Clinical records Flashcards by Hannah Miller | Brainscape

Q

GDC standards for record keeping

A

make and keep:
- contemporaneous, complete and accurate clinical records

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

importance of records

A

line of defence

How well did you know this?

1

Not at all

2

3

4

5

Perfectly

Q

what to always record

A

purpose of appt
assessment
diagnosis
treatment options and advice
treatment provided

How well did you know this?

1

Not at all

2

3

4

5

Perfectly