In the attached files, you will find my COOP work report. I would appreciate your help with the following:
- Rearranging the report into a single Microsoft Word document.
- Creating a cover page for the report.
- Formatting the report as a final document, including a table of contents, sections for tasks completed per department, my overall experience, any challenges encountered, and a conclusion.
Student Reflection Book
Medical Record Reflection Book
Student Name:
Health Information Management Department
HIM400 Course
Starting Date:
Student Reflection Book
Greetings students,
Student reflection book will be the evidence of work that you practice in your hospital,
documenting and reporting about your experience is an important part of your journey. Thus, this
book will help you to document your experience and tasks weekly; allocating any problems that
you might face in hospital.
You will be graded based on your work in this book, in addition to the evaluation form that are
filled by the instructor and preceptor.
Grading Criteria:
Item
Documenting hospital experience.
Evaluation of your work by instructor and
preceptor
Grades
30 (2.5 weekly) being absent means you get a
zero. You must write your experience for all
weeks.
10.
Best of luck,
Mr. Rafid Alkhuzaei
HIM Demonstrator
Internship Coordinator
Prince Sultan Military College for Health Sciences
Tel: 013 8440000/ Ext : 6782
Student Reflection Book
Medical record department tasks (Six weeks)
Week
#
Task
Status
Complete
N/A
Sort, file and retrieve medical records
following correct procedures.
1
Understand the medical record cycle,
structure, and organization
Practice the use of color coding of
medical record folders.
Additional tasks:
Note: if the tasks are not applicable
you can add additional
2
☑
☐
Student Review
☑
☐
Perform quantitative analysis
according to hospital policy.
Perform qualitative analysis
according to hospital policy.
Identify and report deficiencies.
3
Additional tasks:
Note: if the tasks are not applicable
you can add additional
Remarks
Student Review
Locate misfiled records.
Apply procedures for tracking of
medical records.
Assemble hospital inpatient forms in
the logical filing order according to
hospital policy.
Additional tasks:
Note: if the tasks are not applicable
you can add additional
Grade
2.5
Student Review
☑
☐
Student Reflection Book
Week
#
4
Task
Enter complete and accurate data
onto indexes and registers in use at
the medical record department.
Abstracts pertinent information from
patient records.
Ensure the quality of the hospital’s
data before compiling reports.
Additional tasks:
Note: if the tasks are not applicable
you can add additional
Status
Complete
N/A
Grade
2.5
Remarks
Student Review
☑
☐
Assembled hospital inpatient forms in the
logical filing order according to hospital
policy.
5
Assigns ICD-10 codes according to
hospital policy.
Queries physicians when code
assignments are not straightforward
or documentation in the record is
inadequate, ambiguous, or unclear for
coding purposes.
Additional tasks:
Note: if the tasks are not applicable
you can add additional
Student Review
☑
☐
Knowing the current inpatient system,
policies & procedures for each department.
6
Review facility’s confidentiality,
information security and release of
information policies and procedures
and handle requests and inquiries for
patient information
Additional tasks:
Note: if the tasks are not applicable
you can add additional
No activities or tasks
given this week due to the
Long Weekend day
☐
☐
Student Reflection Book
Week 1
Department: Medical Record Dept.
Date: 20 Sep 2023
Write a brief about your experience this week.
This week, I had the opportunity to train in the medical records department of the Air Force hospital.
I learned a great deal about the medical record cycle, structure, and organization, as well as how to
sort, file, and retrieve medical records following correct procedures. I also took a tour of the medical
records department and, including the transcription room and registration room, filing room ,
assembly room, coding room and so on . Additionally, I learned how to retrieve medical records in
the proper way in numerical order.
Overall, I had a very positive experience this week. I learned a lot about the medical records
department and how it plays an important role in the hospital. I also enjoyed meeting the different staff
members and learning about their jobs.
List the tasks that you performed this week.
• Sorted, filed, and retrieved medical records following correct procedures
• Learned about the medical record cycle, structure, and organization
• Took a tour of the medical records department and , including the transcription room and
registration room, filing room , assembly room , coding room and so on .
Additionally, I learned how to retrieve medical records in the proper way in numerical order.
Have you faced any problems this week?
I did not face any major problems this week. However, I did find it a bit challenging to learn all of the
different medical abbreviations and terminology. I also had to be careful when retrieving medical
records, as they are confidential and must be handled with care.
