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Analysis of the written reports of service in relation to the fitness, quality and efficiency of the service should be provided. The routine record-checking is always insufficient, because the staff will depend upon the checked record to locate errors and omissions. The record review can be done - first the outside of the fanily record, then the inside of the family record, next the special service sheet, and lastly the record of the social factors. The items that are to be checked include types of cases, nature of service and medical supervision to check whether it is adequate. l'he coordination of medical and nursing super~lisiori, the content of the service like the bedside care, demonstration, instruction and adjustment to familt1 needs, consideration of social factors like social history, cooperation with other social agencies, need to be checked. The supenisor should encourage the staff to maintain the records accurately and
Maintenance of Anecdotal records: The anccdotal records of objective descri ptions of behaviour, as it occurs at a given time, place and circumstances are to be maintained. They are continuous in the sense that sequential records are kept about a staff's behaviour over relatively long periods of time. They are objective so far as they describe what the staff has done or accomplished. Interpretation and evaluation are kept separate from the descriptions of the work done. The anecdotal observation can later fornl the basis of evaluation by aiding human memory which is both falliable and selective. It should be written immetliately following each observation.
Congenital Defects Related to Kidney/Upper Urinary Tract i) Renal Agenesis A new born baby with this condition may show low set ears, flat nose, prominent epicanthic
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