Quick Medical Records ReviewCBC, Complete blood count; IV, intravenous; PRN, as necessary; UA, urinalysis.Face sheet: Age, sex, marital status/significant other, religion, occupation, residence, next of kin,address, allergies, insurance statusPrimary care provider’s orders:Admitting diagnosis; date of admission; current orders regarding diet,activity, frequency of vital signs measurement, daily weight, treatments, medications, diagnostic testsordered, IV fluids, therapies orderedNurse’s notes:Status during the past 24 hoursPrimary care provider’s progress notes:Findings from past 2 days’ status of problemsMedication administration record (MAR):Medications received, frequency of PRN medications, allergiesPrimary care provider’s patient history and physical examination: Current complaint, chronic problems,physical finding abnormalities, allergies, impressionsSurgery operative report:Procedure done, organs removed, type of incision, drains or equipment inplace, blood loss, problems during surgeryPathology report: Presence of malignancy or infectionCurrent diagnostic tests:Check for any abnormal findings: CBC, UA, blood chemistries, x-ray films,
