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Clinical Record Keeping
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Looking to train a larger team?
'Record-keeping is an integral part of Nursing, Midwifery and Allied Health Professionals' practice and is essential to the provision of safe and effective care. It is not an optional extra to be fitted in if circumstances allow' (NMC 2009)
Who is this course for?
This course is aimed at all healthcare professionals, in particular existing staff to refresh and update knowledge + as induction to new starters in an organisation.
If you would like to see how our Elearning platform works before purchasing, click on the ‘try before you buy’ button below and you can try a full length Elearning module, completely free of charge!
- Aims + Principles
- Legal Aspects
- Codes + Standards
- Accountability
- Countersigning
- Ethical Considerations
- Caldicott Report
- Data Protection
- Freedom of Information
- Patient Information
- Confidentiality + Disclosure
- NHS Protect - Counter Fraud
- Types and Function of Records
- Principles of Good Record Keeping
- Errors and Barriers of Record Keeping
- How to provide a confidential service to patients and service users in the context of their specific role
- Understand the principles of Information Governance and how they apply in every day working environments
- How to ensure and maintain good record keeping
- Fundamentals of data protection, confidentiality and the Caldicott Principles
- The responsibilities of healthcare organisations under the Freedom of Information Act 2000
- Your professional and legal responsibilities
- The different types of records used in healthcare
- The importance of good record keeping and the implications of bad record keeping
- Common errors in record keeping
- How to develop your communication skills through accurate and clear record keeping
This course will provide you with information on industry best practice in regards to clinical record keeping. You will also learn the importance of patient consent to disclosures of personal information, the means and methods of disclosures and the legal requirements of keeping information secure.
Upon completion of this Elearning course, a PDF certificate will be available straight away, that can be downloaded and printed for your records. Each course contains multiple-choice questions and interactive exercises that you’ll need to complete in order to show your understanding of the material and pass the course. Your certificate will be valid for 1 year.
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