NTISthis.com

Evidence Guide: BSBMED401 - Manage patient recordkeeping system

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

BSBMED401 - Manage patient recordkeeping system

What evidence can you provide to prove your understanding of each of the following citeria?

Clarify how patient records system operates

  1. Access policies and procedures for patient records
  2. Consult relevant personnel about how the system operates
  3. Determine roles and responsibilities for the system operations
  4. Communicate roles and responsibilities for system operations to relevant personnel
Access policies and procedures for patient records

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Consult relevant personnel about how the system operates

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Determine roles and responsibilities for the system operations

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Communicate roles and responsibilities for system operations to relevant personnel

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Manage operation of patient records system

  1. Supervise staff maintaining patient records
  2. Provide staff maintaining patient records with training as required
  3. Regularly consult staff using patient records about system efficacy
  4. Maintain integrity of patient records
  5. Maintain security of patient records
  6. Stress importance of confidentiality of patient records to all staff, who handle or have access to patient files
  7. Provide authorisation of transfer of records from the workplace according to policies and procedures
  8. Archive records as appropriate
Supervise staff maintaining patient records

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide staff maintaining patient records with training as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Regularly consult staff using patient records about system efficacy

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Maintain integrity of patient records

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Maintain security of patient records

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Stress importance of confidentiality of patient records to all staff, who handle or have access to patient files

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide authorisation of transfer of records from the workplace according to policies and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Archive records as appropriate

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Review and improve patient records system

  1. Monitor and review implementation of the system to identify improvements
  2. Make recommendations to relevant personnel for system improvements
  3. Implement approved recommendations
  4. Supervise staff maintaining patient records to implement changes
  5. Plan and deliver any required training for staff to implement changes made to the system
Monitor and review implementation of the system to identify improvements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Make recommendations to relevant personnel for system improvements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Implement approved recommendations

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Supervise staff maintaining patient records to implement changes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Plan and deliver any required training for staff to implement changes made to the system

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements describe the essential outcomes.

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Clarify how patient records system operates

1.1 Access policies and procedures for patient records

1.2 Consult relevant personnel about how the system operates

1.3 Determine roles and responsibilities for the system operations

1.4 Communicate roles and responsibilities for system operations to relevant personnel

2. Manage operation of patient records system

2.1 Supervise staff maintaining patient records

2.2 Provide staff maintaining patient records with training as required

2.3 Regularly consult staff using patient records about system efficacy

2.4 Maintain integrity of patient records

2.5 Maintain security of patient records

2.6 Stress importance of confidentiality of patient records to all staff, who handle or have access to patient files

2.7 Provide authorisation of transfer of records from the workplace according to policies and procedures

2.8 Archive records as appropriate

3. Review and improve patient records system

3.1 Monitor and review implementation of the system to identify improvements

3.2 Make recommendations to relevant personnel for system improvements

3.3 Implement approved recommendations

3.4 Supervise staff maintaining patient records to implement changes

3.5 Plan and deliver any required training for staff to implement changes made to the system

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements describe the essential outcomes.

Performance criteria describe the performance needed to demonstrate achievement of the element.

1. Clarify how patient records system operates

1.1 Access policies and procedures for patient records

1.2 Consult relevant personnel about how the system operates

1.3 Determine roles and responsibilities for the system operations

1.4 Communicate roles and responsibilities for system operations to relevant personnel

2. Manage operation of patient records system

2.1 Supervise staff maintaining patient records

2.2 Provide staff maintaining patient records with training as required

2.3 Regularly consult staff using patient records about system efficacy

2.4 Maintain integrity of patient records

2.5 Maintain security of patient records

2.6 Stress importance of confidentiality of patient records to all staff, who handle or have access to patient files

2.7 Provide authorisation of transfer of records from the workplace according to policies and procedures

2.8 Archive records as appropriate

3. Review and improve patient records system

3.1 Monitor and review implementation of the system to identify improvements

3.2 Make recommendations to relevant personnel for system improvements

3.3 Implement approved recommendations

3.4 Supervise staff maintaining patient records to implement changes

3.5 Plan and deliver any required training for staff to implement changes made to the system