UNIT 17 – EFFECTIVE REPORTING AND RECORD KEEPING IN H&S CARE The work has to be done in parts – first part LO1 and LO2 For this part i am asking kindly a minimum work , in few days – like 500 words in PowerPoint . I am taking in class , many notes and … Continue reading “EFFECTIVE REPORTING AND RECORD | My Assignment Tutor”
UNIT 17 – EFFECTIVE REPORTING AND RECORD KEEPING IN H&S CARE The work has to be done in parts – first part LO1 and LO2 For this part i am asking kindly a minimum work , in few days – like 500 words in PowerPoint . I am taking in class , many notes and i am going to add all requirements i hve them on paper or photos What is record keeping , what means , what is the importance ?Like the keeping a good record is main for delivering a good health care ( are my words). Mentioning the Data Protection Act 1998 with the definitions of health record , the importance and some comments about it * all records and infos given to a professional must to be treated with the maximum confidentiality and respect , in a high standard of care – commentaries about this Act . Very few examples of data protection principles applied on my own work ( i am workng in nursing homes mostly ) The Core Elements -Information Governance like – the best healthcare is a confidencial service and a frame work for NHS and all othe institutions to manage informations of employees and patients in a legal way, , efficient , effective and secure . Very important to mention all that IG Acts, Legislation, Guidance and Codes of Practice _ all list . Processing and handling info – definition and all 6 points . Why comply – fullfillour legal obligations , confidential service etc Types of information – confidential ( examples of it ) personal with examples sensitive personal with examples anonymus with examples Text about report a data breach , data controllers and govern data processors, legal basis for processing, data protection officer DPO and managing the data in a good practice , data processors will be held directly liable for the data security . How to comply – Common Law of Duty Confidentiality , content and some comments about. Implications of no compliance CQC Regulation CQC enforcement policy ( LO2) Explore the internal and external recording requirments in care setting (objectives and health care Records for an identifiable individual ( a named file with phisical and methal condition , fisiology ) with statements, meetings, risc assessments , fire control assessment as well or accident, safeguarding .Internal requirments- good record keeping , mean – writte in plain , evoid abreviations and jargons, discipline in writing , clearly , have a incident report, regulated by RIDDOR. What is RIDDOR , internal and external requirements. Duty of Candour – what it is , talk about transparency. What is consent – explicit consent and implied consent, disclosure consent . The value of information. Common Law Duty of Confidentiality The Caldicott Principles The 5 C of Confidentiality Data Protection Act 1998 – some content Data Protection -good practice Care plan for particular person , person centred treatment , care history , process of recordings, injuries report and other types of reports , best practice guidlines involved . Mention how is the case of a child care plan – short example. How is done the destruction of records and conditions of it . Data importance in social care – safe data is safe care Errors in recording and reporting – definitions and comments List of prescribing errors Errors in reporting and recording Other errors Action should be taken when error is made Consequences of errors Retention and disposal of records Purpose of sharing information Deciding to share personal data- conditions of it Internal recording requirments External recording requirments Legislations – 2006 Vulnarable Pupils , Care Act 2014, Safeguarding Act and other acts involved. Handling information , disclosure, whistle blowing ,Data protection confidentialitty , Legal Regulation 2018 The resident details from the care plan – used now and in UNIT 13 Name – Lin Chen, age- 79, diagnosed with obesity, diabetis, dementia – reason she cannot communicate in English anymore and than having specific communication needs. All details are coming through her daughter . Incontinent . She is restless and unable to participate at activities – she is happy only when she can enjoy a chinese movie.She is partially mobile – she can stend up but she doesn”t understant any english word. She is not able to walk .Involve a whole process of care due of specific way of communication . Thank you Alina I choosed ths one because is very good for UNIT 13 as well . Reasons of sharing paients health record within organization Patient right to object to processing opt-out – type 1 and type 2