Resources: Sample medical records on pp. 142–144, 196, & 261–263; and Associate Level Material: Medical Report
Refer to the samples of medical records reports on pp. 142–144, 196, & 261–263.
Refer to the medical records sample and template in Associate Level Material: Medical Report.
Create three medical record reports, one for each chapter, that you would use as a health care administrator to hire and train new staff.
- Prospective hires will be asked to read and interpret the records you provide along with a set of questions you have developed. The goal is to develop a document where prospective hires can demonstrate their knowledge of medical terminology. Your medical records should include the following elements:
o History of present illness
o Past medical history
o Physical exam
o Laboratory data or screening procedures
o Impressions and discussion
Include a minimum of 10 medical words and two questions for each report.
Cite a minimum of two sources other than the text. Additional references may be reliable resources retrieved from the University Library, the Internet, or elsewhere.