Setting the Record Straight

1 day
(Up to 100 delegates)

This is in-house training – we come to your organisation and deliver to your staff on an agreed date at a venue chosen and arranged by you. All participants will receive training materials and certificates of attendance.

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 Richard Griffith LLM BN DIPN PGDL RMN RNT CERTED, is head of healthcare law at the Department for Philosophy, History and Law, Swansea University. Initially training as a nurse he gained his diploma in nursing and bachelor of nursing before turning his attention to the law. Richard has a wide legal background having gained a post graduate diploma in law at the University of Glamorgan together with the common professional examination of the law society. He then went on to read for a master of laws at Cardiff law School. Richard has published widely on a variety of legal issues concerning medicines and health care in a number of nursing and medical journals and is a regular columnist for the British Journal of Community Nursing, Nurse Prescribing Journal and the British Journal of Midwifery. He is author of Law and professional issues in nursing published by Learning Matters. Richard has acquired a reputation at nmprescribing for the engaging and amusing way he delivers training