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Medical Record Documentation and Legal Aspects Appropriate to Nursing Assistants

Author: Dana Bartlett, BSN, MSN, MA, CSPI

Course Created:

Practice Level:

No book to buy Duration: 1 hours
This course material available in video format. Click to view.

Course Summary

This CNA inservice provides information on Medical Records Documentation. Eligible medical records documentation course for Florida CNAs.

Course Format

This course is based on a book and a post test. When you're ready, purchase the test by clicking the "Add To Cart" button. This will let you take the test and receive your certificate for CE credits.

Course Syllabus

  • Introduction
  • Patient Care Documentation - The Basics
  • How to Document Correctly
  • What Will You Be Documenting?
  • Good and Bad Examples of Documentation

Learning Objectives

  • Identify the first and most important rule of medical documentation.
  • Identify three aspects of proper documentation.
  • Identify the three “don’ts” of proper documentation.
  • Identify a CNA note that is an example of good documentation.
  • Identify the proper way to document a note that is entered late.

FAQs

Most of our courses will satisfy your CEU requirements. However, you can double check with this handy tool.
Non-California licensees: You can download all the required materials above where it says "Preview the material"
No prerequisites are required for this course.
Yes. Once you read the material and pass your test, you can print your certificate right away from your "My Account" page.
Non-California licensees: You bet, you can download the course material to your computer. You can then print it off, transfer it to your tablet or whatever works for you. Most folks print of a copy of the test and circle the answers while reading through the material.

California licensees: No.

How it Works

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1. Confirm Your
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2. Read the
Material.

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3. Take the
Test.

done

4. Print Your
Certificate.