Hca 322 Health Care Ethics And Medical Law

“Medical Records”

HCA 322 Health Care Ethics & Medical Law

06/11/2013

“Medical Records” 1

Some of the laws that bind the professional that works with

medical records are the maintaining of patient medical information

such as doctors’ orders, test results, x-rays, the prescriptions of

different medications etc. Medical records must be precise,

complete, and protected by a health care provider so that the

Patient’s sensitive and personal information cannot be accessed

by any third party. Medical records are kept by law for 7 years,

and must be disposed of by a paper
These mistakes are in direct

violation of Hippa (the Health Insurance Portability and

Accountability Act). A physician not completing a chart is also

“Medical Records” 3

a common mistake that should be corrected by the assisting

nurse. But there will be times when these records reach the

medical records department personnel and as a professional,

these records should be brought to the attention of the assisting

nurse or the acting physician. When falsifying occurs, despite the

reason, it should also be brought to the attention of the assisting

nurse or the acting physician. As we all know, that’s the correct

way of approaching something like this but in reality it would be a

different