Question

In: Nursing

What process can you follow to ensure you are completing and storing documentation correctly.

What process can you follow to ensure you are completing and storing documentation correctly.

Solutions

Expert Solution

Answer: It is critical to ensure that you are retaining and shredding the right documents at the right time, all handled by an employee with sufficient knowledge to do so.The purposes of documentation include:
• assessing needs and recording information about clients to help plan, implement and evaluate appropriate services
• recording actions
• explaining why we did something
• reminding us of what we need to do next
• reporting incidents such as falls and documenting any subsequent actions
• referring clients
• providing information to external agencies eg a court report
• planning work or programs
• advocating for clients and seeking information

The process that can be followed to ensure completing and storing documentation correctly are:

  1. A complete inventory of all records,as by doing a complete inventory of all the records that has to be managed, it willmake us able to implement processes that coincide with business and data management needs of team.
  2. Developing a records retention and destruction schedule, as it contains and helps maintain the guidelines for how long certain records should be kept and the conditions in which they should be destroyed.

  3. By creating a thorough procedure for new records management plan, it can be verify that the proper steps are taken in the future and can distribute this knowledge throughout the workplace

  4. Accidents and natural disasters happen so make sure to have a disaster recovery plan in place to help eliminate any issues in case of a natural disaster, fire, or flood.

  5. Training your employees after implementation of new records management plan is the next step.


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