Information Governance Records Management Guidance Note Number 007: Health Records Policies and Procedures Polices and Procedures

015. Filing of Loose Documentation

8. Opening Statement

During the course of a patients' treatment within the hospital, many documents and reports are produced by the various clinical and laboratory departments concerned with the patients' care. These documents and reports arrive at a variety of destinations within the hospital. Health Records, ward clerks and medical secretarial staff are responsible for ensuring loose documentation is timeously and correctly filed within the Health Record folder.

9. Health Records Department

Describe procedures and accountability for loose documentation

10. Medical Secretarial Level

Describe procedures and accountability for loose documentation

11. Ward Level

Describe procedures and accountability for loose documentation

12. Accident and Emergency

Describe procedures and accountability for loose documentation

Definition of Terms & Acronyms

Reference (National/local guidelines, standards and legislation)

Links (related policies and guidance) can also include web links if applicable