Setting the Record Straight

Setting the record straight

(Up to 100 delegates)

The Course Aim 
To update participants in legal and professional aspects of documentation to improve safe practice and minimise risk of litigation

 

Learning outcomes 

By the end of the session participants will be able to:
• Outline the legal and professional requirements of record keeping in healthcare practice.
• Describe the consequences of poor record keeping for a practitioners professional accountability and patient safety
• Judge the standards required for writing records that are Factual, Consistent, Accurate, Contemporaneous and Shared
• Analyse the value of records as evidence in a court of law

 

Course content 

The workshop will utilise the FACTS model of record keeping developed by Richard Griffith at Swansea University to ensure that records are:

  • Factual
  • Accurate
  • Consistent
  • Timely and
  • Shared

In order to meet policy, professional and legal standards for recordkeeping in healthcare, the training will use a combination of workshops, discussion and role-play where participants will evaluate records for:

  • Professionalism and record
  • Duty to secure records
  • Confidentiality and records
  • Content and style
  • Patient identification and personal information
  • Author identification
  • Point in time
  • Indelible entries
  • Abbreviations
  • Errors how to correct them and what to omit
  • Legal issues
  • Records as evidence
  • Common errors in electronic records
  • Making sense of record entries
  • The need for clear English

 

Trainer 

Our trainer Amanda Armstrong is currently working as an Advanced Nurse Practitioner within General Practice.  Amanda has been a Nurse Independent Prescriber since 2004.  She has 16 years’ experience working as a University Nurse Lecturer as part of Advanced Practice and Non-Medical Prescribing Programmes in London South Bank and Anglia Ruskin Universities.  She holds 2 master’s degrees; an MSc in Nursing Research and Development and a Master’s in Health Care Law and Ethics from University of Wales as well as the Common Professional Examination of the Law from Nottingham Trent Law School.  She has published various articles on nurse prescribing including the Legal Aspects of Non-Medical Prescribing within the Nurse Prescribing Journal and the Non Medical Prescribing chapter in Barton T & Allan D (2015) Advanced Nurse Practice; Changing Healthcare in a Changing World.

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