Elements and Performance Criteria
- Identify and clarify own role and procedures for patient record keeping
- Determine own role and responsibilities within patient record keeping system through consultation with relevant personnel or via organisational policy and procedures manual
- Access documented procedures for patient record keeping system and read for understanding
- Seek clarification with relevant personnel of unclear or ambiguous procedures
- Access patient records
- Gain access to patient records to facilitate patient visit
- Check currency and accuracy of patient demographic and personal details
- Create new records according to enterprise protocols
- Check records following patient visits, for practitioners' instructions related to follow-up action
- Store patient files following organisational policy and procedures
- Help maintain records
- Monitor and review own role