Student Reflection Book
Week 2
Department: Medical Record Dept.
Date: 27 Sep 2023
Write a brief about your experience this week.
This week, I continued my COOP training in the medical records department of the Air Force hospital.
I learned how to locate misfiled records, apply procedures for tracking medical records, and
assemble hospital inpatient forms in the logical filing order according to hospital policy.
I found this week’s training to be very informative and helpful. I learned a lot about the importance of
maintaining accurate and complete medical records, and the procedures that are in place to ensure
the quality and integrity of medical records. I also gained a better understanding of the role that the
medical records department plays in the overall functioning of the hospital.
I am grateful for the opportunity to have trained in the medical records department this week. I have
learned a lot from the experienced staff members, and I am confident that I will be able to use my
skills and knowledge to make a positive contribution to the department.
Locate misfiled records. To locate misfiled records, I first learned to identify the different types of
medical records and the proper filing system. I then learned how to use the hospital’s medical record
tracking system to search for missing records. If I was unable to find a record in the tracking system, I
would check with the different departments that may have had possession of the record.
Apply procedures for tracking of medical records.
List the tasks that you performed this week.
• Located misfiled records.
• Applied procedures for tracking medical records.
Have you faced any problems this week?
I did not face any major problems this week. However, I did find it a bit challenging to learn all of
the different medical abbreviations and terminology. I also had to be careful when handling medical
records, as they are confidential and must be handled with care.
Overall, I had a very positive experience this week. I learned a great deal about the quality section
and how it plays an important role in the hospital. I am grateful for the opportunity to have trained in
this department and I look forward to using my skills and knowledge to make a positive contribution.
Student Reflection Book
Week 3
Department: Medical Record Dept.
Date: 4 Oct 2023
Write a brief about your experience this week.
This week, I continued my COOP training in the medical records department of the Air Force hospital.
I learned how to code newborn and pediatric medical records.
I found this week’s training to be very informative and helpful. I learned about the different types of
medical codes that are used for newborn and pediatric patients, and how to assign the correct codes
based on the patient’s diagnosis, procedures, and other factors by using Inova system . I also
learned about the importance of accurate medical coding for reimbursement and quality
improvement purposes.
I am grateful for the opportunity to have trained in the medical records department this week. I have
learned a lot from the experienced staff members, and I am confident that I will be able to use my skills
and knowledge to make a positive contribution to the department.
List the tasks that you performed this week.
• Learned how to code newborn and pediatric medical records.
• Reviewed and coded a sample of newborn and pediatric medical records.
• Discussed the importance of accurate medical coding with the experienced staff members.
Have you faced any problems this week?
I did not face any major problems this week. However, I did find it a bit challenging to learn all of the
different medical codes and abbreviations. I also had to be careful when coding the medical records,
as they are confidential and must be handled with care.
Overall, I had a very positive experience this week in the medical records department. I learned a
great deal about newborn and pediatric medical coding, and the importance of accurate coding for
reimbursement and quality improvement purposes. I am grateful for the opportunity to have trained in
this department and I look forward to using my skills and knowledge to make a positive contribution.
Student Reflection Book
Week 4
Department: Medical Record Dept.
Date: 11 Oct 2023
Write a brief about your experience this week.
This week, I continued my COOP training in the medical records department of the Air Force hospital.
I learned how to assemble hospital inpatient forms in the logical filing order according to hospital
policy . The medical record department is responsible for assembling all medical records to ensure
that they are properly filed and accessible. I learned how to use the hospital’s medical record tracking
system to track the movement of records throughout the hospital. I also learned how to identify and
investigate any discrepancies in the tracking system.
Assemble hospital inpatient forms in the logical filing order according to hospital policy
The medical records department is also responsible for assembling hospital inpatient forms in the
logical filing order according to hospital policy.
Inpatient medical records including:
• Inpatient admission record
• Final discharge summary
• Discharge examination form
• Progress notes
List the tasks that you performed this week.
• Assembled hospital inpatient forms in the logical filing order according to hospital policy.
Have you faced any problems this week?
I did not face any major problems this week. However, I did find it a bit challenging to learn all of
the different medical abbreviations and terminology. I also had to be careful when assembling
medical records, as they are confidential and must be handled with care.
