Course Aim:
Learners will be able to better understand the importance of Good Record Keeping within their own working environment
Course Duration:
6 Hours
Objectives:
- Identify the key information needed for Record Keeping
- Highlight the reasons why Record Keeping is so important and the need for confidentiality
- Explain accountability, do’s and dont’s
- Outline how to maintain effective records and why this is necessary
- Instruct how to record changes and know how to pass on messages
Assessment Method:
- Formative through activities, scenarios and Q&A
- Summative: Quiz, Q&A
Course Content:
- Data Protection 6 Enforceable Principles
- Different types of data
- Legislation, Accountability and CQC Standards
- Difference between Reports and Who is responsible
- Handling & Storing Records
- Why are Records Valuable
- Key Documents, Commonly used forms and when to use them
- Why Good Record Keeping is so important
- S.O.A.P
- Care plan record and The Core Values
- The Nurses and Midwifery Council
- The importance of writing in a clear, accurate and concise manner and the standards of Record Keeping
- Computerised Records & Record Retention
- With holding information from clients
- Writing Statements, Defining the Purpose, Identifying the reader & Setting the Objective
- The Do’s and Dont’s of Record Keeping
- Documentation relating to care and to individuals care needs and advantages of effective Record Management
- Person Centred Records
- Information to Record and How to Record Information Accurately
- The need for Transparency
- Sharing of Information
- Fact v Opinion, Avoidance of Jargon and Personal Comments
- Confidentiality
- Good Practice Points
This course is available in our dedicated Colchester training room, if you would like to book this course or request more information about doing a training session nearer your business please fill out the fields below