Maintain patient records

Formats and tools

Unit Description
Reconstruct the unit from the xml and display it as an HTML page.
Assessment Tool
an assessor resource that builds a framework for writing an assessment tool
Assessment Template
generate a spreadsheet for marking this unit in a classroom environment. Put student names in the top row and check them off as they demonstrate competenece for each of the unit's elements and performance criteria.
Assessment Matrix
a slightly different format than the assessment template. A spreadsheet with unit names, elements and performance criteria in separate columns. Put assessment names in column headings to track which performance criteria each one covers. Good for ensuring that you've covered every one of the performance criteria with your assessment instrument (all assessement tools together).
Wiki Markup
mark up the unit in a wiki markup codes, ready to copy and paste into a wiki page. The output will work in most wikis but is designed to work particularly well as a Wikiversity learning project.
Evidence Guide
create an evidence guide for workplace assessment and RPL applicants
Competency Mapping Template
Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners. A template for developing assessments for a unit, which will help you to create valid, fair and reliable assessments for the unit, ready to give to trainers and students
Observation Checklist
create an observation checklist for workplace assessment and RPL applicants. This is similar to the evidence guide above, but a little shorter and friendlier on your printer. You will also need to create a seperate Assessor Marking Guide for guidelines on gathering evidence and a list of key points for each activity observed using the unit's range statement, required skills and evidence required (see the unit's html page for details)

Self Assessment Survey
A form for students to assess thier current skill levels against each of the unit's performance criteria. Cut and paste into a web document or print and distribute in hard copy.
Moodle Outcomes
Create a csv file of the unit's performance criteria to import into a moodle course as outcomes, ready to associate with each of your assignments. Here's a quick 'how to' for importing these into moodle 2.x
Registered Training Organisations
Trying to find someone to train or assess you? This link lists all the RTOs that are currently registered to deliver BSBMED303B, 'Maintain patient records'.
Google Links
links to google searches, with filtering in place to maximise the usefulness of the returned results
Reference books for 'Maintain patient records' on This online store has a huge range of books, pretty reasonable prices, free delivery in Australia *and* they give a small commission to for every purchase, so go nuts :)

Elements and Performance Criteria



1. Identify and clarify own role and procedures for patient record keeping

1.1. Determine own role and responsibilities within patient record keeping system through consultation with relevant personnel or via organisational policy and procedures manual

1.2. Access documented procedures for patient record keeping system and read for understanding

1.3. Seek clarification with relevant personnel of unclear or ambiguous procedures

2. Access patient records

2.1. Gain access to patient records to facilitate patient visit

2.2. Check currency and accuracy of patient demographic and personal details

2.3. Create new records according to enterprise protocols

2.4. Check records following patient visits, for practitioners' instructions related to follow-up action

2.5. Store patient files following organisational policy and procedures

3. Help maintain records

3.1. Make checks of patient files

3.2. Carry out archiving of patient files as required

3.3. Transfer patient files to another health facility upon appropriate request for patient information

4. Monitor and review own role

4.1. Monitor and review own role and responsibilities in maintaining patient records to identify opportunities for improvements to system and own work practices

4.2. Make recommendations to relevant personnel for improvements to the established procedures and processes for maintaining patient records

Qualifications and Skillsets

BSBMED303B appears in the following qualifications:

  • BSB31107 - Certificate III in Business Administration (Medical)
  • HLT32907 - Certificate III in Health Administration
  • HLT43307 - Certificate IV in Medical Practice Assisting
  • HLT32407 - Certificate III in Allied Health Assistance