Record Keeping and Defensible Documentation
Course Overview
This 3 hour training course will be delivered by a Clinical Nurse Educator with first hand clinical experience, drawing on their own experience and knowledge.
Suitable For:
All healthcare workers across all settings with existing knowledge wanting to enhance their current understanding. Alternatively, those new to healthcare looking to acquire new skills and practice effectively.
Session Aim:
Nursing documentation is the cornerstone of best practice. It serves many diverse, complex and important functions from ensuring consistency of clinical care and good communication between practitioners, to providing evidence in a court of law that patients have received appropriate, high-quality, evidence-based care… or, indeed, that they have not.
This training course is intended to cover the knowledge and principles of good record keeping. Appreciation of the legal, regulatory, contractual requirements around record keeping. Good clinical entries, tools in relation to the record life cycle, skills to assess the quality of your own record keeping.
Learning Outcomes:
- Build on the knowledge of the principles of good record keeping for individuals working as health and social care professionals.
- To have an appreciation of the regulatory, contractual and legal requirements regarding documentation.
- To understand the importance of documentation in healthcare and the legal implications.
- Recall key principles of quality documentation.
- Develop the skills to assess the quality of your ownrecord keeping.
Delivery
This training can be delivered virtually or face-to-face.
Group Size
This Training allows for up to 10 delegates to attend.
Booking
If you would like to book a session of this topic, please contact us.
