Unit of competency Outline

Date retreived
22/07/2026 4:26 PM AWST

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Manage patient recordkeeping system

Manage patient recordkeeping system

Unit of competency
National Code
BSBMED401
State Code
AUJ06
TGA Status
Current
DTWD Status
Approved
Current Release Number
1.00
Current Release Date
25/03/2015
View on TGA
State Implementation and Classification
Approved Date
15/09/2015
Field of Education
080901 - Secretarial And Clerical Studies
Original Release Date
15/09/2015
Nominal Hours
40
Description
This unit describes the skills and knowledge required to manage a patient recordkeeping system within a medical environment and to supervise others. It covers clarifying roles and responsibilities, managing the operation of a patient recordkeeping system, and reviewing and improving the system. The unit does not cover the design of a new system but does cover reviews and improvements to an existing system.It applies to individuals managing an existing recordkeeping system (and sub-systems within the overall system) in a medical context. It may involve supervising the work of other personnel who implement the system and maintain patient records day-to-day. It also involves working with users of the system such as the health practitioners in the enterprise.No licensing, legislative, regulatory or certification requirements apply to this unit at the time of publication.
Notes
Elements and Performance Criteria
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
No information
No information
Replaces
State Code National Code Title Type
D0840 BSBMED401B Manage patient record keeping system Unit of competency