Record keeping

Industry-backed learning

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Learning outcomes

To be aware of the types of records you may be required to keep

To understand the legal and professional requirements to maintain accurate and detailed resident / patient records

To ensure that all documentation is recorded in a legible and indelible manner

To enhance your knowledge around the General Data Protection Regulation in relation to record keeping

To be mindful of the importance of the duty of confidentiality and appropriate storage of all records

To understand what actions to take if you believe there has been a data breach in relation to patient / resident or staff records

To be aware of the types of records you may be required to keep

To understand the legal and professional requirements to maintain accurate and detailed resident / patient records

To ensure that all documentation is recorded in a legible and indelible manner

To enhance your knowledge around the General Data Protection Regulation in relation to record keeping

To be mindful of the importance of the duty of confidentiality and appropriate storage of all records

To understand what actions to take if you believe there has been a data breach in relation to patient / resident or staff records

About this course

This module provides information relating to the importance of effective record keeping, including the practical elements of recording information and how to store information within the expected guidelines (including GDPR). It reviews the requirement to share records particularly with external agencies and examines the key components of good practice in relation to health records. This module is CPD accredited.

Course curriculum

Chapter 1 : The Principles of Record Keeping

Chapter 2 : Why do we keep records?

Chapter 3 : Types of documentation used in healthcare

Chapter 4 : Factors that contribute to 'good' record keeping

Chapter 5 : Access and ownership of records

Chapter 6 : General Data Protection

Chapter 7 : Legal Matters and Complaints

Chapter 8 : Reflecting on your record keeping

Get certified

  • Showcase your skills with a course certificate, for use in your professional records, portfolio or in job interviews

  • Individual course certificate £8.99 (ex. VAT)

  • Increase professional credibility

FAQ

What is CPD?

Continuous Professional Development (CPD) is the way that professionals continue to learn and develop throughout their career and ensure they keep their skills and knowledge up to date to be able to practise safely.

If you work in a role that requires registration with a regulatory body such as nursing, then you are required to keep your skills and knowledge up to date through CPD.

For example, all nurses on the NMC register must complete 35 hours of CPD in a three year period. E-learning can count towards some of the required CPD hours, so the great news is Academy e-learning modules can be used to evidence ongoing CPD hours!

Each module on Academy gives an indication of the time required in “active learning” to complete it. Once the module is completed and the assessment passed, a certificate is then issued which can be downloaded.

The terms CPD hours/scores/points are used interchangeably, although a module on Academy does not give the number of CPD “points”, the general guide is that usually one hour of learning equates to one CPD “point”.

Most of Florence Academy modules are independently accredited by the CPD Standards Office and many of them are also aligned to the Core Skills Training Framework (CSTF). Each course overview details whether the course is accredited and/or aligned, meaning you can be confident that they meet industry standards.

To find out more about:

Will any care home accept my certificates?

Any care home/NHS Trust outside of Florence can accept them, depending on their policies. Sometimes organisations have a preference for a certain course or they might ask to see the learning outcomes to be sure what has been covered in the course, we recommend you check with them directly.

How to pay for Academy certificates

It's free to learn on Florence Academy – you can go through all modules in a course and complete assessments without paying.

We charge £8.99 + VAT (where applicable) to see and download each course pass certificate.

You can buy your certificate immediately after completing the course (and passing your assessment), or you can purchase it later by clicking the "Get certified" button for the course on your certificates page.

We accept most card types, including Visa and Mastercard. We don't currently take PayPal.

What is Florence Academy?

Academy is an online learning platform designed for those working in social care and looking for professional development. You can log in or create an account here.

Who creates the learning content on Florence Academy?

Our Florence Academy specialist Clinical Content Team is made up of experts in health and social care and digital learning - a winning combo. We are skilled and experienced and create accurate and interesting learning experiences on any topic. We are:

  • clinical experts

  • writers, editors and proofreaders

  • creative designers

  • learning experience creators

  • data analysers.

We focus on producing accurate and relevant learning content you can trust.

Florence Academy content disclaimer

The information and online educational content provided by Florence Academy is intended for general knowledge and educational purposes only. It is designed to assist you in meeting your continuing professional development (CPD) requirements. Florence Academy cannot be held responsible for the performance or implementation of your duties at work or professional skills.

The content should not be considered medical, health, wellness, nutritional advice or consultation. It is not a substitute for the services or advice of a qualified health professional who provides evidence-based care within a specific context. The content is generalised and does not take into account an individual's circumstances, physical well-being, mental state, or medical needs, which are important factors in correctly diagnosing and treating any health condition.

Florence Academy explicitly advises against disregarding medical advice or encouraging others to do so, or delaying seeking medical advice based on this content.

While Florence Academy strives to ensure that all content is complete and accurate at the time of publication, we do not assume responsibility for any errors, omissions, or defects in the content. Florence Academy does not guarantee the accuracy of information provided by any third party and accepts no liability for any loss or damage that may occur as a result of relying on such information.

Suitable for

Care Assistant

,

Senior Care Assistant

,

Team Leader / Supervisor

,

Registered Manager

,

Nurse

,

Other staff

30-40 minutes

Free (ex. VAT)

Certificate £8.99 (ex. VAT)*

*Certificates are free for active Florence workers