Get 4975 Orthopaedic Clerking Sheet V4 - Nhfd - Nhfd Co

The 4975 Orthopaedic Clerking Sheet V4 is an essential document for collecting and documenting patient information in orthopaedic trauma cases. This guide provides clear, step-by-step instructions to help users complete the form online effectively and accurately.

Follow the steps to complete the clerking sheet online efficiently.

1. Press the ‘Get Form’ button to access the 4975 Orthopaedic Clerking Sheet online and open it in the editor.
2. Begin by entering the patient's date of birth, hospital number, and NHS number in the designated fields to ensure accurate identification.
3. Fill in the presenting complaint and history of the presenting complaint sections with concise and relevant information regarding the patient's condition.
4. Record the incident details, including the mechanism of injury. Use the options provided such as RTA (road traffic accident) or other means, and include specific circumstances if applicable.
5. Document any significant events leading to the patient's fall, ensuring to mention if they experienced any medical symptoms such as palpitations or loss of consciousness.
6. Enter the patient's past medical history, allergies, and drug history in the appropriate fields to give a complete overview of their health background.
7. Complete the social history section by detailing the patient's occupation and living situation, which can provide context for their recovery process.
8. Fill out the system inquiry section regarding the patient's walking ability and accompanying details before admission, marking the appropriate options as applicable.
9. Proceed to assess the airway, breathing, and circulation, filling out the relevant observations such as respiratory rate and blood pressure.
10. Conduct and document the neurological assessment, including metrics such as the Glasgow Coma Scale and any findings from the spinal assessment.
11. Complete the musculoskeletal area examination and Nottingham Hip Fracture Score calculations, ensuring to input all necessary values.
12. Finish by reviewing the treatment regime prompt and confirming initial treatments planned, followed by signing and dating the form.
13. Once all fields are complete and information has been reviewed, save your changes, and you may then download, print, or share the completed form as needed.

Complete the 4975 Orthopaedic Clerking Sheet online to ensure comprehensive patient care documentation.