On admission to the hospital:<br><br>
What is the reason for medical consultation?<br>
Can the patient talk?<br>
Can the patient respond to verbal questions accurately?<br>
Does the patient respond to painful stimulus?<br>
Ask the patient these questions:<br>
Where are you now?<br>
What time is it?<br>
Can the patient walk on his/her own?<br>
Is the patient able to eat on his own?<br>
Can patient go to the toilet on his/her own?<br>
Who brought the patient to the hospital?<br>
Referral, follow-up. Walk in:<br>
Who referred the patient?<br>
What is the reason for referral?<br>
What are the vital signs?<br>
What are the findings after a physical examination?<br>
In case of injured patient:<br>
Where exactly is the injury?<br>
What type of injury is it?<br>
When and how did this injury occur?<br>
What facts should be included in the incident report?<br>
Are any tests or lab investigations required?<br>
Why are the tests or lab investigations required?<br>
Why couldn't they diagnose and manage the situation within their area?<br>
What is the reason for admission to the hospital?<br><br>

Is admission to the hospital justified?<br>
On discharge from the hospital:<br>
Was admission to the hospital justified?<br>
What is the medical advice on hospital discharge?<br>
Who will do an audit of this medical advice?<br>
If done properly, most admissions to hospitals aren't required.<br><br>

Who has the duty and responsibility to provide correct answers to these questions?<br><br>
Hospital patient



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On December 23, 2009, this update was given through The Medical Superintendent SKIMS and associates.<br><br>
 
�He is communicative and he is also taking his medicines orally. But he can�t move his right arm and his right leg is also partially mobile. He didn�t need any special medical attention. In such cases, the patient recovers with time and if his family wishes they can take him home."<br><br>

He is communicative is a vague term.<br>
Precise answers are needed to these questions:<br>
Can he take oral medicines on his own?<br>
Does he move any extremity on instructions?<br>
What extremities can the patient move on instructions?<br>
Where is the lesion or precise affected area of the brain?<br>
As per them, he didn�t need any special medical attention.<br>
I disagree.<br>
Does he need special medical attention?<br>
Yes.<br>
Why does he need special medical attention?<br>
He hasn't recovered completely.<br>
His neuro deficit at this stage can't be declared as permanent.<br>
Medical doctors attending him at SKIMS haven't answered all questions precisely.<br>
His treatment on hospital discharge has to be deliberated fully.<br>
How has the wound been closed?<br>
What is the current treatment?<br>
What are the treatment options?<br>
His safety and all other needs at home have to be ensured prior to discharge from hospital.<br>
How many police stations are there in Srinagar in 1600 square miles?<br>
How many workers are there?<br>
Which police station looks after his vicinity?<br>
Who will care for him at home?<br>
Do they have enough food, clothing, habitable housing needs, transportation for follow-up, and security for those who care for him?<br>
Who will give the final advice on hospital discharge?<br>
How often should there be hospital follow-up?<br>
What is the recovery time?<br>
Will the patient recovery completely?<br>
What is the advice on hospital discharge?<br>
What should be the advice on hospital discharge?<br>