LA024995_BSBMED301_HCS_AE_Kn_1of3

Assessment Instructions Table 1 Assessment instructions Assessment details Instructions Assessment overview The objective of this assessment is to assess your knowledge and performance as would be required to interpret and apply medical terminology. Assessment Event number 1 of 3 Instructions for this assessment This assessment is a combination of knowledge questions and case studies. It will be assessing you on your knowledge and performance of skills required by the unit. This assessment is in 7 parts: 1. Policies and Procedures (Short Answer Questions) 2. Abbreviations Assessment (Short Answer Questions) 3. Basic word structure 4. Body Systems 5. Written communication - Short Answer Questions Submission instructions On completion of this assessment, you are required to upload it or hand it to your Teacher for marking. Ensure you have written your name at the bottom of each page of this assessment. It is important that you keep a copy of all electronic and hardcopy assessments submitted to TAFE and complete the assessment declaration when submitng the assessment. What do I need to do to achieve a satisfactory result? To achieve a satisfactory result for this assessment all questions must be answered correctly. What do I need to provide? Pens or suitable electronic device. If this assessment is being used for online/distance delivery, the student must upload the assessment. What the assessor will provide? Access to resource available online & assessment audio-recording. Due date and time As per the training plan Document title: BSBMED301_HCS_AE_Kn_1of3 Page 1 of 19 Resource ID: HCS_18_22_BSBMED301_HCS_AE_Kn_1of3 STUDENT NAME:

4. List 3 Legislative Acts that regulate the use of Medical Terminology: (Please list each Act – no minimum word count required) 1. Work Health and Safety Act 2012 2. Health Records and Information Privacy Act 2002(NSW) 3. The Privacy and Personal information Protection Act 1998(NSW) {You can refer to your online resources for further information} 5. Describe the correct action that a healthcare worker should take if they encounter a medical term that they are unfamiliar with, that they do not know how to spell or that they cannot pronounce: (Please provide a short answer response to this question – minimum 50 words) The staff member can utilise the internet to check the medical term and look at the definition and example it has been used in or look back at previous training he/she has done. Another way is to ask either a supervisor or another staff member with some experience to help understand the meaning and how to correctly spell and pronounce the term. Document title: BSBMED301_HCS_AE_Kn_1of3 Page 1 of 19 Resource ID: HCS_18_22_BSBMED301_HCS_AE_Kn_1of3 STUDENT NAME:

Part 2: Abbreviation Assessment Task Please read the following sentences and provide the correct expanded medical term for each abbreviation N OTE: Use the context of the sentence to determine the correct meaning or tense of an abbreviation 1. The pt was BIBA to the ED with ↓ BP and ↑resp rate: (Expanded medical term only required) Pt: Patient BIBA: Brought in by ambulance ED: Emergency department ↓: Decrease BP: Blood pressure ↑: Increase Resp: Respiration 2. The CIO checked the pt’s DOB, MRN and COB. (Expanded medical term only required) CIO: Chief information officer DOB: Date of birth MRN: Medical record number COB: Coordination of benefits 3. New admission to ward for R/V by the ENT Reg ASAP (Expanded medical term only required) R/V: Review ENT: Ear, nose, throat Reg: Registrar ASAP: As soon as possible Document title: BSBMED301_HCS_AE_Kn_1of3 Page 1 of 19 Resource ID: HCS_18_22_BSBMED301_HCS_AE_Kn_1of3 STUDENT NAME:

10. How can healthcare workers develop their understanding of abbreviations and acronyms? What possible workplace/industry resources could be of use? (Please provide a short answer response to this question – minimum 50 words) Healthcare workers can improve and develop their understanding of abbreviations and acronyms by studying the previous training and a medical dictionary. They can also utilise each other and test each other or ask one another for clarity if they’re unsure about certain things. They can also use the policies and procedures. Document title: BSBMED301_HCS_AE_Kn_1of3 Page 1 of 19 Resource ID: HCS_18_22_BSBMED301_HCS_AE_Kn_1of3 STUDENT NAME:

larynx          spleen          skin          bowel          alveoli          stomach          cerebrum          nails          nerves          uterus          Document title: BSBMED301_HCS_AE_Kn_1of3 Page 1 of 19 Resource ID: HCS_18_22_BSBMED301_HCS_AE_Kn_1of3 STUDENT NAME:

Note: The patient’s name is spelt as Dianne Neville. You need to write ALL words in the medical story. Do not summarise the content. Expand ALL abbreviations. Spelling needs to be correct. Use capital letters where appropriate e.g., people’s names are proper nouns and need a capital first letter. Set your answer out using paragraphs, commas and full stops appropriately. Transcribe below: The patient is Mrs. Diane Neville. This 72-year-old female presented herself to the emergency room with a one-week history of rather severe nausea and vomiting and also diarrhoea and epigastric pain. She was sent by Doctor Brown, her family practitioner. The most troubling symptoms for her are the vomiting and nausea because she vomits everything she drinks and eats, the epigastric pains are tolerable. The diarrhoea also is somewhat improved. Patient’s bowel movements usually are normal without history of black or bloody stools. Her appetite has been down markedly, and she has also lost at least one to two kilos in the last several days. Her urination is normal, she is a social drinker and has a past history of tobacco usage. On examination, the patient appeared to be in moderate to severe distress, appearing pale with dehydration. Blood pressure lying 100 / 70 blood pressure sitng 90 / 65. Temperature 37 degrees. Pulse 80 went to a 100 on sitng up respirations 12. The patient will be admitted at least for a 23 hour hold and is then to be re- evaluated and will receive fluid volume replacement and potassium replacement. She will have her electrolytes checked as well as her blood count and will also be placed on Zantac intravenously. She will then have a gastroscopy in the morning. Her stools will also be checked if they're still loose for further ocult blood over in parasites and a possible culture and sensitivity. Document title: BSBMED301_HCS_AE_Kn_1of3 Page 1 of 19 Resource ID: HCS_18_22_BSBMED301_HCS_AE_Kn_1of3 STUDENT NAME: BSBMED301_AE_Kn _1of2_SR1.m4a