To Collect the information and maintain records of the patients from registration to discharge (All Discharge, DAMA and Death patient’s records).
As soon as the discharge of the patient is finalized by the treating Consultant, the nursing staff of the ward initiates the discharge process in the HIMS.
Discharge summary, Nursing notes, operating room records, shall be attached with the Case files and the same shall verified as per MRD checklist by nursing in charges and files shall be sent to MRD within 48 hours of Discharge.
MRD department located in Basement area of GAIMS.
To check (Audit) the records as per the checklist for completion and getting incomplete records completed without any delay.
To Submit the periodic reports (Birth/Death notification/ notification of communicable disease) as required by health authorities.
To file and safe storage of records.
To maintain safe/secure preservation of records for the period mandated by law.
Implement and maintain a Master patient Index within the medical record department.