Overall, I had a very positive experience this week. I learned a great deal about the quality section
and how it plays an important role in the inpatient forms in the logical filing order according to
hospital policy. I am grateful for the opportunity to have trained in this department and I look
forward to using my skills and knowledge to make a positive will be valuable as I pursue a career in
healthcare.
Student Reflection Book
Week 5
Department: Medical Record Dept.
Date: 18 Oct 2023
Write a brief about your experience this week.
This week has been a productive one as I delved deeper into understanding the nuances of the inpatient
system, policies, and procedures within each department of the air force hospital. I’ve gained valuable
insights into the patient journey and the intricate processes involved in ensuring quality healthcare
delivery. Observing experienced staff members and actively participating in discussions has broadened
my perspective on the importance of adherence to standardized practices.
List the tasks that you performed this week.
• Knowing the policies and procedures from various departments, including the medical record
department, to observe their daily routines and interactions with patients.
• Knowing the hospital inpatient system policies and procedures related to patient admission,
discharge, and recordkeeping to familiarize myself with the regulatory framework.
Have you faced any problems this week?
While there have been no significant obstacles, I did encounter minor challenges in grasping the
complexities of certain department-specific procedures. However, seeking clarification from my
supervisor and engaging with knowledgeable staff members has helped me overcome these hurdles.
I am grateful for the opportunity to learn from experienced professionals in the healthcare field. I am
also thankful for the support of my fellow COOP trainees. I am confident that the skills and knowledge
I have gained this week.
Student Reflection Book
Week 6
Department: Medical Record Dept.
Date: 25 Oct 2023
Write a brief about your experience this week.
No activities or tasks given this week due to the Long Weekend day.
List the tasks that you performed this week.
No activities or tasks given this week due to the Long Weekend day.
Have you faced any problems this week?
No activities or tasks given this week due to the Long Weekend day.
Student Reflection Book
STUDENT EVALUATION FORM
Grade out
of ten
Item
Remarks
1. How was the student performance on the
attendance and time management?
TBD by the evaluators
2. How effectively does the student communicate in
speech and writing?
TBD by the evaluators
3. Did the student understand and performed the
provided tasks?
TBD by the evaluators
4. How effective were the student attitudes towards
other members of the health care team?
TBD by the evaluators
5. After finishing his training how well do you think the
intern will execute responsibilities in the future?
TBD by the evaluators
COMMENTS
………………………………………………………………..…………………………………………………………
……..………………………………………………………………..…………………………………………………
……………..………………………………………………………………..…………………………………………
……………………..………………………………………………………………..…………………………………
……………………………..………………………………………………………………..…………………………
Preceptor Name:
Signature:
Date:
Instructor Name:
Signature:
Date:
Student Reflection Book
Quality Department Reflection Book
Student Name:
Health Information Management Department
HIM400 Course
Starting Date:
Student Reflection Book
Greetings students,
Student reflection book will be the evidence of work that you practice in your hospital,
documenting and reporting about your experience is an important part of your journey. Thus, this
book will help you to document your experience and tasks weekly; allocating any problems that
you might face in hospital.
You will be graded based on your work in this book, in addition to the evaluation form that are
filled by the instructor and preceptor.
Grading Criteria:
Item
Documenting hospital experience.
Evaluation of your work by instructor and
preceptor
Grades
30 (2.5 weekly) being absent means you get a
zero. You must write your experience for all
weeks.
10.
Best of luck,
Mr. Rafid Alkhuzaei
HIM Demonstrator
Internship Coordinator
Prince Sultan Military College for Health Sciences
Tel: 013 8440000/ Ext : 6782
Student Reflection Book
Quality department tasks (Two weeks)
Week
#
1
2
Task
Understand the policies and
procedures available at the
department.
Calculate basic hospital statistics
including hospital census, hospital
based-morbidity and mortality
statistics.
Prepare at least ONE clinical
guideline procedure within a
department selected by the quality
department supervisors.
Additional tasks:
Note: if the tasks are not applicable
you can add additional
Attending Lecture project /process
improvement
Be aware of hospital accreditation
criteria.
Understanding of Saudi Central
Board For Accreditation Of
Healthcare Institutions (CBAHI)
Familiarity with KPIs availability,
accessibility and continuous
updating.
Additional tasks:
Note: if the tasks are not applicable
you can add additional
Attending Lecture Data Management
Attending Lecture Safety / Staff
improvmnt
Status
Complete
N/A
Grade
2.5
Remarks
Student Review
☑
☐
Student Review
☑
☐
Student Reflection Book
Week 1
Department: Quality Dept.
