, LaFleur Brooks’
HEALTH UNIT
Coordinating
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,LaFleur Brooks’
HEALTH UNIT
Coordinating
SEVENTH EDITION
Elaine A. Gillingham, AAS, BA, CHUC
Program Director 1993 – 2005 (retired),
Health Unit Coordinating Program,
GateWay Community College,
Phoenix, Arizona
Monica Melzer Wadsworth Seibel, BS, MEd, CHUC
Program Director,
Health Unit Coordinating Program,
GateWay Community College,
Phoenix, Arizona
,3251 Riverport Lane
St. Louis, Missouri 63043
LAFLEUR BROOKS’ HEALTH UNIT COORDINATING, SEVENTH EDITION ISBN: 978-1-4557-0720-1
Copyright © 2014, 2009, 2004, 1998, 1993, 1986, 1979 by Saunders, an imprint of Elsevier Inc.
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lisher (other than as may be noted herein).
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience
broaden our understanding, changes in research methods, professional practices, or medical treat-
ment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in eval-
uating and using any information, methods, compounds, or experiments described herein. In
using such information or methods they should be mindful of their own safety and the safety of
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With respect to any drug or pharmaceutical products identified, readers are advised to check
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To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors,
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tions, or ideas contained in the material herein.
Library of Congress Cataloging-in-Publication Data
Gillingham, Elaine Tight.
Lafleur Brooks’ health unit coordinating/Elaine A. Gillingham, Monica
Wadsworth Seibel. -- 7th ed.
p. ; cm.
Health unit coordinating
Includes bibliographical references and index.
ISBN 978-1-4557-0720-1 (pbk. : alk. paper)
I. Seibel, Monica Wadsworth. II. LaFleur-Brooks, Myrna. Health unit
coordinating. III. Title. IV. Title: Health unit coordinating.
[DNLM: 1. Hospital Units--organization & administration. 2. Personnel,
Hospital. 3. Medical Records. 4. Nursing Records. WX 159]
610.1’4--dc23
2012045603
Vice President and Publisher: Andrew Allen
Content Manager: Ellen Wurm-Cutter
Publishing Services Manager: Julie Eddy
Senior Project Manager: Celeste Clingan
Design Direction: Karen Pauls
Printed in United States of America
Last digit is the print number: 9 8 7 6 5 4 3 2 1
, Reviewers
Jennifer M. Evans, MEd Anita Mills
Faculty/Program Coordinator Health Unit Coordinator Instructor
South Seattle Community College Saint Paul College
Seattle, Washington Saint Paul, Minnesota
Green River Community College
Auburn, Washington Lynn Owen, MSN, RN
Faculty
Donna Mary Harper, CHUC, PID Lakeshore Technical College
Health Unit Coordinator Cleveland, Wisconsin
Lions Gate Hospital
Royal Columbian Hospital
Instructor
Canadian Health Care Academy
Vancouver, British Columbia
Canada
v
, Thank you to Bill, my loving, brave husband who will always be my inspiration.
Elaine A. Gillingham
Thank you, Myrna and Elaine, for leading me to so many wonderful opportunities.
Thank you Jennifer, Erin, Colin, Aiden Brendan, and Ryan for lighting my life,
and
Thank you, Scott, for love and a lifetime of companionship.
Monica Melzer Wadsworth Seibel
, Preface
tasks students will need to perform on the job. Also included
A CAREER IN HEALTH UNIT COORDINATING
is a clinical skills evaluation record, designed to help students
Welcome to the exciting, challenging, and evolving career of objectively record and evaluate their performance during hos-
Health Unit Coordinating. Individuals practicing as Health pital rotations.
