The Aged Care Royal Commission and Coronial Inquests have reinforced the importance of keeping your notes up to date, not only to protect your clients, but to avoid extensive implications when documentation isn’t up to scratch.
Good client documentation is essential for numerous reasons, the most important being the provision of the best possible care and support.
Well written care and support plans, assessments and reviews along with detailed progress or case notes both support and demonstrate quality care.
When something goes wrong or when a case conference is scheduled with the client and their loved ones, ensuring you have well written evidence to back up any claims, actions or outcomes is essential.
This interactive workshop will explore legislation, quality standards and professional practice that impact on documentation in community services and provide practical examples of strategies to ensure documentation is defensible.
The ‘If it isn’t documented, then it didn’t happen’ program is now available on the Training & Professional Development Calendar here .