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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