Unit Coordinators soon realize that they have far-reaching
effects on the delivery of care to patients. Health Unit Coor-
dinators manage all non-clinical tasks on hospital nursing Practice Activity Simulated Electronic Medical Record
units, making them essential members of the health care System
team. Responsibilities include monitoring electronic medi- Simulates a hospital’s computer EMR system to be used in
cal records or transcribing physicians’ orders for patient the classroom for practice in completing HUC tasks, and con-
treatment, preparing patient charts, (when paper charts are tains printable census records, consent forms, laboratory, and
utilized) maintaining statistical reports, dealing with visitors, diagnostic reports. The simulated EMR includes mock nurs-
and much more. The implementation of the electronic medi- ing units with lists of patients, doctors’ rosters, diagnostic test
cal record (EMR) with computer physician order entry (CPOE) results, and more, offering realistic practice to enhance stu-
has expanded the HUC responsibilities. Health Unit Coordi- dents’ skills and confidence.
nators will have a more efficient role of traffic control, coor-
dination of care, and management of the electronic record. TEACH for LaFleur Brooks’ Health Unit Coordinating, 7th
When CPOE is implemented, the Health Unit Coordinators edition
will no longer have to interpret and transcribe handwritten This instructor resource is available via Evolve. The TEACH
physicians’ orders. Lesson Plan Manual provides instructors with customizable
As a recognized health care profession, Health Unit Coor- lesson plans and lecture outlines based on learning objectives.
dinating has its own national organization, the National Asso- With these valuable resources, instructors will save valuable
ciation of Health Unit Coordinators (NAHUC), which offers preparation time and create a learning environment that fully
certification to individuals who meet certain standards of engages students in classroom preparation. The lesson plans
excellence. are organized into easily understandable sections – Instructor
Preparation, Student Preparation, the 50-Minute Lesson Plan,
an Assessment Plan, and a Laboratory Activities Plan (where
NEW TO THIS EDITION
applicable).
Instructors and students using the 7th edition of LaFleur The content covered in each textbook chapter is divided
Brooks’ Health Unit Coordinating will benefit from all of the across several lesson plans, each designed to occupy 50 min-
quality pedagogical elements in the previous edition, plus a utes of class time. The consistent time for each lesson plan
simulated electronic medical record system that helps students allows the instructor to re-sequence them in any order to fit
better prepare for their role and responsibilities on the job. their class calendar.
Every chapter has been reviewed and updated as needed while A 900-question Test Bank, PowerPoint lecture slides, an
maintaining the approach and features that make LaFleur electronic image collection containing all the images from the
Brooks’ Health Unit Coordinating a success. textbook, and additional Physician Orders for Student Practice
are also included.
TOTAL EDUCATIONAL PACKAGE
The 7th edition of LaFleur Brooks’ Health Unit Coordinating is EVOLVE Website for LaFleur Brooks’ Health Unit
part of a total educational package for health unit coordinat- Coordinating, 7th edition
ing offered by Elsevier. Supplemental materials include the This feature provides free materials for both students and
following: instructors. Resources for instructors only include the following:
• TEACH Lesson Plans with PowerPoint lecture slides
LaFleur Brooks’ Skills Practice Manual for Health Unit • Electronic Image Collection
Coordinating, 7th edition • Additional Images
This printed manual contains practice activities to reinforce • 900-question Test Bank
skills taught in the text, such as transcribing doctors’ orders, • Physician Orders for Student Practice
communicating with co-workers, assembling a patient’s paper Resources for students include the following:
chart, and documenting lab values. Generic hospital forms • Textbook Chapter Exercises and Chapter Review Questions
and actual physicians’ orders provide hands-on examples of in a downloadable format
vii
,viii Preface
• Drag-and-Drop Exercises, Fill-in-the-Blank Exercises, and Section 5, Introduction to Anatomic Structures, Medical Terms,
Vocabulary Flash Cards (NEW!) and Illnesses, presents a basic overview of human anatomy and
• Abbreviations Flash Cards (NEW!) medical terminology.
• Certification Review Guide
• Mock Certification Exam
Working Your Way Through a Chapter
Read the Objectives
MARKET-LEADING TEXTBOOK The objectives outline what you are expected to know when
LaFleur Brooks’ Health Unit Coordinating, 7th edition, by Elaine you have completed all of the exercises for the chapter. When
A. Gillingham and Monica Wadsworth Seibel, is the best- you have read the chapter and completed the exercises, return
selling textbook of its kind on the market. It provides com- to the objectives and quiz yourself to ensure that you have
prehensive coverage of the theory and practice underpinning mastered the material.
