Documentation Flashcards
1
Q
Do you identify the client’s name when you document?
A
Yes but only be a clients first initial
2
Q
Should your activity log include what you did with the client?
A
Yes
3
Q
Give an example of something that should not go in the activity log.
A
Don’t Use
- Subjective opinion “we had a good outing”
- Use only employer approved abbreviations
- Never try to cover up a mistake
- Do not include full name in documents, initial only
4
Q
What would you do if there was something time sensitive that you thought your supervisor should be aware of?
A
Call supervisor or contact directly
