Height and weight: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
No edit summary
Line 33: Line 33:
*On EPR under Patient Info tab often not completed
*On EPR under Patient Info tab often not completed
*On the Clinical Data Sheet in the patient record, not always recorded
*On the Clinical Data Sheet in the patient record, not always recorded
  1  EPR under  Patient info /data Entry/ height and weight  2 VGH clinical data sheet /ht and wt with daily VS//nursing assessment and handoff to inpatient unit part 1 nursing initial assessment with vs /bs/ ht/wt /  3  vic medicine and family medicine standing orders  under general orders under vs  ht and wt on admission //  These are all areas where you can find ht and wt but the issue is compliancy I would say maybe ¼ of charts have that information  Thanks shirl

Revision as of 09:59, 2018 February 14

We are considering adding this to collection maybe later. this article is only a poll.

Template:Discussion - Question for collectors:

  • Need to know where you would find this in chart or on ERP at your site?

HSC_ICU

HSC_Med

Just want you to know that I looked at approx. 20 pts on two wards for their EPR ht and wt (apparently can be found under patient information tab). I got about 4 listed in EPR. The rest would (hopefully) live in the chart somewhere. - p:Constance_Marks

GRA_ICU

GRA_Med

STB_ICU

  • My patients ht and wt (if documented)are visible in the Data Entry box under the Patient Info on EPR. Will there be an option to record (not recorded) if the information is not available? - Marla
  • Height weight and body surface area is found in EPR under patient information. If it is not there, it has not been done yet.--LKolesar 07:18, 2018 February 13 (CST)

STB_Med

  • We get it from the patient info tab on the epr. If it's not there it likely hasn't been done, because there is no place on the very limited patient paper chart to put it there.DPageNewton 07:11, 2018 February 13 (CST)
  • Height and weight is found in EPR under patient information tab, in the Data Entry box.ENagy 10:28, 2018 February 13 (CST)enagy

CON_ICU

OAK_ICU

  • 3 out of 20 random selected ICU patients had weight entered into EPR=15%
  • bottom of the ICU treatment record
  • bottom of ward vital sign record

VIC_Med

  • On EPR under Patient Info tab often not completed
  • On the Clinical Data Sheet in the patient record, not always recorded
  1  EPR under   Patient info /data Entry/ height and weight  2 VGH clinical data sheet /ht and wt with daily VS//nursing assessment and handoff to inpatient unit part 1 nursing initial assessment with vs /bs/ ht/wt /   3  vic medicine and family medicine standing orders  under general orders under vs  ht and wt on admission //  These are all areas where you can find ht and wt but the issue is compliancy I would say maybe ¼ of charts have that information  Thanks shirl