Ward Attendance is a CARE CONTACT.
An attendance at a WARD by a PATIENT for nursing care, where the PATIENT is not currently admitted to that Health Care Provider. A Ward Attendance should be recorded for only one Nurse or Midwife Contact. If the attendance is primarily for the purpose of examination or treatment by a doctor it is an Out-Patient Attendance Consultant and not a Ward Attendance. The care is for the prevention, cure, relief or investigation because of a disease, injury, health problem or other factor affecting their health status and may include one or more Patient Procedures. This includes:-
a. | Disease (physical or mental) confirmed or suspected - inclusive of undiagnosed signs or symptoms. | |
b. | Injury - inclusive of poisoning - confirmed or suspected. | |
c. | Health problem e.g. prostheses or graft in situ | |
d. | Other factors influencing the health status of non-sick PERSONS e.g | |
i. | pregnancy | |
ii. | sexual and reproductive health (formerly known as family planning) | |
iii. | potential donor (organ or tissue) | |
iv. | potential problem requiring prophylactic (preventative) care | |
v. | bereavement or other problem requiring health professional counselling | |
vi. | cosmetic surgery | |
vii. | other |
The ADMINISTRATIVE CATEGORY of the PATIENT can be recorded for the Ward Attendance.
The PATIENT's FIRST ATTENDANCE whether the first in a series or the only attendance should be recorded.
If the PATIENT is currently subject to a Mental Health Care Spell and during attendance is in contact with the NURSE who is their allocated care programme approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.
This supporting information is also known by these names:
Context | Alias |
---|---|
plural | Ward Attendances |