Lesson 1. Nursing Unit Forms and the Inpatient Treatment Record - Medical Records and Sick Call ProceduresPermanent and Temporary Forms - Medical Records and Sick Call ProceduresFigure 1-1. DA Form 3872, Nursing Service Personnel Time Schedule. - Medical Records and Sick Call ProceduresFigure 1-2. DA Form 4015, Nursing Care Assignment. - Medical Records and Sick Call ProceduresTemperature, Pulse and Respiration Record (DA Form 3950) - Medical Records and Sick Call ProceduresFigure 1-3. DA Form 3950, Temperature, Pulse and Respiration Record. - Medical Records and Sick Call ProceduresFigure 1-4. DD Form 792, Twenty-Four Hour Patient Intake and Output Worksheet (top [intake] section). - Medical Records and Sick Call ProceduresFigure 1-5. DD Form 792, Twenty-Four Hour Patient Intake and Output Worksheet (bottom [output] section). - Medical Records and Sick Call ProceduresDefinitions of Intake and Output - Medical Records and Sick Call ProceduresTable 1-1. Converting to millimeters (or cubic centimeters). - Medical Records and Sick Call ProceduresIntravenous Intake - Medical Records and Sick Call ProceduresIrrigation Intake - Medical Records and Sick Call ProceduresGrand Total Intake - Medical Records and Sick Call ProceduresChest Output. - Medical Records and Sick Call ProceduresVital Signs Record (SF 511) - Medical Records and Sick Call ProceduresPatient's Identification Section - Medical Records and Sick Call ProceduresFigure 1-6. SF 511, Vital Signs Record. - Medical Records and Sick Call ProceduresFigure 1-7. Partially completed SF 511. - Medical Records and Sick Call ProceduresMonth-Year/Day. - Medical Records and Sick Call ProceduresPulse Rate - Medical Records and Sick Call ProceduresBlood Pressure - Medical Records and Sick Call ProceduresTemperature - Medical Records and Sick Call ProceduresRespiration Rate - Medical Records and Sick Call ProceduresHeight, Weight, and Special Data - Medical Records and Sick Call ProceduresNursing Assessment and Care Plan (DA Form 3888 and 3888-1) - Medical Records and Sick Call ProceduresFigure 1-8. DA Form 3888, Nursing Assessment and Care Plan (front). - Medical Records and Sick Call ProceduresFigure 1-9. DA Form 3888, Nursing Assessment and Care Plan (reverse). - Medical Records and Sick Call ProceduresFigure 1-10. DA Form 3888-1, Nursing Assessment and Care Plan Continuation (front). - Medical Records and Sick Call ProceduresFigure 1-11. DA Form 3888-1, Nursing Assessment and Care Plan Continuation (reverse) - Medical Records and Sick Call ProceduresFigure 1-12. DA Form 4256, Doctor's Orders. - Medical Records and Sick Call ProceduresFigure 1-13. DA Form 4677, Therapeutic Documentation Care Plan (Non-Medications) (front) - Medical Records and Sick Call ProceduresFigure 1-14. DA Form 4677, Therapeutic Documentation Care Plan (Non-Medications) (reverse) - Medical Records and Sick Call ProceduresNursing Notes - Medical Records and Sick Call ProceduresFigure 1-15. SF 510, Nursing Notes. - Medical Records and Sick Call ProceduresFigure 1-16. SF 510, Nursing Notes, showing an admitting entry. - Medical Records and Sick Call ProceduresMaking Special Entries on the Nursing Notes - Medical Records and Sick Call ProceduresConfidentiality - Medical Records and Sick Call ProceduresExercises - Medical Records and Sick Call Procedures - MD09200044Exercises (Cont) - Medical Records and Sick Call Procedures - MD09200045Exercises (Cont) - Medical Records and Sick Call Procedures - MD09200046Exercises (Cont) - Medical Records and Sick Call Procedures - MD09200047Exercises (Cont) - Medical Records and Sick Call Procedures - MD09200048Exercises (Cont) - Medical Records and Sick Call Procedures - MD09200049Exercises (Cont) - Medical Records and Sick Call Procedures - MD09200050Solutions to Exercises - Medical Records and Sick Call Procedures - MD09200051Solutions to Exercises (cont) - Medical Records and Sick Call ProceduresLesson Assignment - Medical Records and Sick Call Procedures - MD09200053Lesson 2. Outpatient Records. - Medical Records and Sick Call ProceduresSection II. The Health Record - Medical Records and Sick Call ProceduresInitiating a Health Record - Medical Records and Sick Call ProceduresRight Side of File Folder. - Medical Records and Sick Call Procedures - MD09200057Right Side of File Folder (cont) - Medical Records and Sick Call ProceduresAccess to Health Records - Medical Records and Sick Call ProceduresFiling, Transfer,and Disposition of Health Records - Medical Records and Sick Call ProceduresChronological Record of Medical Care - Medical Records and Sick Call ProceduresFigure 2-1. SF 600, Chronological Record of Medical Care. - Medical Records