Clinical Record Keeping

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Read our updated classroom training guidance here.

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Who is This Training 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.

Why do you need this Course?

'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)

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.

Objectives

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

Course Content

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

Course Benefits

This classroom training course allows the delegate to fully understand all the core aspects of Clinical Record Keeping in a high impact 4 hour session

Group Bookings Available! Receive this expert training course, for up to 20 delegates, for as little as £35 per person. Click here for your free quote!