HLTCCD004 - Interpret clinical documentation using knowledge of anatomy and physiology
Overview
This unit describes the performance outcomes, skills and knowledge required to establish an understanding of human anatomy and physiology, diseases and conditions and surgical procedures and interventions in order to interpret clinical documentation.This unit applies to health care professionals who are responsible for interpreting and extracting patient clinical information for the purposes of providing health care services. Work may be performed as an individual or as part of a team under limited supervision.
Assessment
For Melbourne campuses
Assessment tasks will be designed to reinforce & extend knowledge and skill competence within set & controlled parameters in accordance with each units learning outcomes & performance criteria requirements, including the setting of work based practical application tasks designed to provide evidence of competence outcomes, within periodic and scheduled timelines.
Students will be expected to demonstrate the following required skills:
- source and interpret clinical information on diseases and conditions affecting each of the body systems and specialities including:
- infectious and parasitic diseases
- neoplasms
- diseases of the blood and blood-forming organs and common disorders involving the immune mechanism
- endocrine, nutritional and metabolic diseases
- mental and behavioural disorders
- diseases of the nervous system
- diseases of the eye and adnexa
- diseases of the ear and mastoid process
- diseases of the circulatory system
- diseases of the respiratory system
- diseases of the digestive system
- diseases of the skin and subcutaneous tissue
- diseases of the musculoskeletal system and connective tissue
- diseases of the genitourinary system
- pregnancy, childbirth and the puerperium conditions originating in the perinatal period including congenital malformations, deformations and chromosomal abnormalities
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
- injury, poisoning and other causes of morbidity and mortality
- for each of the diseases or conditions above, interpret clinical information to:
- identify the investigations or interventions used to diagnose the disease or condition
- identify medical and surgical interventions used to treat the disease or condition.
Required reading
The qualified trainer and assessor will provide teaching and learning materials as required in the form of workbooks produced by the VU Polytechnic and/or via the VU Polytechnic e-learning system.
As part of a course
This unit is studied as part of the following course(s):