Standardizing the documentation process for Child Health Service, ensures that all relevant patient information is accurately recorded and easily accessible. By following this SOP, healthcare providers can ensure that patients receive timely and appropriate care, facilitate continuity of care, and support data collection for quality improvement initiatives. This SOP also aims to streamline workflows and reduce the risk of errors in patient records.
Follow the step for documenting Child Health service in Outpatient:
Log in Outpatient.
Search for the patient file. You can search for the patient file using any of the following methods:
Visits - This shows you a list of all visits for the day. If patients are not checked out in the system, the visit automatically gets checked out after 24 hours.
All Visits - Here you can search for patients using Phone number or Evax ID only. It shows you patient visit history.
Recent Activity - This shows you a list of files that you have recently opened and the time you accessed the file.
Go to the visit screen and click the plus icon on services to add a Child Health service.
CHILD HEALTH TAB
HIV Details Section
CPT Status - If the patient is taking Cotrim select Positive, else, select Negative or Unknown.
Baby Exposure Section
Exposure To HIV - If the child is exposed to HIV select Yes.
EIP Status - Enter early Infant profilaxis
AZL - If AZL was given, you should be able to select any of the provided option.
NVP - If NPL was given, you should be able to select any of the provided option.
Cotrim Status - Should be offered to babies after 6 weeks.
Baby Details
Infant Feeding Choice - Select the feeding choice for the baby.
Breast Feeding Status - Select the breast feeding status
Any Illness - Write any illness that the baby has.
SERVICE PROVIDER