Documentation in Different Stages of Treatment Flashcards
1
Q
written to acknowledge the referral and stating a plan to evaluate……OTR responsibility
A
Intake Note
2
Q
_____ is the most important part of the evaluation
A
Intervention Plan
3
Q
The evaluation Note is done by the…..
A
OTR
4
Q
The OTA is responsible for the _______ note
A
Contact/Daily/Treatment
5
Q
This type of note is usually written weekly or monthly and is usually done by the OTR
A
Progress Note
6
Q
A cross between a progress note and a D/C is the _____ and is completed by the OTR
A
Re-evaluation reports
7
Q
Written when a client transfers from one facility to another
A
Transition Plan
8
Q
Used to summarize the changes in the client’s ability to engage in occupation and to make recommendations for referral and follow up care if needed…..
A
Discharge Summaries
