Medical Surgical Record Check (including Ambulatory Surgery)
Surgical staff can complete a chart review using a smartphone or tablet with the Medical Surgical Record Check (including Ambulatory Surgery) mobile app.
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The app checks the following required medical record components: Complete Medical History and Physical Examination, Consultations, Physician Orders, Labs, Imaging Reports, Nursing Assessments, Psycho-social Assessments (if applicable) Preliminary Treatment Plan (if applicable), Operative reports and documentation, Medication Administration Record, Signed Informed Consent for Treatment, Progress Notes from all Disciplines, Discharge Summary (if applicable) and Signed Discharge Instruction Sheet. The app can be modified to match your current chart review.
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