Medical Records - Understanding the Basics Live at Your Desk

Introduction

Medical records are essential reading for many types of cases. An understanding of the contents can often make the difference for clients.

This virtual classroom seminar will enable you to understand basic hospital and GP records and you will be able to recognise what might be missing and what you need to investigate.

What You Will Learn

This live and interactive session will cover the following:

The Basics - Types of Records

• Clinical
• Correspondence
• Nursing
• Charts
• Results
• Operative
• Other therapies

Clinical Records

• Clerking
• Abbreviations and common symbols
• Outpatient
• Inpatient

Results and Reports

• Common tests
• What do they show?
• How can you tell when abnormal and what to look up
• Cross checking and its importance

Nursing Kardex

• How it is divided up
• Care plan and importance
• What the daily Kardex show
• Contacting medics
• Usefulness to non-medical lawyers
• Timings

Charts

• What type
• Significance of same
• Who completes and why

Operative and Other Records

• Consent
• Complications
• Anaesthetic records
• Timings
• Recovery
• Other therapies

Recording of live sessions: Soon after the Learn Live session has taken place you will be able to go back and access the recording - should you wish to revisit the material discussed.