Record Keeping and Documentation for Non-Clinical Staff

Cover image for: Record Keeping and Documentation for Non-Clinical Staff
CPDTime.
10m
Updated 22 Oct 2025 Certificate87 Ratings
Good record keeping is a crucial part of ensuring safe care, no matter what your role in a healthcare organisation is. This Ausmed Training Module provides non-clinical staff with an overview of what good documentation looks like and how to document effectively, aiming to increase their confidence in recording information clearly, factually and professionally.

Content

6 Units • 8 Questions
Pre-reflection
1 Question
Introduction
1m
Types of Record Keeping Used in Healthcare
1 Question
1m
Benefits of Good Record Keeping
1 Question
1m
Record Keeping Best Practices
4 Questions
1m
Legal Issues in Record Keeping
Conclusion
Post-reflection
1 Question

What you'll learn:

1

Describe what effective documentation looks like.

2

Identify what types of information should be recorded.

3

Apply clear, factual and professional language in written documentation.

4

Recognise when to escalate issues or information to a manager.

Who it's for:

Non-clinical healthcare staff

Topics

For Teams
Assign to your staff

Assign mandatory training and keep all your records in-one-place.

Find out more
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Ausmed strives for the highest level of content integrity and accuracy in our educational resources.
Last updated22 Oct 2025

Published22 Oct 2025

Due for review31 Jul 2030
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