Course Overview
Learn to document in a way that withstands scrutiny. Cover notes that survive coroners' court, adverse outcomes, unsafe discharge documentation, DNACPR decisions, and documenting uncertainty.
Learning Objectives
By the end of this course, participants will be able to:
- Document clinical decisions to medicolegal standards
- Record adverse outcomes and complications appropriately
- Document discharge decisions including risk
- Record DNACPR and ceiling of care discussions
- Document uncertainty and clinical reasoning clearly
Key Topics Covered
Medicolegal documentation standards
Notes that withstand coroners' court
Documenting adverse outcomes
Unsafe discharge documentation
DNACPR and ceiling of care documentation
Documenting uncertainty and clinical reasoning
Consent and capacity documentation
Who Should Attend
All clinicians
Assessment Methods
- Documentation audit
- Case scenarios
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Course Details
Duration
3 hours
CPD Credits
3 RCEM CPD hours
Delivery Format
- In-person
- Virtual
- Self-paced
Category
NHS Literacy