The Basics of Documentation

Course Code: REL-PAC-0-BASD

Hours: 0.5

Type: Online Course

Content Expiration Date: 12/31/2028

Learning Objectives:
Recall best practices when documenting in a medical record.

Outline:

Section 1: Documentation Basics

Documentation

Review

Key Takeaways

Section 2: Conclusion

Course Summary

Course Contributor

References

Subject Matter Expert: Tameka N. Warren, MSN, RN, CLC

Tameka N. Warren, MSN, RN, CLC, earned her Bachelor and Master of Science in Nursing degrees from Indiana University School of Nursing at IUPUI, and her Associate of Science in Nursing from Ivy Tech College. She has over 20 years of nursing experience in public health, regulation, home health, leadership, education, maternal child community health, and long-term care environments. Tameka has served as a leader in home healthcare practices, quality improvement, and education as a community health nurse and a Public Health Nurse Surveyor (Home Health & Hospice) certified by CMS for a State Agency. She has served as a maternal and infant mortality advocate in managing home visiting services, supporting legislation to improve maternal child care in diverse communities, and as an ALPP Certified Lactation Counselor. She has also served as an Adjunct Clinical Professor to further awareness about the importance of community health nursing. Tameka’s passion is to serve the most vulnerable populations affected by health disparities and to inspire a new generation of nurses to do the same successfully.

Target Audience:
The target audience for this course is: All Staff; Direct Care Staff; Unlicensed Personnel; in the following settings: Adult Residential Care Facility, Assisted Living Facility, Home and Community Based Services, Home Health Agencies, Hospice, Personal Care Home, Skilled Nursing Facility.

Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.

Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.

Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.