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.

Documentation and Record-Keeping – Online Course – CPD Certified