Records, including notes, are an essential tool which health and social care professionals must be able to use effectively to meet their various legal and professional responsibilities.
This interactive course has been designed to give an understanding of how, when, and why to write timely and accurate records, as well as how they can be used to defend recollection under cross-examination in a courtroom environment.
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 service user, 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 imparted by their service users, while also consider who may read their notes and records.
Read the article on the importance of contemporaneous written records.
Key Learning Points:
By the end of this course, you will be able to:
- 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.
- Use a contemporaneous record to create a report.
- Defend your recollection by using a report and contemporaneous record under cross-examination.
We can also arrange closed courses (either in the classroom or virtual) for your organisation, if you have a group of colleagues who wish to attend training together. If you have any questions, please do not hesitate to contact us on 020 7549 2549 or email us at firstname.lastname@example.org