Flow charts (Available on ABC ward)

Record each days blood results, especially the important and complicated cases. Results must be kept up to date daily.

• Record a summary of iv fluid therapy, especially blood products. Fluid charts may not be kept after the patient has been discharged, and it may not be clear later if a patient has been transfused if this is not recorded in the clinical notes.

• Record date of diagnosis of wound infection and date of healing Record the dates that sutures and drains were removed

• Record arrangements for outpatient follow up, including suture removal, dressings Make sure you record drugs prescribed at the time of discharge from hospital Record if a decision was made not to review the patient in the outpatient clinic

Sign legibly ALL entries in the chart and print name underneath.