In short
An allegation directed at an intensive-care physician is looked for in the hour and the signature on the observation chart. The chart carries breathing, circulation, consciousness, and at which hour, and by whom, the treatment that was given was written. If the line is blank, it is not assumed that the patient was seen at that hour. If the line is full, the allegation is not built before the value that was written is seen. The family not being called is not the subject of this chart. A sum is not in this text.
The line looked for on the chart
If the allegation says the physician did not see the deterioration, the place that is looked for is the hour at which the value that deteriorated was written. The physician note after that hour carries separately whether the value was seen. If the note writes the value again, the allegation is read with this repetition. If the note builds another sentence without mentioning the value at all, the two lines are left side by side. One does not erase the other. The repetition is not completed on this page as a judgment of having been seen. A judgment that is not completed does not write a fault percentage either.
If there is no chart, the allegation is not tied to the hour in the family's memory. If the hour is not on the form, it is not there. If arrival in intensive care comes from the emergency handover, the arrival hour can be the first line of the chart. The wait in emergency is not melted inside this first line. If the arrival note copied the previous ward's discharge summary, the copy does not take the place of the intensive-care observation. The observation is in the boxes after admission.
More than one value may have been written at the same hour. If blood pressure, breathing, and consciousness stand on the same line, each is read from its own box. If one is disordered and the other was not written, the box that was not written does not erase the judgment of the disordered one. The disordered one does not fill the box that was not written either. A multitude that does not fill is not turned into a single allegation.
The opposing party is not chosen from the first signature on the chart. According to the type of institution, the defendant is in the writing on the defendant in a malpractice action. The physician's name is not completed as a single addressee at every admission. A name that is not completed does not erase the institution's line either. The criminal path and the compensation path are not separated by themselves from a single figure on the chart. The separation is in the writing on criminal proceedings and compensation. This page does not choose a type of offence.
The hour and the signature
The hour is the moment the measurement was written. The signature, or the user name, is the person who wrote that measurement. If the two do not stand together, the missing piece is not treated as completed. A signature that cannot be read is not filled by choosing a name from the duty list. The list can show who was on the ward at that hour. The list does not sign the box on the chart by itself. The physician on the list appearing on duty at that hour does not mean they saw the figure in the box.
If an electronic record has a user and hour column, the column is read. If there is no column, the hour put by hand speaks. A claim that the handwritten hour was added later is the subject of two copies. This page does not build that claim, and it does not write how the column would be changed. That reading is in the record on a change of the medical record. If there are two printouts, one full and one blank, both are kept. One is not taken as the basis by erasing the other.
Whichever part of the day the hour stands in, that part is read. A night shift and a day shift are separated from the chart's own hour. A change of shift does not erase the value in the box. If the value was never written in the handover note, the handover note is left as not carrying that value. Not carrying it does not mean the value was never measured. Whether it was measured is asked from the box itself.
How many hours will be counted as fault is not in this text. The interval is read from the form's own column width. The column is not turned into a standard period on this page. A period that is not turned does not make a blank box full either.
The nurse's box and the physician's order
The nurse's hourly box is not the physician's visit note. The order writes by whom the medicine or the intervention was asked for. If the allegation is written against the physician, the order and the visit note are looked for. A single figure in the nurse's box does not build a judgment that the physician saw that figure. If the physician note mentions the figure in the box, it is read as mentioning it. If it does not mention it, it is not treated as having mentioned it. A mention that is not counted does not erase the nurse's box either.
The ventilator setting, urine output, and the consciousness line may have been written by different persons at the same hour. Different persons are not made the addressee of the same allegation. The addressee is the person named in the allegation whose signature stands on that line. If the name and the signature part, the parting is written. The parting is not a finding of fault. If the name that wrote the order and the name that filled the box differ, the difference is kept. The difference does not stick one person's act onto the other.
If the medicine hour stands after the order hour, the order of time is written. The order of time does not produce how many minutes the delay will be counted as. A minute that is not produced is not read as if the order had never been written either. If there is no order, the administration line is not completed as the physician's request. A request that is not completed does not make the nurse's own line a physician's signature either.
The consulting physician's note is not the intensive-care physician's visit sentence. The consultant's note stands at its own hour. If the intensive-care note does not repeat that sentence, it is left as there being no repetition. The absence of a repetition does not, by itself, build a judgment that the consultation was never read. An absence that does not build it does not melt both notes into a single allegation.
A notice line is not this chart
Notice not being given to the family does not mean the observation figure was written wrongly. To whom information will be given is in the record on information in intensive care. Opening the information to an unrelated person is in the record on patient privacy. The observation chart is not the short name of these two rights. If the allegation says notice was not given, the paper that is looked for is the notice note. If there is no notice note, the absence does not mean the vital finding was wrong.
If there is a box on the chart saying the relative was informed, that box is not put in place of the vital finding. If the box is blank, neither that notice was not given, nor that it was given, is invented from this gap. If the notice carries an hour in a separate note, that note answers its own question. If the hour conflicts with the observation hour, both hours are kept. One does not change the other's addressee.
Writing that the patient's consciousness was closed does not choose from this chart to whom the notice will be given. The choice is the subject of the information record. This page does not invent a degree of kinship. A degree that is not invented does not change the signature on the chart either.
The office in Çankaya does not change the intensive-care unit where the chart was kept. The ward is the institution on the cover of the file.
What a blank box does not close
A blank box is not filled as if the patient was seen at that hour. The path of filling it is not in this text. The gap is not, by itself, the short name of a judgment that the patient was not seen either. The judgment is asked from the allegation sentence and the box being read side by side. If the allegation says there was no measurement at all all night, the full boxes that stand on the chart are read together with this sentence. If there is a full box, the sentence that there was no measurement at all is not accepted as it stands while those boxes stand. If there is no full box, one does not say it was measured either.
The gap does not spread backwards onto the later full box. The later box does not sign the earlier hour. The earlier full box does not close the later gap either. Each hour stays in its own box. A box that stays is not completed by choosing a name from the duty list.
The automatic value the device wrote is not the physician's signature. If the automatic column stands, the column is read. The column does not take the place of the visit note. If the visit note mentions the automatic value, it is read as mentioning it. If it does not mention it, the device printout is not completed as the value the physician saw. A printout that is not completed is not a fault record either. A fault is looked for on its own line. This page does not rebuild that line.
More than one physician may have written a visit note during the admission. Each note is at its own hour. If the allegation mentions a single day, that day's line is looked for. The notes of the other days do not erase the day that was mentioned. A note that is not erased does not fill the blank boxes of the day that was mentioned either. The taking-over physician's first sentence is not treated as having assumed all the boxes of the previous shift. Not assuming them does not erase the signature in the earlier boxes either. Two shifts stay as two lines.
Conclusion
An allegation against an intensive-care physician is not built before the hour and the signature on the observation chart are shown. A notice line to the family does not take the place of this reading. How many hours will be counted as fault is not written. The frame is on the health law page. If the chart and the allegation will be read together, contact is open. The path that is opened does not carry a promise of a result.
The basis, as the frame of the record, is the Law No. 1219. Which box was filled is read from the form of that admission. The form's column interval is not made a standard period in this text.