Childcare records in primary care: a descriptive study

ABSTRACT

Aim: To investigate, using the registry of medical records, how childcare is performed by the teams of the Family Health Strategy, working at a Basic Health Unit in the city of Maringá, Paraná. Method: Data were collected in January 2011, starting with the consultation of medical records of 181 children born between July 2008 and January 2010, in which relevant data were observed on child monitoring during the first year of life. Results: A nurse was responsible for 51.9% of the childcare consultations. It was further observed that the proportion of unfilled charts in various s was high. Discussion: The number of childcare attendances made by nurses demonstrates their importance in monitoring the health of children. Final Considerations It is believed that the introduction of a standard form to record childcare consultations should minimize the under-reporting of follow-up activities with regard to children as a means of facilitating and systematizing the annotation.