Accident & Emergency

Currentlythepatient'sprimary
contactisthetriagenurse.

Triage

ThePatientcomesintothe
waitingareaandsitsthereuntil
thetriagenursecallshim/herfor
evaluation.

Doctor

Thenursewritesupthetriage
sheetandforwardsthat
informationtothedoctorwhothe
conductstheconsultation.

Clerk

X-Ray

Lab

Doctor
Billing
Clerk
Records
Clerk

Ward

Uponconcludingtheinitial
consultationwiththepatient,the
doctorthenmakesaneducated
decisionastowhatmaybethe
patient'scondition.Toconfirm
thisthedoctormaythenordera
labtestorxray.Thedoctormay
alsoatthistimerequestthatthe
patientbeadmittedtowardand
keptforobservation.Medication,
ifany,isalsoprescribedatthis
time.
Whenthepatientshave
completedtheirstayatthe
hospital,theythenmovetothe
billingclerkwhocollectsany
moniesforproceduresandor
servicesrendered.
Thefilethenmovesontothe
recordsclerkwhowillcodethe
dischargesandifnecessary,the
underlyingcauseofdeath.

Outpatient(Clinics)
Currentlythepatient'sprimary
contactistherecordsclerk.

Clerk

Thepatientcomesintothe
waitingareaandsitsthereuntil
thetriagenursecallshim/herfor
evaluation.

Triage

Thenursewritesupthetriage
sheetandforwardsthat
informationtothedoctorwhothe
conductstheconsultation.

Doctor

XRay

Lab

Doctor
Billing
Billing
Clerk
Clerk
Records
Records
Clerk
Clerk

Ward

Normally,whenapatientattends
aclinic,theyalreadyhavea
suspecteddiagnosis,orinmost
casesaconfirmeddiagnosis.
Clinicsareusedmainlyasfollow
upsessionstomonitorpatient
progressaftertheyhavebeen
dischargedfromthehospital.
Duringaclinicsessionthedoctor
mayorderalabtestorxray.
Medication,ifany,isalso
prescribedatthistime.
Specialcasesexistswhere
patientsareadmittedtoward
fromclinics.
Whenthepatienthascompleted
theirclinicvisit,he/shethen
movestothebillingclerkwho
collectsanymoniesfor
proceduresandorservices
rendered.
Thefilethenmovesontothe
recordsclerkwhowillcodethe
discharges.

InPatient
Currentlythepatient'sprimary
contactistherecordsclerk.

Clerk

Iftheneedforadmissionhas
beenconfirmed,theclerkgoes
andinterviewsthepatient,pullor
createthedocket,fillsoutthe
necessaryinformation(biodata)
andthendeliversthedocketto
thenurse.

Triage
Doctor

XRay

Lab

Doctor
Billing
Clerk
Records
Clerk

Ward

Whenbedavailabilityhasbeen
confirmed,thepatientisthen
carriedtothewardandcareis
continuedontheward.
Nursescontinuetotakevitalsand
writetheirnotes.
Doctorscontinuetomonitor
statusandmayorderprocedures,
medication,orotherservicesas
theyseenecessary.
Whenthepatienthascompleted
theirstay,he/shethenmovesto
thebillingclerkwhocollectsany
moniesforproceduresandor
servicesrendered.
Thefilethenmovesontothe
recordsclerkwhowillcodethe
discharges.