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 Certificate80 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
Content Integrity
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
Disclaimer
Disclosure
Usage
Cite this resource

Recommended resources

Image for What is a Stoma?
What is a Stoma?
CPDTime.resource
10m
Lecture
Image for Workplace Incivility: Not Taking it Personally
Workplace Incivility: Not Taking it Personally
CPDTime.resource
1h 7m
Lecture
Image for Which Stoma Appliance and When?
Which Stoma Appliance and When?
CPDTime.resource
32m
Lecture
Image for Creams and Ointments
Creams and Ointments
CPDTime.resource
40m
Lecture
Image for Medicines and Crushing
Medicines and Crushing
CPDTime.resource
37m
Lecture
Image for Customer Service When it's a Busy Day
Customer Service When it's a Busy Day
CPDTime.resource
25m
Lecture
Image for Dizziness and Medications
Dizziness and Medications
CPDTime.resource
35m
Lecture
Image for Drug Diversion in the Workplace
Drug Diversion in the Workplace
CPDTime.resource
42m
Lecture
Image for How to Use Asthma and COPD Devices: Overview
How to Use Asthma and COPD Devices: Overview
CPDTime.resource
11m
Lecture
Image for Medicines Used in Parkinson's Disease
Medicines Used in Parkinson's Disease
CPDTime.resource
32m
Lecture