AD.FR.009 - HASTA DOSYASI FORMU

Doküman Kodu: AD.FR.009
Yayın Tarihi: 08.12.2016
Revizyon Tarihi: 02.11.2021
Revizyon No: 1

Paylaş:

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Doküman Önizlemesi

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Demo Hastanesi (Prokalite.Com) HASTA DOSYASI FORMU

Doküman Kodu: AD.FR.009

Yayın Tarihi: 08.12.2016

Revizyon Tarihi: 02.11.2021

Revizyon No: 1

Sayfa: Otomatik


Olay Adı:
							Hasta Kayıt No:
Tarih:	Saat:

Triyaj Kodu:
							Adı-Soyadı/Eşgali:
Protokol No:	Tc Kimlik No:						Adı-Soyadı/Eşgali:
Şikayeti	Vital Bulgular						Muayene Bulguları
	Saat	Kan Basıncı	Nabız	Sol.	Saturasyon	Ateş








İstenilen Tetkikler	Yönlendirildiği Yer						Sonuç

Not:

1. Kullanılan bir form yok ise kullanılacaktır.

2. Hastanenin kullandığı hasta takip formunun üzerine bakıldığında ilk görülecek şekilde hasta kayıt no'su büyük puntolarla muhakkak yazılacaktır.

3. Hastanın ilk geldiği yerde doldurulmaya başlanır, hasta ile birlikte nakledilir ve doldurulmaya devam edilir.

Afet ve Acil Durum Yönetimi bölümündeki diğer form örnekleri

Tümünü gör (63)

AD.FR.005 TESİS SİSTEMLERİ DURUM FORMU AD.FR.006 OLAY EYLEM PLANI STANDART FORMU AD.FR.007 OLAY EYLEM PLANI TAKİP KAYDI FORMU AD.FR.008 ACİL DURUM YÖNETİMİ HASTANE GİRİŞ KAYIT FORMU AD.FR.010 HASTA TAKİP LİSTESİ FORMU AD.FR.011 HASTANE OLAY İSTATİSTİK FORMU AD.FR.012 HASTA SON DURUM LİSTESİ FORMU AD.FR.013 DURUM RAPOR(İdari Birimler) FORMU

