Maintain Patient Records

4 hrs


Maintain Patient Records

This course 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.

The course is based on the unit of competency BSBMED303 and follows the learning outcomes associated with that unit.

IMPORTANT: While this course is based on the unit of competency of BSBMED303, AIMAC is not a Registered Training Organisation (RTO). If you need to obtain a nationally recognised Statement of Attainment for BSBMED303, you should undertake this course through an RTO.


About this course

Location: Online.

Format: Includes reading, watching short videos and completing quiz style assessments.

Course length: 4 hours (approx), self-paced

Certification: Download Certificate of Completion once you have finished all modules

CPD Points: Yes. Please check with your professional organisation or college

Learning outcomes

• 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 recordkeeping system and read for understanding.
• Seek clarification with relevant personnel of unclear or ambiguous procedures.
• 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 records according to organisational policy and procedures.
• Make required checks of patient records.
• Carry out archiving of patient records as required.
• Transfer patient records to another health facility upon appropriate request for patient information.
• Monitor and review own role and responsibilities in maintaining patient records to identify opportunities for improvements to system and own work practices.
• Make recommendations to relevant personnel for improvements to the established procedures and processes for maintaining patient records.


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