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New Referral Received: Outpatient Appointment Central Booking: Sends Family Form 1 To Family Family: Completes Family Form 1 To Central Booking Central Booking: Family Form 1 on PiMS Prepares Medical Record Files Family Form 1 To Medical Records The Central Booking Office receives and processes the new referral. The office sends an appointment to the parents/patient to be seen in Outpatients or on a ward. Family Form 1 is sent with the appointment – it is an essential registration document that parents need to complete and return. When a newly referred patient is to be seen as an outpatient, the following process takes place… Medical Records: Inserts a Birth History Inserts an Immunisation and Infectious Disease Record Medical Records: Medical Record sent to OPD OPD Reception: Checks Family Form 1 completed Updates PiMS Doctor: Completes Birth History Completes Immunisation and Infectious Disease Record Assesses child Records on white continuation paper Option Family to Pre-Admission Clinic * = Family Form 2 may be reused for subsequent admissions for up to one year Family: Completes Family Form 1 To OPD Reception Nurse or Administrator: Gives Family Form 2* Family: Completes Family Form 2 or Takes away to bring on admission Nurse: Reviews Family Form 2 with Family Annotates as necessary: Family Form 2 Birth History Immunisation and Infectious Disease Record Commences Patient Assessment Form New Referral Received: Outpatient Appointment Central Booking: Sends Family Form 1 To Family Family: Completes Family Form 1 To Central Booking Central Booking: Family Form 1 on PiMS Prepares Medical Record Files Family Form 1 To Medical Records The parents completed Family Form 1 and return it to the Central Booking Office or other nominated department in a pre-paid envelope. The Central Booking Office records the information provided on Family Form 1 onto PiMS, files it with the referral letter in the patient’s medical records, and sends them to the Medical Records Department. Medical Records: Inserts a Birth History Inserts an Immunisation and Infectious Disease Record The Medical Records Department prepares the patient’s medical record for the outpatient appointment. They insert a Birth History Form & Immunisation and Infectious Disease Record into the front of the patient’s record. Medical Records: Medical Record sent to OPD The medical record is sent to the area where the patient will have their appointment. OPD Reception: Checks Family Form 1 completed Updates PiMS Doctor: Completes Birth History Completes Immunisation and Infectious Disease Record Assesses child Records on white continuation paper Option Family to Pre-Admission Clinic * = Family Form 2 may be reused for subsequent admissions for up to one year Family: Completes Family Form 1 To OPD Reception Nurse or Administrator: Gives Family Form 2* Family: Completes Family Form 2 or Takes away to bring on admission Nurse: Reviews Family Form 2 with Family Annotates as necessary: Family Form 2 Birth History Immunisation and Infectious Disease Record Commences Patient Assessment Form New Referral Received: Outpatient Appointment Central Booking: Sends Family Form 1 To Family Family: Completes Family Form 1 To Central Booking Central Booking: Family Form 1 on PiMS Prepares Medical Record Files Family Form 1 To Medical Records Medical Records: Inserts a Birth History Inserts an Immunisation and Infectious Disease Record Communication support needs must be assessed to enable full participation in the assessment process and a complete Medical to Records: assessment be made. Medical Record sent to OPD OPD Reception: Checks Family Form 1 completed Updates PiMS Doctor: Completes Birth History Completes Immunisation and Infectious Disease Record Assesses child Records on white continuation paper The doctor or other competent health Option care professional asks the past medical Family historytoofPre-Admission the patient. TheClinic birth part of this history is recorded on the Birth History Form. The patient’s immunisation & infectious disease history is recorded on the Immunisation & Infectious Disease Record. of the assessment is *= Family The Formrest 2 may be rerecorded on white continuation paper. used for subsequent admissions for up to one year The receptionist in the area where the patient is having their outpatient appointment checks that Family Form 1 has been fully completed. They also check the patient’s details for changes to their circumstances and update PiMS where necessary. Family: Completes Family Form 1 To OPD Reception Nurse or Administrator: Gives Familywho Form Parents/patients have2*not returned a completed Family Form 1 are asked to complete one before the patient