Documentation and Record-Keeping – Online Course – CPD Certified

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    Documentation and Record-Keeping – Online Course – Level 2 - CPDUK Accredited.

    Welcome to The Mandatory Training Group's online Documentation and Record-Keeping training course for front-line healthcare and social care providers. All our online training courses, programmes and qualifications are accredited by the CPD Certification Service (CPDUK).

    All healthcare and social care workers should understand the importance of good record-keeping. It is both a legal and professional requirement. Comprehensive records help to:

    • Improve communication between health and care professionals,
    • Support delivery and continuity of care,
    • Demonstrate clinical judgements and decision making, and
    • Identify and manage risks appropriatel

    Course content

    This online Documentation and Record-Keeping training course covers the following:

    • Why are health records important
    • Definition of health records
    • Adequate health records
    • Who can have access to health records
    • Charging for access to health records
    • What counts as health records
    • How long should health records be kept
    • The Data Protection Act 1998
    • Data protection principles
    • Data protection terminology
    • The Data Protection act 1998 rights of data subjects
    • Storage, security, and disposal of health records
    • References and online learning resources
    • Summary.

    Also, the learner will be provided with a supplementary module covering ‘General Data Protection Regulations (GDPR) for Health and Social Care‘.

    Who is the course for?

    This online Documentation and Record-Keeping training course should be completed by those who work in health and social care services, including:

    • NHS medical, nursing, AHP and care staff
    • Locum doctors and nurses
    • Locum allied health professionals (AHPs)
    • Agency nurses
    • Agency workers
    • Healthcare Assistants
    • Support workers
    • Care assistants
    • Community services.

    Course aims

    The aims of this online Documentation and Record-Keeping training course are to improve health and social care workers’ understanding of the legislative, regulatory and professional requirements for keeping medical/care records appropriately.

    Doctors, nurses, midwives, allied health professionals and other health and social care support workers are required to keep clear and accurate records which are relevant to their practice. Patient health records also have a function in improving accountability and in so doing, have a legal purpose in providing evidence of the practitioners’ involvement or interventions about patients or clients.

    Learning outcomes

    The learning outcomes of this online Documentation and Record-Keeping training course are to:

    • Explain why it is essential to maintain excellent clinical/medical records,
    • Understand your responsibilities for maintaining good clinical records,
    • Explain what constitutes clinical records in practice,
    • Understand the legal requirements for record-keeping,
    • Know how long clinical records should be kept, and
    • Understand how the Data Protection Act applies to your practice.

    Documentation and Record-Keeping – Online Course – Level 2 - CPDUK Accredited.


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