Medical Chart Creation-Assignment printable pdf download

Creating a Medical Chart – Assignment

We have spent the last few weeks looking at patient communication and good customer service. Part of

good communication involves keeping good records in the form of medical records. You have several

examples of medical charts in your workbooks, and I encourage you to look at some examples online.

You are going to imagine that you are part of a Family Medical Clinic, and you are a group of General

Practitioners (family doctors). This assignment has you create your own medical chart to record up to 4

future medical visits. Your chart will be kept in a folder. Here is how your folder might look:

Medical Chart:

Clinic Logo

 Continued…

Last Name, First Name

 Patient Info

and

 Next of kin

 Insurance Info

Information

 R.O.S.

 Notes

 Etc…..

The cover of your folder will include your Clinic Logo, address information, contact information and

doctors associated with the clinic. This information will also need to be included in the header of your

medical record sheets inside your folder. You can use the school address and phone number as your

clinic address info.

The design and content of your recording sheets is up to you, but we will expect some standard

information to be included such as Patient Information, Next of kin, Medical Numbers, Patient History,

etc… Try to design your chart in such a way that the information you are recording each time can be

easily compared to previous visits so that changes can be noted. You should also include a notes section

that can be updated each visit to add information not included in a tick box.

You are not limited to three pages and can use more if you need. We will be able to conduct the

following assessments during your weekly “medical appointments:”



Blood Pressure



Visual Acuity (eye chart) – right eye, left eye, both



Temperature



Heart Sounds (normal vs. abnormal)



Breathing sounds (normal vs. abnormal)



Weight



Reflexes (right vs. left/ normal vs. abnormal)



Come up with your own…clear with me first.

You might want to sketch out your medical info before completing your final product in MS Word.

Questions, please come and see me. Project due on ________________________________________.

Medical Chart Creation-Assignment

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