Record Keeping

Description

This interactive, practical course has been designed to give an understanding of how, when, and why to write timely and accurate records, including understanding the importance these may have in potential legal proceedings.

This course has been designed to help ensure professionals are able to adopt a defendable practice to their notes and records, while also considering their own accountability and that of their organisation.

Throughout the day, delegates will consider what should, and should not be recorded in care records and the importance of focusing on not just what was said, but also on what is not being said by the person receiving care, alongside their overall presentation.

Delegates will consider what “good” looks like from their perspective and within their role. They will be assisted to formulate a note keeping template which will help them in capturing all relevant information, while also consider who may read their notes and records.

The course will conclude with a short cross-examination exercise to further highlight the importance of good records.

What you will learn

• Describe what a timely care record is.
• Describe what an accurate care record is.
• Explain why timely care records should be kept.
• Explain how timely care records should be kept.
• Practice contemporaneous record keeping.
• Have the opportunity to defend their recollection under cross-examination by using their records.