Health Histories and proper charting

This was a day of information overload.  There is so much to know, and there is no way someone could possibly know how to chart everything by the end of today.  I have a good idea, but I'm not perfect.  I am glad that if I have questions I can apporoach my instructors, and they will guide me.

1st I learned that the health history must be filled out to it's fullest.  I have to go over the whole thing making sure there is nothing blank, then sign the back.  After this, I need to circle every "YES" answer in red and have the patient ellaborate on the topic guided by my questions.

2nd I get a form that I then write the day's information on.
       date, the HHx  Blood pressure, pulse and respiratory belongs on the first line followed by the responses to the "YES" questions.  For example, if there is an allergy it is stated, or if there is a health condition that is stated.  The health conditions and allergies are underlined in and printed in the top right corner of the form in red.  Next item is drugs/medication the patient is using with information such as, what it is, dosage, what they use it for, and what oral effects come with the drug and if they experience any of them.
      HHx/Rx  This is where you would address alterations to "flag" the next clinician of special precautions for following appointments this patient would come for.

3rd once everything is complete a signature from the instructor and student is required before moving on.

Special note:  If anything needs to be altered or changed on the form, there must be a single line drawn through the error and then re written.

This was a lot of information and difficult to understand until I went through it myself.  Once I could practice it and be corrected by the instructor, I understood it a little better.  It actually helps go through the steps in this post to help remember all this information.  Another thing I learned is that this can be done at home if I know the patient which will help with time when I start seeign patients in the clinic.

I hope I can do this in a timely manner so I can get to the more critical things and what the patient came for (x-rays or the cleaning).