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Program Objectives
After completion of The Best Defense Is A Good Documentation Offense, the participant will be able to:
1. Explain the importance of documentation as a health care provider.
2. Identify the basic information that is required when documenting in the medical record.
3. Describe those particular issues that require documentation in the medical record.
4. Discuss the emerging documentation concerns regarding the faxing and computerization of records.
5. Determine documentation Do’s and Don’ts.
6. Compare differences in documentation issues that are specific to nurses versus certified nursing assistants.
7. State the characteristics of satisfactory documentation.
8. Evaluate the medical record documentation issues in selected legal cases.
9. Explain how documentation may evolve in the future to meet emerging needs.

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