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If it's not documented, it didn't happen

Poor reporting and a lack of documentation have featured prominently in the Royal Commission hearings, highlighting the importance of up-to-date record keeping, not only for the provision of quality care but to also avoid any legal implications.


26 Nov 2020

Good client documentation is essential for many 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 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.

Poor records have a negative impact on care delivery and clinical decision-making. Not only this, but documentation (and its quality) will improve communication across multi-disciplinary teams, demonstrate quality and reduce risk.

ACSA’s 2-hour 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.

Current issues such as the Aged Care Quality Standards, Aged Care Funding Instrument (ACFI), Consumer Directed Care, together with real examples from the Royal Commission and Coronial Inquests are used to reinforce the need to document effectively and what can happen when documentation isn’t up to scratch. The workshop will also focus on Complaints and Customer Feedback and appropriately managing Workplace Incidents and Investigation.

This program is offered as part of ACSA’s Training Calendar and has been written for a diverse audience from carers through to service managers. 

Register here for If It’s Not Documented, It Didn’t Happen on Thursday December 3.

 

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