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Medical Record Documentation and Legal Information for CNAs
Documenting care is just as important as providing care. This course discusses the purpose of the medical record and documentation. It also describes documentation practices and legal standards that affect the certified nursing assistant.
This course provides direct care workers in post-acute care education on documentation and legal aspects of care.
Discuss the purpose of the medical record and documentation.
Identify at least two documentation practices used to avoid errors.
Explain the legal standards that affect the certified nursing assistant.
Quality Nursing Documentation in the Digital Age
This course reviews the concept of high-quality documentation and how it relates to technology and patient privacy. Most documentation takes place within electronic health records (EHRs) and healthcare professionals must understand how to practice high-quality documentation in the digital age. There are challenges with technology but also many exciting developments that can improve nurse documentation. This course reviews how healthcare professionals can reduce the risk of patient confidentiality breaches and cybercrimes.
Recall the criteria for high-quality documentation.
Describe technology’s impact on nursing documentation.
Identify privacy and security issues with documentation.
The Use of Telehealth in Clinical Practice
Telehealth offers numerous benefits and poses several challenges when used to treat behavioral health conditions. Many challenges can be addressed through specific problem-solving and communication strategies.
This course provides an overview of telehealth as well as a discussion of both benefits and challenges. You will learn the regulatory issues you should consider when preparing and implementing a telehealth practice. Lastly, this course highlights important strategies to develop rapport and promote engagement when treating clients via telehealth.
Describe telehealth, including the benefits and challenges for service delivery using different formats.
Identify three ways to address challenges and optimize service delivery via telehealth.
Explain at least three standards providers must follow to deliver telehealth services in compliance with federal and state regulations.