NUCL 152 Patient Chart Records

School of Health and Human Services

NUCL 152 Patient Chart Records introduces the learner to the forms used to create patient charts in the hospital. Information is given about how to create a patient admission chart, additional forms added to a chart to individualize it for a specific patient and the Nursing Unit Clerk's responsibilities for patient charts and chart forms. Actual forms are used for practice.

Prerequisites: NUCL 146

Accessibility Services Notice

Students who would like an academic accommodation and who have a documented disability should contact Accessibility Services, if they have not already done so.

Transfer Agreements

Course to Course transfer – YesBlock Transfer – Nobctransferguide.ca
Course Details
Total number of weeks7.5
Total Credits
Total Hours75
Typical hours per week breakdown
Other75

Learning Outcomes

Upon successful completion of this course, the learner will be able to:

  1. List the functions of the chart
  2. State charting rules and procedures
  3. State the function of the various forms within standard forms, surgical forms and supplemental forms
  4. Describe the NUC’s responsibilities for a pre-operative chart
  5. Describe the NUC’s responsibilities for a post-operative chart
  6. State the information the NUC transcribes to various forms within standard forms, surgical forms and supplemental forms
  7. Create a mock patient chart with the chart forms in the correct order
  8. Transcribe appropriate information to the various chart forms
  9. State the maintenance procedures required for charts

Grading Table

Standard Nursing Unit Clerk, Medical Transcription, Editing and Documentation, and Pharmacy Technician Programs Grading Table

Percentage Letter Grade GPA
96 - 100 A+ 4.33
92-95 A 4.00
89-91 B+ 3.33
86-88 B 3.00
83-85 C+ 2.33
80-82 C 2.00
79 & lower F 0.00

See the Academic Calendar for General Information including how to withdraw from course(s) and other regulations.

Disclaimer

Information contained in this course outline is correct at the time of publication. Content of the course is revised on an ongoing basis to ensure relevance to changing educational, employment and market needs. The instructor will endeavor to provide notice of changes to students as soon as possible. The instructor reserves the right to add or delete material from courses.