Blood Test Result Documentation
All blood test results should state clearly when the sample was taken, when the test was performed and when the results were communicated and in addition serum sodium results should be recorded on the Fluid Balance Chart.
- No independent published verification of implementation has been identified.
How was this evidence gathered?
Response
Accepted
Response
AcceptedBlood test documentation standards updated. Serum sodium recording on fluid balance charts implemented.
Published Evidence
Published assessments of progress from inspectorates, select committees, official progress reports, and other sources. Source type badge indicates whether each assessment is independent or government self-reported.
Blood test documentation standards updated. Serum sodium recording on fluid balance charts implemented. Prescribing documentation and clinical record-keeping standards (recs 24-29) largely implemented.
View detailed findings
Recommendations 24-29 covered clinical documentation standards including blood test results, drug prescription documentation, recording of clinical discussions, and record-keeping audit. These practical improvements have been implemented across HSC Trusts.