Posts Tagged ‘medical record keeping’

ELDERCARE: Avoid Common Record Keeping Errors

March 11, 2010

How To Avoid Common Record Keeping Errors

Keeping good medical records is a cornerstone of good care giving. Caregivers for the elderly or infirmed should assist on keeping track of their parent’s health records. This can be a daunting task as many seniors control issues can be triggered by this arrangement, but it is critical.

Seniors generally see multiple physicians who may prescribe several medications for a variety of conditions. Keeping good medication and medical records can help prevent dangerous medical and medication errors if the senior is not able to speak for themselves.

Good record keeping entails keeping track of medical history – that includes pre-existing conditions, past surgeries, hospitalizations, family medical history, doctor names and emergency contact information, and a complete list of all prescribed and herbal medications being taken.

These types of lists are vital for emergency visits!

Those assisting seniors can help them keep an updated medication list (including over the counter medications) on a computer or in a notebook. Make a routine of updating the records after every visit or trip to the pharmacy. An updated list makes it easier for everyone since the first question most doctors ask for is the patient’s list of medications and any changes since they were last seen. Even if they are not available for every appointment, the caregiver can be confident that the up to date information can make it to the appointment with someone else.

Expiration of prescriptions should be monitored to avoid delays when a prescription renewal is needed.

Take these lists to every Dr.’s appointment along with a list of any other issues your senior or their family may want to address. These simple steps help to ensure that the medical professionals provide accurate care.

To learn how to keep health records for the elderly or infirmed visit for a training session in your area.