Date: 6 Sep 2023
Write a brief about your experience this week.
This week has been a great learning experience for me. I have had the opportunity to shadow the
quality department supervisors and learn about the different aspects of quality improvement in an air
force hospital. I have also had the chance to participate in several meetings and workshops on topics
such as the IHI model of improvement, hospital accreditation criteria, and the Saudi Central Board for
Accreditation of Healthcare Institutions (CBAHI).
I am particularly interested in the IHI model of improvement, as it provides a structured framework
for
identifying and implementing quality improvement initiatives. I am also eager to learn more about the
CBAHI standards, as these are the benchmarks by which air force hospitals in Saudi Arabia are
accredited.
Overall, I am very grateful for the opportunity to participate in this COOP training program. I am
confident that the knowledge and skills I am gaining will be invaluable in my future career as a
healthcare professional.
List the tasks that you performed this week.
• Shadowed quality department supervisors
• Participated in meetings and workshops on quality improvement topics.
• Learned about the IHI model of improvement.
• Learned about hospital accreditation criteria.
• Learned about the Saudi Central Board for Accreditation of Healthcare Institutions (CBAHI).
Have you faced any problems this week?
I have not faced any major problems this week. However, I have found it challenging to keep up with
the fast-paced work environment in the quality department. I am also still learning about the different
medical terminology and acronyms that are used.
Despite these challenges, I am enjoying my time in the quality department and I am learning a lot. I
am confident that I will be able to overcome these challenges and make a valuable contribution to the
department in the coming weeks and months.
Student Reflection Book
Week 2
Department: Quality Dept.
Date: 13 Sep 2023
Write a brief about your experience this week.
This week, I have been focused on learning about safety and staff improvements in the air force
hospital, as well as the availability, data management, accessibility, and continuous updating of KPIs.
I have had the opportunity to shadow the quality department supervisors and learn about the
different initiatives that are underway to improve safety and working conditions for staff . I have also
had the chance to participate in several meetings and workshops on topics such as risk
management, patient safety, employee engagement, and KPI development and implementation.
I am also interested in learning more about the different types of KPIs that are used in the healthcare
setting, and how they can be used to measure and improve the quality of care. I believe that KPIs are
an essential tool for quality improvement, and I am eager to learn more about how they can be used
to make a positive impact on the safety and well-being of both patients and staff at the air force
hospital.
Overall, I am very grateful for the opportunity to participate in this COOP training program. I am
confident that the knowledge and skills I am gaining will be invaluable in my future career as a
healthcare professional.
List the tasks that you performed this week.
• Participated in meetings and workshops on safety and staff improvement topics.
• Learned about risk management.
• Learned about patient safety.
• Learned about employee engagement.
• Learned about KPI development and implementation.
• Learned about the different types of KPIs used in the healthcare setting.
• Learned about how KPIs can be used to measure and improve the quality of care
Have you faced any problems this week?
I have not faced any major problems this week with regards to familiarity with KPIs availability, data
management, accessibility, and continuous updating. However, I am still learning about the specific
KPIs that are used in the healthcare setting, and how they are collected, managed, and updated.
I have learned that it is important for KPIs to be available, accessible, and up-to-date in order to be
effective. KPIs should be available to all relevant stakeholders, so that they can be used to track
progress and identify areas for improvement. KPIs should also be easy to access, so that
stakeholders can quickly get the information they need. Finally, KPIs should be updated regularly to
reflect changes in the healthcare environment and in the organization’s goals and objectives.
Student Reflection Book
STUDENT EVALUATION FORM
Grade out
of ten
Item
1. How was the student performance on the
attendance and time management?
Remarks
TBD by the evaluators
2. How effectively does the student communicate in
speech and writing?
TBD by the evaluators
3. Did the student understand and performed the
provided tasks?
TBD by the evaluators
4. How effective were the student attitudes towards
other members of the health care team?
TBD by the evaluators
5. After finishing his training how well do you think the
intern will execute responsibilities in the future?
