.
· Use only abbreviations
which are in common use in this hospital.
· Document all care as soon
as it is given.
· If you think that a patient
has been involved in an assault or self-harm, make a note of this to warn
others.
· Record if the patient is in
the custody of the police.
· Use rating scales to assess
level of pain, etc. which are in common use throughout the hospital.
Exercise 4:
Match the words in column A with their synonyms in column B:
A B
Records evaluation
Memo accomplish
Paramedics registers
Inaccurate memorandum
Assessment imprecise
Fulfill ministrant
Assault scales
attack