the Health Unit Coordinator’s responsibilities, introduces stu-
dents to hospitals and health care, and explains non-clinical Read the Vocabulary Lists
management of the nursing unit. It also offers a complete Each chapter introduces a list of words related to the material
module on anatomy, physiology, and medical terminology, covered in that chapter. When reading the chapter, note the
enabling students to learn the language of medicine so they words in the vocabulary list to enhance your understanding
can interact confidently with doctors, nurses, and other health of their meanings. Return to the vocabulary list after you have
care workers. Exercises in each chapter reinforce newly learned read the chapter and complete the exercises to quiz yourself on
material and test students’ retention and critical thinking abili- the definitions of the words.
ties. Abundant photographs, diagrams, and illustrations fur-
ther enhance understanding of the material. Students studying Complete the Exercises that Follow the Abbreviation Lists
in programs using this text will be able to master everything Most chapters include a list of abbreviations that relate to
they need to know to begin their career performing at a com- the material covered in that chapter. Exercises are included to
petent level. assist you in learning those abbreviations. The abbreviations
are also used throughout the chapter. It may be helpful to cre-
ate flash cards for the abbreviations.
TO THE STUDENT
Complete the Review Questions
How to Use This Text The review questions are written from the objectives and will
This text is organized to provide theory in conjunction with assist you in learning and understanding the skills necessary to
hands-on activities in the LaFleur Brooks’ Skills Practice Manual be successful as a Health Unit Coordinator.
for Health Unit Coordinating to prepare you to work as a Health
Unit Coordinator. The text is divided into five sections: High Priority Boxes
Section 1, Orientation to Hospitals, Medical Centers, and Health Pay special attention to the information provided in the High
Care, provides a fundamental understanding of health care, Priority boxes, as this information is especially important in
including the Health Unit Coordinator position. Recent performing your job accurately and efficiently. This informa-
changes in health care, including the electronic record (EMR) tion is emphasized to reduce the risk of errors while working
with computer physician order entry (CPOE) and the impact as a Health Unit Coordinator.
on Health Unit Coordinating are discussed.
Section 2, Personal and Professional Skills, presents guide- Surfing For Answers
lines to use for effective interpersonal and intercultural com- Websites are provided at the end of each chapter for practice
munication and management skills. Workplace behavior and in using search engines and to provide interesting articles and
appearance, confidentiality as mandated by the Privacy Rule information related to topics discussed in the chapter.
and Security Rule contained the Health Insurance Portability
and Accountability Act (HIPAA), and other ethical and legal Hands-On Activities
issues are discussed. Most chapters in LaFleur Brooks’ Health Unit Coordinating include
Section 3, The Patient’s Electronic Record or Paper Chart, references to activities found in LaFleur Brooks’ Skills Practice
provides information needed to understand written doctors’ Manual for Health Unit Coordinating. Chapters 4 and 7 have
orders and enhances understanding of the various depart- activities related to communication and management skills.
ments that carry out the orders. Activities are included Chapter 8 has activities that will familiarize you with patient
that provide hands-on experience transcribing handwrit- chart forms and chart assembly. Chapters 10 through 19 include
ten doctors’ orders by using the LaFleur Brooks’ Skills Prac- doctors’ orders that relate to material discussed in each chapter.
tice Manual for Health Unit Coordinating and the Simulated
Electronic Medical Record System. Information regarding the Use of Appendixes
Health Unit Coordinators’ role when the electronic medical Appendix A, Abbreviations, helps refresh your memory when
record with computer physician order entry is implemented you cannot recall the meaning of an abbreviation used in a
is outlined. doctors’ order.
Section 4, Health Unit Coordinator Procedures, provides Appendix B, Word Parts, assists you in finding the defini-
information regarding emergencies, infection control, record- tion of a word part while defining or building a medical term.
ing vital signs, and admission, preoperative, postoperative, You may need to find a prefix or suffix that you recognize from
discharge, postmortem, and transfer procedures. Chapter 22, but for which you have forgotten the definition.
, Preface ix
Answers learning tool, you may obtain a career in health care. Our hope
Check your answers after completing exercises and review is that you will continue to become a valuable member of the
questions to ensure that you have answered them correctly. health care field and feel the pride and satisfaction that comes
with helping others. Continuous advancement in technology
makes working in the health care field an exciting and educa-
FROM THE AUTHORS tional experience.
Congratulations—you have opened the door to the health care
world. By using LaFleur Brooks’ Health Unit Coordinating as a