and Sick Call ProceduresSection III. The Outpatient Treatment Record - Medical Records and Sick Call ProceduresContents of Outpatient Treatment Records - Medical Records and Sick Call ProceduresRight Side of File Folder. - Medical Records and Sick Call Procedures - MD09200065Filing Procedures - Medical Records and Sick Call ProceduresExercises - Medical Records and Sick Call Procedures - MD09200067Exercises (cont) - Medical Records and Sick Call Procedures - MD09200068Exercises (cont) - Medical Records and Sick Call Procedures - MD09200069Exercises (cont) - Medical Records and Sick Call Procedures - MD09200070Solutions to Exercises - Medical Records and Sick Call Procedures - MD09200071Lesson Assignment - Medical Records and Sick Call Procedures - MD09200072Lesson 3. Terminal Digit Filing System. - Medical Records and Sick Call ProceduresTable 3-1. Family member prefix codes. - Medical Records and Sick Call ProceduresFiling Sequence - Medical Records and Sick Call ProceduresTable 3-2. Identification of DA Form 3444-series file folders. - Medical Records and Sick Call ProceduresFigure 3-1. DA Form 3444-series file folder (DA Form 3444-2). - Medical Records and Sick Call ProceduresFigure 3-2. Series of DA Form 3444-series records showing a misfiled record. - Medical Records and Sick Call ProceduresInitiating a DA Form 3444-series folder - Medical Records and Sick Call ProceduresExercises - Medical Records and Sick Call Procedures - MD09200080Exercises (cont) - Medical Records and Sick Call Procedures - MD09200081Exercises (cont) - Medical Records and Sick Call Procedures - MD09200082Solutions to Exercises - Medical Records and Sick Call Procedures - MD09200083Lesson Assignment - Medical Records and Sick Call Procedures - MD09200084Lesson 4. Field Medical Card. - Medical Records and Sick Call ProceduresFigure 4-1. DD Form 1380, US Field Medical Card. - Medical Records and Sick Call ProceduresInitiating a Field Medical Card - Medical Records and Sick Call ProceduresEntering Additional Information on a Field Medical Card - Medical Records and Sick Call ProceduresInitial Disposition of the Field Medical Card - Medical Records and Sick Call ProceduresCompleting a Field Medical Card - Medical Records and Sick Call ProceduresCompleting a Field Medical Card (cont) - Medical Records and Sick Call ProceduresSupplemental Field Medical Card - Medical Records and Sick Call ProceduresExercises - Medical Records and Sick Call Procedures - MD09200093Exercises (Cont) - Medical Records and Sick Call Procedures - MD09200094Exercises (Cont) - Medical Records and Sick Call Procedures - MD09200095Exercises (Cont) - Medical Records and Sick Call Procedures - MD09200096Solutions to Exercises - Medical Records and Sick Call Procedures - MD09200097Lesson Assignment - Medical Records and Sick Call Procedures - MD09200098Lesson 5. Sick Call Procedures. - Medical Records and Sick Call ProceduresFigure 5-1. DD Form 689, Individual Sick Slip. - Medical Records and Sick Call ProceduresThe Sick Call Interview - Medical Records and Sick Call ProceduresComplaint of Pain. - Medical Records and Sick Call ProceduresLevels of Care in the Algorithm-Directed Troop Medical Care System - Medical Records and Sick Call ProceduresFigure 5-2. DA Form 5181-R, Screening Note of Acute Medical Care. - Medical Records and Sick Call ProceduresUsing the Algorithm-Directed Troop Medical Care System - Medical Records and Sick Call ProceduresSelect Appropriate Algorithm - Medical Records and Sick Call ProceduresExample of a Patient Interview Using Algorithm-Directed Troop Medical Care System - Medical Records and Sick Call ProceduresFigure 5-3. Algorithm TD-21: Cold (text). - Medical Records and Sick Call ProceduresFigure 5-4. Algorithm TD-21: Cold (flow chart). - Medical Records and Sick Call ProceduresFigure 5-5. Algorithm TD-15: Sore throat (text). - Medical Records and Sick Call ProceduresFigure 5-6. Algorithm TD-15: Sore throat (flow chart). - Medical Records and Sick Call ProceduresEmergency Treatment - Medical Records and Sick Call ProceduresPrepare for Emergencies. - Medical Records and Sick Call ProceduresPerform Follow-up Measures - Medical Records and Sick Call ProceduresExercises - Medical Records and Sick Call Procedures - MD09200115Exercises (Cont) - Medical Records and Sick Call Procedures - MD09200116Exercises (Cont) - Medical Records and Sick Call Procedures - MD09200117Exercises (Cont) - Medical Records and Sick Call Procedures - MD09200118Exercises (Cont) - Medical Records and Sick Call Procedures - MD09200119Solutions to Exercises - Medical Records and Sick Call Procedures - MD09200120Medical Records and Sick Call Procedures