If teachers can’t teach without their lesson plans and engineers can’t start with any project without their sketch plan, doctors can never experience success in every mission without having the accurate medical records charts. A doctor is the one who can take good care of my personal health. He is a graduate of a degree. Has passed the licensing exam and exposed to various health problems. He can’t practice his earned profession if he is not fully committed and not qualified because it takes real knowledge, skills and experience to provide the right health care.
Medical records charts can even be called medical record, heath record, and medical chart. These are the complete records of the patient’s medical history so the doctor can think of the right treatment he needs. Such medical chart is confidential and would greatly aid a doctor in everything he does. However, if the doctor has the right to make detailed record of everything, he also has the freedom to tell it to the right person if not to the patient, to his family or relatives. The family has the right to know the condition of their loved ones. They have the right to speak to the doctor so in case their support is greatly needed, they can better provide.
The medical records charts involved all essential notes concerning the patient’s condition. The notes are crucial when making diagnosis and treating patients. Notes can be the ff: up to date observations, x-ray test results, therapies and medications, drugs prescribed, patient’s health habits, and more. These are all crucial in every aspect of the medication stage.
For easy access of information and to avoid problems, medical records charts should be filed accordingly. The doctor needs to be well organized with the papers or notes since it would be dangerous to commit mistakes. Health care providers are not about the bill or the success of the operation, they are about saving the lives of their patients. So, every file should be accurate, correct and updated. Constant observations for the patients must be recorded and in case of sudden changes, alternative ways should be listed.
Doctors’ must haves include the medical records charts for they have the latest copy of the patient’s real condition of the patient and at the same time, to provide them the right treatment. Records must be shown only to authorize persons to avoid problems. Attempt to plagiarize the record can put anyone to great shame and dishonor. These records are vital not only in making diagnosis but even in the planning and administering stage of every medical procedure.