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<table style="border-collapse:collapse; height:867px; width:882px" class=" cke_show_border" cellspacing="0"><tbody><tr><td colspan="8" style="border-bottom:none; border-left:3px double black; border-right:3px double black; border-top:3px double black; vertical-align:middle"><br></td></tr><tr><td colspan="8" style="border-bottom:1px solid black; border-left:3px double black; border-right:3px double black; border-top:none; vertical-align:middle"><span style="font-size:13px"><span style="color:red"><strong>Olay Adı:</strong></span></span></td></tr><tr><td style="border-bottom:none; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td colspan="6" style="border-bottom:none; border-left:none; border-right:1px solid black; border-top:1px solid black; vertical-align:middle"><br></td><td rowspan="4" style="border-bottom:1px solid black; border-left:1px solid black; border-right:3px double black; border-top:none; vertical-align:middle"><span style="font-size:13px"><strong><span style="color:black">Hasta Kayıt No:</span></strong></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><span style="font-size:13px"><strong><span style="color:black">Tarih:</span></strong></span></td><td colspan="6" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><span style="font-size:13px"><strong><span style="color:black">Saat:</span></strong></span></td></tr><tr><td colspan="7" style="border-bottom:none; border-left:3px double black; border-right:1px solid black; border-top:1px solid black; vertical-align:middle"><br></td></tr><tr><td colspan="7" style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><span style="font-size:13px"><strong><span style="color:black">Triyaj Kodu:</span></strong></span></td></tr><tr><td style="border-bottom:none; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><br></td><td colspan="6" style="border-bottom:none; border-left:none; border-right:1px solid black; border-top:1px solid black; vertical-align:middle"><br></td><td rowspan="2" style="border-bottom:1px solid black; border-left:1px solid black; border-right:3px double black; border-top:none; vertical-align:middle"><span style="font-size:13px"><strong><span style="color:black">Adı-Soyadı/Eşgali:</span></strong></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><span style="font-size:13px"><strong><span style="color:black">Protokol No:</span></strong></span></td><td colspan="6" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle"><span style="font-size:13px"><strong><span style="color:black">Tc Kimlik No:</span></strong></span></td></tr><tr><td rowspan="10" style="border-bottom:1px solid black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:top"><span style="font-size:13px"><strong><u><span style="color:black">Şikayeti</span></u></strong></span></td><td colspan="6" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle"><span style="font-size:13px"><strong><span style="color:black">Vital Bulgular</span></strong></span></td><td rowspan="10" style="border-bottom:1px solid black; border-left:1px solid black; border-right:3px double black; border-top:none; vertical-align:top"><span style="font-size:13px"><strong><u><span style="color:black">Muayene Bulguları</span></u></strong></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:17px; text-align:center; vertical-align:top; width:64px"><span style="font-size:11px"><span style="color:black"><strong>Saat</strong></span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:top; width:64px"><span style="font-size:11px"><span style="color:black"><strong>Kan Basıncı</strong></span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:top; width:64px"><span style="font-size:11px"><span style="color:black"><strong>Nabız</strong></span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:top; width:64px"><span style="font-size:11px"><span style="color:black"><strong>Sol.</strong></span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:top; width:64px"><span style="font-size:11px"><span style="color:black"><strong>Saturasyon</strong></span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:top; width:64px"><span style="font-size:11px"><span style="color:black"><strong>Ateş</strong></span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; height:17px; vertical-align:middle; width:64px"><span style="font-size:13px">&nbsp;</span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle; width:64px"><span style="font-size:13px">&nbsp;</span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle; width:64px"><span style="font-size:13px">&nbsp;</span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle; width:64px"><span style="font-size:13px">&nbsp;</span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle; width:64px"><span style="font-size:13px">&nbsp;</span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle; width:64px"><span style="font-size:13px">&nbsp;</span></td></tr><tr><td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; height:17px; vertical-align:middle; width:64px"><span style="font-size:13px">&nbsp;</span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle; width:64px"><span style="font-size:13px">&nbsp;</span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle; width:64px"><span style="font-size:13px">&nbsp;</span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; 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border-left:1px solid black; border-right:1px solid black; border-top:none; height:17px; vertical-align:middle; width:64px"><span style="font-size:13px">&nbsp;</span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle; width:64px"><span style="font-size:13px">&nbsp;</span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle; width:64px"><span style="font-size:13px">&nbsp;</span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle; width:64px"><span style="font-size:13px">&nbsp;</span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle; width:64px"><span style="font-size:13px">&nbsp;</span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle; width:64px"><span style="font-size:13px">&nbsp;</span></td></tr><tr><td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; height:17px; vertical-align:middle; width:64px"><span style="font-size:13px">&nbsp;</span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle; width:64px"><span style="font-size:13px">&nbsp;</span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle; width:64px"><span style="font-size:13px">&nbsp;</span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle; width:64px"><span style="font-size:13px">&nbsp;</span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle; width:64px"><span style="font-size:13px">&nbsp;</span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:middle; width:64px"><span style="font-size:13px">&nbsp;</span></td></tr><tr><td style="border-bottom:3px double black; border-left:3px double black; border-right:1px solid black; border-top:none; vertical-align:middle"><p style="text-align:center"><span style="font-size:13px"><strong><u><span style="color:black">İstenilen Tetkikler</span></u></strong></span></p><p style="text-align:center"><br></p><p style="text-align:center"><br></p><p style="text-align:center"><br></p></td><td colspan="6" style="border-bottom:3px double black; border-left:none; border-right:1px solid black; border-top:1px solid black; vertical-align:middle"><p style="text-align:center"><span style="font-size:13px"><strong><u><span style="color:black">Yönlendirildiği Yer</span></u></strong></span></p><p style="text-align:center"><br></p><p style="text-align:center"><br></p><p style="text-align:center"><br></p><p style="text-align:center"><br></p></td><td style="border-bottom:3px double black; border-left:none; border-right:3px double black; border-top:none; vertical-align:middle"><p style="text-align:center"><span style="font-size:13px"><strong><u><span style="color:black">Sonuç</span></u></strong></span></p><p style="text-align:center"><br></p><p style="text-align:center"><br></p><p style="text-align:center"><br></p></td></tr></tbody></table><table style="border-collapse:collapse" class=" cke_show_border" cellspacing="0"><tbody><tr><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; text-align:justify; vertical-align:middle"><span style="font-size:13px"><strong><span style="color:black">Not:</span></strong></span></td></tr><tr><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; text-align:justify; vertical-align:middle"><span style="font-size:13px"><span style="color:black">1. Kullanılan bir form yok ise kullanılacaktır.</span></span></td></tr><tr><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; text-align:justify; vertical-align:middle"><span style="font-size:13px"><span style="color:black">2. Hastanenin kullandığı hasta takip formunun üzerine bakıldığında ilk görülecek şekilde hasta kayıt no&#039;su büyük puntolarla muhakkak yazılacaktır.</span></span></td></tr><tr><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; text-align:justify; vertical-align:middle"><span style="font-size:13px"><span style="color:black">3. Hastanın ilk geldiği yerde doldurulmaya başlanır, hasta ile birlikte nakledilir ve doldurulmaya devam edilir.</span></span></td></tr></tbody></table><p><br></p>