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Medical Record Documentation

Tracking # 20-497118

$16.00

4.5 (502 ratings)
CE Broker Reporting Reported automatically
Method Computer-Based Training

What you'll learn

After the completion of this course you will be able to:

  1. Discuss the purpose of Documentation.
  2. Describe how to document in a complete, correct, timely, legal, and professional manner.
  3. List the aspects of care that must be documented.
  4. Define how to document in accordance with the medical record guidelines.
  5. Demonstrate the importance of maintaining confidentiality.

Course overview

The purpose of this course is to discuss Medical Record Documentation and the essential element, standards, guidelines of medical record documentation. This course will give examples of the guidelines on documentation, and maintaining confidentiality.

Subject areas

This course counts toward the state boards and subject areas below.

Arkansas State Board of Nursing

Certified Nurse Midwife

2h Practice-Focused Continuing Education

Certified Nurse Practitioner

2h Practice-Focused Continuing Education

Certified Registered Nurse Anesthetist

2h Practice-Focused Continuing Education

Clinical Nurse Specialist

2h Practice-Focused Continuing Education

Licensed Practical Nurse

2h Practice-Focused Continuing Education

Licensed Psychiatric Technician Nurse

2h Practice-Focused Continuing Education

Registered Nurse

2h Practice-Focused Continuing Education

Registered Nurse Practitioner

2h Practice-Focused Continuing Education

District of Columbia Board of Nursing

Licensed Practical Nurse

2h Licensed Practical Nurse - Continuing Education

Nurse Practitioner

2h Relevant to Nurse Practitioner Specialty

Registered Nurse

2h Registered Nurse District of Columbia - Continuing Education

District of Columbia Board of Nursing Assistive Personnel

Certified Nursing Aide

2h Certified Nursing Aide - Continuing Education

Home Health Aide

2h Home Health Aide - Continuing Education

Florida Board of Nursing

Advanced Practice Registered Nurse

2h General

Clinical Nurse Specialist

2h General

Licensed Practical Nurse

2h General

Registered Nurse

2h General

Florida Board of Nursing - Certified Nursing Assistants

Certified Nursing Assistant

2h Medical Record Documentation and Legal Aspects Appropriate to Nursing Assistants

Florida Board of Nursing Home Administrators

Nursing Home Administrator

2h General - (must be in one of the Domains of Practice - Personnel, Finance, Marketing, Physical Resource Management, Laws, Regulatory Codes and Governing Boards, Resident Care)

Georgia Board of Nursing

Licensed Practical Nurse

2h General

Registered Professional Nurse

2h General

Georgia State Board of Long-Term Care Facility Administrators

Nursing Home Administrator

2h Resident Centered Care and Quality of Life

Kentucky Board of Nursing

Licensed Practical Nurse

2h Continuing education related to nursing

Registered Nurse

2h Continuing education related to nursing

New Mexico Board of Nursing

Certified Hemodialysis Technician

2h Continuing education related to care and safety of the patient undergoing dialysis treatment

Certified Hemodialysis Technician II

2h Continuing education related to care and safety of the patient undergoing dialysis treatment

Certified Medication Aide

2h Continuing education related to medications and medication administration

Certified Medication Aide II

2h Continuing education relevant to the expanded scope of function for CMA II

Certified Nurse Practitioner

2h Continuing education relevant to nursing practice

Certified Registered Nurse Anesthetist

2h Continuing education relevant to nursing practice

Clinical Nurse Specialist

2h Continuing education relevant to nursing practice

Licensed Practical Nurse

2h Continuing education relevant to the licensed practical nurse

Registered Nurse

2h Continuing education relevant to nursing practice

North Dakota Board of Nursing

Advanced Practice Registered Nurse

2h Quality Assurance, Accrediting or Regulation Standards and Processes

Licensed Practical Nurse

2h Quality Assurance, Accrediting or Regulation Standards and Processes

Registered Nurse

2h Quality Assurance, Accrediting or Regulation Standards and Processes

South Carolina Board of Nursing

Advanced Practice Registered Nurse

2h General

Licensed Practical Nurse

2h General

Registered Nurse

2h General

West Virginia Board of Registered Nurses

Advanced Practice Registered Nurse

2h Teaching and learning process for health care personnel or for patients

Registered Nurse

2h Teaching and learning process for health care personnel or for patients

Disclosure statements

Course Objectives:

After the completion of this course you will be able to:

  1. Discuss the purpose of Documentation.
  2. Describe how to document in a complete, correct, timely, legal, and professional manner.
  3. List the aspects of care that must be documented.
  4. Define how to document in accordance with the medical record guidelines.
  5. Demonstrate the importance of maintaining confidentiality.

Take it Here

  • This course reports to CE broker immediately upon completion.
  • Complete all courses at your own pace online.
  • Quality and enjoyable courses.
  • Modern experience, accessible from any device.
  • All courses affordably priced.

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