CNA: Medical Record Documentation and Legal Aspects Appropriate to CNAs
The goal of this course is to help CNAs learn the basic guidelines for proper documentation of medical records and legal aspects appropriate to CNAs.

Course Publication Date: December 03, 2018

This course is available with NO ADDITIONAL FEE if you have an active one year unlimited membership!

Author:Anita Rothera-Delaney RN, BS
Course No:CNA-LEGAL-18
Contact Hours:2.00
Delivery Method:Online Self Study

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Learning Objectives
  • Describe the challenge of institutions to help nursing staff refine their charting skills.
  • Discuss how documentation on the patient’s medical record is controlled.
  • Discuss how care plans provide a structured approach to the assessment, planning and delivery of patient care.
  • Name five sections of information a medical record must contain.
  • Discuss why computerized charting is good.
  • Discuss National Patient Safety Goals for Hospitals from JCAHO.
  • Describe the rules of documentation for CNAs.
  • Discuss qualities of a Good CNA.


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