Member-only story
THE NOTE THAT PROTECT BOTH THE PATIENT AND THE HEALTH WORKER
Importance of documentation in the health care system especially primary sector
Documentation is also part of the treatment
putting down every step taking while attending to a patient is very necessary starting from the history, vitals, assessment, treatment, health education and next visitation, putting down everything helps in the management of healthcare services and makes the work more easier
This is why it is important
If not documented some of the information gathered during the patient’s visit will disappear as soon as the health worker’s shift ends, therefore, if properly documented, it can help another health worker to understand the patient’s condition without having to depend entirely on memory or verbal explanations
Patient’s card servers as a bridge between healthcare providers, this is because patients may be seen by different health workers on different days, The person attending to a patient today may not be same person who attends to that patient during the next visit.
Healthcare is not a one-time interaction, therefore proper documentation/record supports continuity of care and allow the healthcare worker to follow the patient progress over time
