1st Level Records

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GENERAL CONSIDERATIONS: Health records used to support First-Level Priority problems are the first health records the Health Guardian collects. To those new to maintaining their own health records, it can seem like a quagmire of paperwork. Prioritization can bring peace of mind, to the otherwise nightmare.

ISSUES: There are just too many, time consuming records, that could add value in the complimentary health care practice, and most of them are best maintained in the home. For beginners, how do you know which to start with, and which can wait until later. Of course, product vendors will tell you the records that build the case for their product are the most important. How can the Health Guardian know the truth?

STRATEGY: This prioritization method is based on the same criteria found in many emergency rooms, but here we are triaging records instead of bodies. Priority setting can also evolve overtime, with changes in priority depending on the relationships between and severity of problems the Health Guardian is addressing. 

  1. FIRST-LEVEL We assign higher priority to the health records supporting first-level priority problems such as airway, breathing, and circulation pathologies.
  2. SECOND-LEVEL Next assign a lessor priority to the health records supporting second-level priority problems, which include mental status changes, acute pain, infection risk, abnormal laboratory values, chronic illness, and elimination problems.
  3. THIRD-LEVEL Then we might address the health records of third-level priority problems such as lack of knowledge, mobility problems, strengthening organ systems, and family responses.

Each of these types of records, first, second, and third level records have different purposes and use. It makes sense to treat them differently. In this post First-Level Priority Records will be considered, followed by other posts describing Second-Level and Third-Level health records.

The First-Level problems are those that are emergent, life threatening, and immediate, such as establishing an airway or supporting breathing. These records form an emergency database. This is a collect of crucial information and is often compiled with concurrently with lifesaving measures. To increase our current state of readiness for first-level problems, we may decide to create a list of emergency health providers and their contact information. Of course, you may want to train in first aid, or CPR, but when talking about health records, it's more about documents than about Epinephrine injection protocols.

THE EMERGENCY CONTACT FORM typically lists all those on your Primary Care Team which not only provides the contact information of your Primary Care physician but also those such as your Dentist, Chiropractor, Nutritionist, Pharmacist, Physical Trainer, Psychologist, and Ophthalmologist. This contact form should also include others such as babysitter, next of kin, pastor or clergy member, school teachers and administrator, and employer. 
The phone number to a local ambulance and EMS team is also a good idea.
Now if this EMERGENCY CONTACT FORM is completed, and then tucked in a desk drawer that no one can find, it will not be as effective as if it were posted in plain sight and clearly labeled so it can be found in an emergency.

Another First-Level health record is one section of your PANTRY INVENTORY LIST. Pathology Prevention is about readiness. You might have all the best intentions in the world, but your readiness for an emergency is what counts when you are the one losing blood in a lawnmower accident. You need to have a section in your pantry dedicated to emergency preparedness.
The Pantry Inventory List is used to assure that the things you plan on having access to will be there when needed, whether it is a cup of flour, a pinch of spice, or medical supplies. Typical items found on the Pantry Inventory List that support First-Level problems for the Health Guardian are bandages, an eye patch, limb braces, inhalers, injection supplies, and medication.

You might also consider EMERGENCY MEDICAL LEGAL FORMS, waivers, advance directives, and permission slips. When using a first-level prioritization system, begin with these types of Medical Records. Once completed to your satisfaction, it would make sense to consider second-level problem support.


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