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Documentation in Healthcare

  • By: Espirita
  • Duration: 30 minutes
  • Price: £5 (Bulk discounts available; 25% charity discount applies)

Top notch documentation or ‘record keeping’ is crucial to the provision of safe and effective healthcare – it is not an optional extra. This course on Documentation in Healthcare has been developed by approved CPD provider and healthcare industry training specialists, Espirita, to address the legislation and guidelines underpinning documentation. The course takes the learner through the importance of accurate documentation and explores the consequences of poor quality record keeping.

Documentation in Healthcare

Objectives

After completing the course, learners will be able to:

  • Understand best practice and legal requirements for record keeping and documentation
  • Recognise the importance of documentation
  • Understand what information needs to be documented and the guidelines for documentation
  • Be aware of the ‘do’s and don’ts’ of documentation

Topics

Topics explored in this course, Documentation in Healthcare:

  • Legislation
  • Data Protection Act 1998
  • Accountability and responsibility
  • Principles of good record keeping
  • Types of documentation
  • Subjective or objective terminology
  • Confidentiality
  • NHS Code of Practice 2003
  • Documentation do’s and don’ts
  • Inappropriate documentation
  • FOI requests

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