(8) Occupying beds.
Two basic files, the AAD file and the control file, are used to prepare the AAD
a. AAD File. This file contains the admitting plate units (or 3-inch by 5-inch cards)
of all patients for whom an entry on the report is required for the current day. Every patient
having activity has an entry on the report. Header plates or cards to identify the sections on
the report are in this file.
b. Control File. This file contains the admitting plates (or 3-inch by 5-inch cards)
of all patients on the rolls of the MTF but who are not included in the AAD file. The
arrangement of the file is established by local procedure but it must contain a "hold" section
for the admitting plates (or cards) of patients who are carried in a "change of status out"
category. This category is defined in later paragraphs.
c. Use. The files are used to reflect the activity occurring in an MTF.
admission, the admitting plate or patient data card (PDC) is filed in the AAD file behind the
appropriate header card. Header cards are explained in the following paragraph. As
other transactions (activities) occur, such as change in status, disposition, interward
transfers, etc., the patient's admitting plate (or PDC) is pulled from the control file and
placed behind the appropriate header card in the AAD File. Once the AAD report is
prepared, the file is cleared. This means that for patients remaining on the rolls, the
admitting plate (or PDC) is returned to the control file. For those patients who have been
dispositioned, the admitting plate (or PDC) is disposed of in accordance with local
1-17. AAD REPORT HEADINGS
The AAD report has five major headings. Each major heading has subheadings
which identify the transaction (activity) more specifically. Each of these headings has
specific meaning. Each is defined in the following paragraphs. The types of transactions
are listed in table 1-12. A header card and subheader card are prepared for each.
a. Gains (Admissions). The act of placing an individual under treatment or
observation in a medical center or hospital. The day of admission is the day on which the
medical center or hospital makes a formal acceptance of the patient who is to be provided
with room, board, and continuous nursing service in an area of the hospital where patients
normally stay at least overnight. The admission of newborn is deemed to occur at the time