has their appointment. Family: Completes Family Form 2 or Takes away to bring on admission Nurse: Reviews Family Form 2 with Family Annotates as necessary: Family Form 2 Birth History Immunisation and Infectious Disease Record Commences Patient Assessment Form New Referral Received: Outpatient Appointment Central Booking: Sends Family Form 1 To Family Family: Completes Family Form 1 To Central Booking Central Booking: Family Form 1 on PiMS Prepares Medical Record Files Family Form 1 To Medical Records Medical Records: Inserts a Birth History Inserts an Immunisation and Infectious Disease Record Medical Records: Medical Record sent to OPD OPD Reception: Checks Family Form 1 completed Updates PiMS Some patients may be asked to attend a Doctor: Pre-Admission Clinic on the same day as Completes Birth History their outpatient appointment. Where this Completes Immunisation and occurs, the Pre-Admission Clinic Infectious Disease administrator checks Record the patient's records Assesses child to ascertain if there is an existing current Family Form 2. Records on white continuation paper Option Family to Pre-Admission Clinic * = Family Form 2 may be reused for subsequent admissions for up to one year Family: Completes Family Form 1 To OPD Reception Nurse or Administrator: Gives Family Form 2* Family: Completes Family Form 2 or Takes away to bring on admission If the patient has significantly changed, or the Nurse: form has become illegible due to repeated Reviews Familymay Form withto Family admissions, the parents be 2 asked complete Annotates as necessary: a new form. Family Form 2 Birth History Immunisation and Infectious Disease Record Commences Patient Assessment Form New Referral Received: Outpatient Appointment Central Booking: Sends Family Form 1 To Family Family: Completes Family Form 1 To Central Booking Central Booking: Family Form 1 on PiMS Prepares Medical Record Files Family Form 1 To Medical Records Medical Records: Inserts a Birth History Inserts an Immunisation and Infectious Disease Record Medical Records: Medical Record sent to OPD OPD Reception: Checks Family Form 1 completed Updates PiMS Doctor: The patient should be actively engaged Completes Birth History whenever possible, encouraged to Completes Immunisation and and provide information for themselves, Infectious Disease Record to be involved in the assessment process. Assesses child Records on white continuation paper Family OptionForm 2 may be reused for up to one year and annotated for subsequent Family to Pre-Admission Clinic admissions. * = Family Form 2 may be reused for subsequent admissions for up to one year If there is not a current Family Form 2, the administrators of the Pre-Admission Clinic Family: give the parents this form to complete prior Completes Form 1 appointment. to seeing Family the nurse for their To OPD Reception Nurse or Administrator: Gives Family Form 2* Family: Completes Family Form 2 or Takes away to bring on admission Nurse: Reviews Family Form 2 with Family Annotates as necessary: Family Form 2 Birth History Immunisation and Infectious Disease Record Commences Patient Assessment Form New Referral Received: Outpatient Appointment Central Booking: Sends Family Form 1 To Family Family: Completes Family Form 1 To Central Booking Central Booking: Family Form 1 on PiMS Prepares Medical Record Files Family Form 1 To Medical Records Medical Records: Inserts a Birth History Inserts an Immunisation and Infectious Disease Record You have now reached the end of this demo Medical Records: Medical Record sent to OPD OPD Reception: Checks Family Form 1 completed Updates PiMS Doctor: Completes Birth History Completes Immunisation and Infectious Disease Record Assesses child Records on white continuation paper The Nurse at the Pre-Admission Clinic reviews the information provided by the Option parents/patient on the Family Family to Pre-Admission ClinicForm 2, completing any outstanding aspects, and records any additional information on PiMS. This may be delegated to the ward administrator. The nurse also reviews the birth, immunisation & infectious disease * =history Familyannotating Form 2 maythe be appropriate rerecords used for subsequent as required. The rest of the assessment is admissions to Patient one yearAssessment Form. recordedfor onup the Family: Completes Family Form 1 To OPD Reception Nurse or Administrator: Gives Family Form 2* Members Family: of the multi-disciplinary team are responsible for the recording of any Completes Family Form 2 or additional data they identify on PiMS. Takes away to bring on admission Nurse: Reviews Family Form 2 with Family Annotates as necessary: Family Form 2 Birth History Immunisation and Infectious Disease Record Commences Patient Assessment Form