Resources: Sample medical records on pp. 142–144, 196, & 261–263; and Axia 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 Axia 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.
Due on Sunday.
· 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. Include a Title Page & Reference Page
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.
Review posted rubric for grading guidelines located in the course materials forum.
Post your paper as a Microsoft® Word attachment.
WK 4 Assignment: Medical Reports Grading Rubric
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Red(High)
Yellow(Medium)
Blue(Low)
No Flag
ASSIGNMENT
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Medical Records
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· Resource: Medical Report and samples medical records reports on pp. 142–144, 196, & 261–263
· Complete the template using correct medical terminology.
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Points Available
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Points Earned
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Comments
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Documents and uses correct medical terminology for present history of illness
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17
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Documents and uses correct medical terminology for past medical history
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17
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Documents and uses correct medical terminology for the physical examination
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16
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Documents and uses correct medical terminology for laboratory data or screening procedures; Lists appropriate medical screening procedures for the medical condition
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15
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Documents and uses correct medical terminology for impression and discussion
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15
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Developed two questions for each of the medical reports
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15
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Cites a minimum of two references other than the text
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5
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POINTS DEDUCTED FOR LATE SUBMISSION
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TOTAL
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100
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OVERALL COMMENTS
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