The Need for Good Records

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