Course Description

In this course students will learn to:

• Describe the guidelines for effective documentation;
• Identify the purposes of a healthcare record;
• Discuss the different types of documentation;
• Identify documentation concerns regarding computerization of health care records;
• Discuss legal guidelines for documenting and reporting;
• Discuss the advantages of standardized care plans;
• Discuss the Nursing Standards of documentation;
• Discuss the Do's and Don'ts of documentation;
• Delegation and Legal Implications;
• Differentiate between responsibilities and accountability;
• Discuss the five rights of delegation;
• Identify obstacles to effective delegation;
• Define delegation and related terms;
• Describe responsibilities of assigning, teaching or supervising a procedure;
• Identify strategies for a successful delegation;
• Discuss the nurse’s role and responsibility in the administration of medications;
• Describe the 5 + 1 Rights of Medication Administration;
• Discuss the government legislation and regulation of medications;
• Describe elements of critical thinking required for safe medication administration;
• Discuss the different types of medication orders;
• Become familiar with medication names, brands and actions;
• Discuss possible medication reactions;
• Describe the routes of medication administration.