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Medical Record Documentation and Legal Aspects for the CNA/HHA - Documenting the Process

Medical Record Documentation and Legal Aspects for the CNA/HHA
Documenting the Process
 
Florida now has a defined scope of practice for CNAs that includes a renewal process with required in-service hours. The Florida Administrative Code 64b9-15.011 and the Nurse Practice Act which governs CNA inservice training state that the CNA must have12 hours of training every year that includes the following mandatory subjects every two years: HIV, medical record documentation, communication with the cognitively impaired, infection control, resident/patientís rights, CPR, domestic violence and medical error and safety. This course has been designed to meet the documentation requirement.
 
Purpose and Objective
 
This course is designed to help you become more effective, as you understand how your documentation fits into the requirements of the healthcare system.
  • Recognize the five steps of the nursing process in your documentation.


  • Identify aspects of patient care documentation that fulfill each step of the nursing process.


  • Analyze your system of documentation to determine how well you are supporting the nursing process for each patient.
 
Board Approval Information for this Course
 
Consultants for the Future has been approved by the Florida Board of Nursing and Certified Assistants Council, Provider No. 50-435; and the Iowa Board of Nursing, Provider No. 61. This course provides credit for CNAs and HHAs only and will not give credit to nurses.
 
Author: Linda S. Greenfield
Contact Hours: 1
Cost: $5
 
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