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Individual Medical Records Accurate medical records Accurate medical data are very important to: fi Assure high quality care fi Improve outcomes fi Help plan for improvements sooner or later through evaluation of information fi Facilitate affected person referral fi Provide statistics which assist establish organisms implicated in nosocomial infections fi Help following and evaluating nursing care the following should be included in the toddlerпїЅs medical document fi InfantпїЅs knowledge fi ParentsпїЅ information fi MotherпїЅs obstetric history fi Resuscitation information fi Initial assessment on admission > Measurement fi Weight, length, and head circumference fi Daily weight plotted on the growth chart, following the toddler’s development > Vital indicators fi Temperature fi Heart fee: counted in one minute fi Respiratory rate: counted in one minute fi Blood pressure (Refer to Appendix three) and capillary refill time > Full bodily examination > Gestational age assessment fi Using the brand new Ballard score, document the timing of examination and infantпїЅs name as found in the relevant part anxiety symptoms from work discount tofranil 75mg amex.