Resource detail

Resource ID 209
Title Clinical record keeping

Welcome to the Nursing Times Learning online training unit on Clinical record keeping.

The unit will teach you:

  • How to document clearly and safely
  • The role of record-keeping in ensuring clear measureable outcomes for patient care
  • The role of records in undertaking a root-cause analysis of an incident in healthcare and the importance of a clear “audit trail”
  • Nurses' accountability and duty of care in relation to patient care and record-keeping
  • The role of records in complaints and civil court cases
  • How to use the SOAP framework to record episodes of care
Resource type Website
Source/origin External source
Record created 2014-07-13 13:32
Record updated 2014-07-13 13:33
Record editor Helen Parsons
Tags online learning
Subjects Technology