Medium

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Medical Surgery Record Chart Review Checklist Mobile App

A Chart Review is required prior to Medical Surgical Record (including Ambulatory Surgery). The Medical Surgery Record Chart Review Checklist mobile app includes the required medical record components and allows you to complete the review using your iPhone, iPad, or Android device. The app can be tailored to your hospital's medical decision-making process to ensure patient care quality assurance.

You can review current health records, lab tests, treating physician, patient history, and nursing chart audits. These electronic medical records are securely stored in the GoCanvas Cloud. They can be emailed or printed as a PDF if they are needed for peer review or for your records.

  • Lendlease
  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

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Take a peek inside the Medical Surgery Record Chart Review Checklist Mobile App

Included Features

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Included Fields

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    Medical Surgical Record (including Ambulatory Surgery)

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    The following medical record components are required:

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    Complete Medical History and Physical Examination

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    Consultations

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    Physician Orders

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    Labs

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    Imaging Reports

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    Nursing Assessments

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    Psychosocial Assessments (if applicable)

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    Preliminary Treatment Plan (if applicable)

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    Operative reports and documentation

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    Medication Administration Record

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    Signed Informed Consent for Treatment

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    Progress Notes from all Disciplines

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    Discharge Summary (if applicable)

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    Signed Discharge Instruction Sheet

  • ...and More!

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