How to clerk medial patients safely and efficiently
This blog post is for medical doctors and other allied health professionals who clerk patients. I am going to go through some basics first. What is clerking? This is a process whereby patients admitted under the medical specialty are seen by a junior member of the team and then the patient is seen by a consultant ( known as post take). There is a special clerking proforma which has the following sections: 1. Clerking doctors details: Name, role, GMC number, signature, Time and date 2. Presenting complaint and history of presenting complaint. 3. Past medical history 4. Social history *SMOKING - Smoker/ex smoker/non smoker -How much does/did (s)he smoke a day - If nicotine replacement therapy has been advised - if the patient has accepted/declined it *ALCOHOL -How many units a week - High/low risk? *Social circumstances - Whether (s)he lives alone - Any carers - if yes, how many times a day - Dependence level with activities of daily living ( whether needs assistance with washing, dr...