Hospital Daily Census Report

  • November 2019
  • PDF

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  • Words: 413
  • Pages: 1
(For non-departmentalized hospital)

__________________________________________ (Name of Hospital) __________________________________________ (Address)

HOSPITAL DAILY CENSUS REPORT Service ______________________________

Floor/ Section _______________________

For the 24- hour ended midnight of: Date ______________________ ADMISSIONS Hospital Room no. no.

Patient’s Name

Time

Hospital no.

DISCHARGES Room Patient’s Name no.

Time

DEATHS

CENSUS SUMMARRY FOR THE DAY 1. Reamaining from yesterday’s midnight report. . . . . . . . . . . . . . . . . . . . _______________________ 2. Admissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _______________________ 3. Total of No. 1, 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _______________________ 4. Disharges (Alive) this census day . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _______________________ 5. Deaths . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _______________________ 6 Total of 4, 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _______________________ 7 Remaining at 12:00 midnight [ (3) minus (6) ] . . . . . . . . . . . . . . . . . . . . _______________________ 8. Admitted and discharged on same day. . . . . . . . . . . . . . . . . . . . . . . . . . . _______________________ 9. Total in-patient service days of care [(7) plus (8) . . . . . . . . . . . . . . . . . . _______________________

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