Courses and programs

Clinical Documentation: Getting it Right

Description

Welcome to the eLearning module Clinical Documentation - Getting it Right.

This course aims to remind staff of established principles of documentation stated in the Health Care Records - Documentation and Management Policy Directive and included in the National Safety and Quality Health Service Standards.

A certificate is issued on completion.

Objectives

Participants will have the information to describe and discuss:

  • The relationship between an accurate health care record and safe patient care
  • How the health record is used
  • The privacy and confidentiality requirements that apply to documentation
  • What the minimum standards are for documentation in the health system
  • Who is responsible for documentation

Audience

Staff involved in the delivery of health care services within the NSW Healthcare system and may qualify for up to 0.5 hrs of Continuous Professional Development.