BSBMED303 - Maintain patient records

Unit code:BSBMED303Study level:TAFE

Nominal hours

Location

Footscray Nicholson
Industry
Sunshine
Werribee

Prerequisites

(Or equivalent to be determined by unit coordinator)
Co-requisites
(Corequisite units must be studied concurrently with this unit)

Overview

This unit describes the skills and knowledge required to maintain patient records within an existing medical records management system, under the supervision of a senior receptionist or practice manager.

It applies to individuals who apply a broad range of competencies in various medical administration contexts. They are skilled operators who are expected to exercise discretion and judgement in accessing and maintaining patient records while fully respecting patient privacy and the confidentiality of their details.

Assessment

For Melbourne campuses

Assessment tasks will be designed to reinforce and extend knowledge and skill competence within set and controlled parameters in accordance with each unit’s learning outcomes and 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:

use a recordkeeping system to create, access, store and maintain accurate records, according to organisational and legislative requirements
identify and recommend improvements to recordkeeping system or own work practices
communicate with relevant people about patient records.
Note: if a specific volume or frequency is not stated, then evidence must be provided at least once.

Students will also be expected to demonstrate the following knowledge:

outline relevant legislation, standards and/or codes of practice that affect patient recordkeeping
explain workplace policies and procedures related to patient recordkeeping, including privacy and confidentiality
describe the process used to set up and maintain a patient record
explain how coding systems help users to access and to maintain patient records.

Required reading

The qualified trainer and assessor will provide teaching and learning materials as required in the form of workbooks produced by Victoria University and/or via the Victoria University e-learning system.