Title: Maintain accurate record keeping.
Course: Vision Care Technician I (14057-I) > Section: Exploring Clinical Practice

Maintenance should include

- retrieving patient files and records (SOAP)
- updating files as needed
- returning files in an appropriate and predictable routine
- archiving files as needed
- applying the EMR system to record keeping
- demonstrating use of the EMR system
- adhering to HIPAA guidelines
- maintaining confidentiality
- handling files in an ethical and secure manner
- determining the need to destroy confidential information
- destroying documents
- using the appropriate protocol
- reporting incidents as necessary to the appropriate entity
- discussing only appropriate information with a patient.

Process/Skill Questions:

- What HIPAA training is necessary for maintaining patient files and records?
- What technology skills are needed to maintain patient files and records?
- What programs are used? How long should records be maintained before they are destroyed?