TBD by the evaluators
COMMENTS
………………………………………………………………..…………………………………………………………
……..………………………………………………………………..…………………………………………………
……………..………………………………………………………………..…………………………………………
……………………..………………………………………………………………..…………………………………
……………………………..………………………………………………………………..…………………………
Preceptor Name:
Signature:
Date:
Instructor Name:
Signature:
Date:
Student Reflection Book
Patient Affairs Reflection Book
Student Name:
Health Information Management Department
HIM400 Course
Starting Date:
Student Reflection Book
Greetings students,
Student reflection book will be the evidence of work that you practice in your hospital,
documenting and reporting about your experience is an important part of your journey. Thus, this
book will help you to document your experience and tasks weekly; allocating any problems that
you might face in hospital.
You will be graded based on your work in this book, in addition to the evaluation form that are
filled by the instructor and preceptor.
Grading Criteria:
Item
Documenting hospital experience.
Evaluation of your work by instructor and
preceptor
Grades
30 (2.5 weekly) being absent means you get a
zero. You must write your experience for all
weeks.
10.
Best of luck,
Mr. Rafid Alkhuzaei
HIM Demonstrator
Internship Coordinator
Prince Sultan Military College for Health Sciences
Tel: 013 8440000/ Ext : 6782
Student Reflection Book
Patient affairs tasks (Two weeks)
Week
#
Task
Status
Complete
N/A
Admit and discharge a patient
following correct procedures.
1
Familiarize with patient registration
at outpatient and emergency
departments.
Understanding of admission and
discharge.
Additional tasks:
Note: if the tasks are not applicable
you can add additional
☑
☐
No activities or tasks given
this week due to the Long
Farewell Day
Scheduling System.
2
Remarks
Student Review
Check about Authorization and
Consent procedure.
Recognize the data elements that
should be collected for each patient.
Additional tasks:
Note: if the tasks are not applicable
you can add additional
Grade
2.5
☐
☐
Student Reflection Book
Week 1
Department: Patient affairs Dept.
Date: 1 Nov 2023
Write a brief about your experience this week.
This week has been an extensive learning experience, diving into the essential processes of admitting
and discharging patients while comprehending patient registration in the outpatient and emergency
departments. With close observation and guidance, I was able to assist in these procedures, gaining
familiarity with the medical records, insurance verification, and communication protocols involved.
Witnessing the seamless coordination among healthcare professionals reinforced the significance of
teamwork in ensuring patient safety and satisfaction.
List the tasks that you performed this week.
• Gained insights into the emergency department registration process, understanding the
prioritization and triage of patients based on acuity levels.
• Admit and discharge a patient following correct procedures.
• Understanding of admission and discharge.
Have you faced any problems this week?
While there were no major challenges, I initially encountered difficulties in navigating the
complexities of medical insurance billing and coding. However, by actively seeking clarification from
my supervisor and reviewing relevant guidelines, I have gained a better understanding of these aspects.
I am immensely grateful for the opportunity to have immersed myself in the intricacies of patient
admissions and discharges, which form the cornerstone of patient care. The hands-on experience and
the knowledge acquired this week have undoubtedly enriched my understanding of the healthcare
system and will prove invaluable in my future endeavors.
Additionally, I would like to express my sincere appreciation for the unwavering support and guidance
from my colleagues throughout this learning journey. Their expertise and willingness to share their
knowledge have played a vital role in my progress.
Student Reflection Book
Week 2
Department: Patient affairs Dept.
Date:8 Nov 2023
Write a brief about your experience this week.
No activities or tasks given this week due to the Long Farewell Day
List the tasks that you performed this week.
No activities or tasks given this week due to the Long Farewell Day
Have you faced any problems this week?
No activities or tasks given this week due to the Long Farewell Day
Student Reflection Book
STUDENT EVALUATION FORM
Grade out
of ten
Item
Remarks
1. How was the student performance on the
attendance and time management?
TBD by the evaluators
2. How effectively does the student communicate in
speech and writing?
TBD by the evaluators
3. Did the student understand and performed the
provided tasks?
TBD by the evaluators
4. How effective were the student attitudes towards
other members of the health care team?
TBD by the evaluators
5. After finishing his training how well do you think the
intern will execute responsibilities in the future?
TBD by the evaluators
COMMENTS
………………………………………………………………..…………………………………………………………
……..………………………………………………………………..…………………………………………………
……………..………………………………………………………………..…………………………………………
……………………..………………………………………………………………..…………………………………
……………………………..………………………………………………………………..…………………………
Preceptor Name:
Signature:
Date:
Instructor Name:
Signature:
Date:
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