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Topic: Health care documents and records 

Health Education

 Standard 13.  Uses a variety of communication skills to convey client and workplace information to team members
  Level IV (Grade 9-12)
   Benchmark 2.Knows health care situations that require documentation (e.g., diagnoses; treatment progress, processes, and results; changes in conditions that might introduce risk to clients or staff; prescriptions for future health care; unsafe environmental conditions)
    Knowledge/skill statements
     1.Knows that diagnoses of clients require documentation
     2.Knows that treatment progress, processes, and results require documentation
     3.Knows that changes in conditions that might introduce risk to clients or staff requires documentation
     4.Knows that prescriptions for future health care requires documentation
     5.Knows that unsafe environmental conditions require documentation
   Benchmark 3.Understands the structure and composition of client records
    Knowledge/skill statements
     1.Understands the structure of client records
     2.Understands the composition of client records
   Benchmark 4.Knows appropriate methods for completion of health care documents (e.g., patient charts, legal forms, in-patient/out-patient admissions forms)
    Knowledge/skill statements
     1.Knows appropriate methods for completion of patient charts
     2.Knows appropriate methods for completion of patient legal forms
     3.Knows appropriate methods for completion of in-patient/out-patient admission forms
   Benchmark 5.Understands facility and/or department protocol for patient file preparation and distribution
    Knowledge/skill statements
     1.Understands facility and/or department protocol for preparing patient files
     2.Understands facility and/or department protocol for distributing patient files