PateruGuarion sate ste MEDICAL ASSISTING Competitor #: Judge's Signature: “This skil willbe EITHER handuniten or entered directly into a printable POF form using @ ‘computer. Fillable Medical Office Health History Form ‘Skill Obtain and Record a Patient Health History (Time:8 min) | Possible | Awarded 4. PAPER: Obtained a bank medical history form, 2 pen, and a ‘pboard (F needed). 1 0 ELECTRONIC: Opened a blank medica history frm. Escorted the patient o @ comfortable, private area iia) '3.___ Sat opposite the patent (or atan angle that alowed eyecontac. | tO “Explained the purpose ofthe heath history andinformed the patint | 1 0 thatll the information obined is confidential ‘5. Askod all necessary questons and recorddlentored answers ay ati nd surat 6. Spoke in clear and distin vaes. a 7. Gave the patont adequata time fo answer befor going ontothe | 1 0 ext question 8 Explained any tems the patient might not understand 70 9. Avoided gotng off the topic and discussing relevant topics. et 10. Listed the chief complaint and characteristics for today’s visit. asa “1. Encured that al medications (including dosages and reason for zo taking) and allergies are ont and recorded, 12 Properly expanded on all YES responses inthe past History eo seeton 18. Usted the concise name of dsease or condton, onset and 0 uration, teatment,curent status, and resolution. (f applicable) “4. Properly expanded onal YES responses inthe family and social | 10 istry Section 18. When fished wrling/entring the information, summarized and 2aeco lated pertinent information with the paint HOSA Medical Assisting Guidlines (November, 2020) Page 10 of 22Items Evaluated ‘Awarded 16. Thanked the pation and explained the next stop inthe ‘examination, assuring the pation is comfortable an informing the patent of any wait te, 70% Mastory for Skill l= 16.4, “7. Appropriate verbal and nonverbal communication with patent and | 2 ‘ther personnel 7S. VERBALIZED to the judge the next slope — Charla aummayorme|_q 9 findings onthe patient's chart or EMR, highlight significant Information, assemble forma and have them ready fr the provider. ‘TOTAL POINTS ~ SKILL I 23 “Ira computer is used, @ copy of the finished history shouldbe printed for use by the judge. HOSA Medical Assisting Guidelines (November, 2020) Page 11 0f 22HOSA Medical Office Health History Form Date Patient's Chief Complaint Medications (Un al neces JOU SE TET MH Pationt’s Past History: 1b you nave ot have you ever had the flowing? Cheek ch Box that i anawered "oe fasta res 0 ras sen wih iron Heoomon dress tino ene HT ctw anrerasmee Buea von Teale ter Ear ane natin HL eon ne Chest pan Bones By Sir tote Fy takes poe Sn anata eas sna Fy feweucrmagerin ——E] eco waranty i, timesmaervinmg Donerson BSnmoss reo A reste AL como A cence ee esa, Bl sctpancriny B teen tovornaae ‘Serious linesfjuriee Mospatstions Patents Family and Social Mistry: formucgtacet 4 :g —— ‘usntyFrequeney Bo you ene opus? go [State of Fath