Week 13: Written Communication Flashcards
1
Q
risks of poor written communication
A
- potential harm to client, important info. not being relayed correctly
- freedom of info.
- complaints about clinician
- subpoena, witness court
- potential harm client, self, social work profession
- public enquiries draw heavily on records
2
Q
features of good written communication
A
- focused
- factual (no assumptions)
- evidence based and accurate
- provides account
- accessible and can be understood, mindful of others reading
- concise but complete
- monitored (time frames, who responsible)
3
Q
use of headings:
A
client name, DOB, client number, date (and time) and contact
4
Q
signing at the bottom:
A
sign, print name, date written
5
Q
making changes or erasing
A
- DON’T change or erase
- use a single line through and sign/date or make a separate case note
6
Q
other team/staff notes:
A
don’t criticize others - this is not the place to do it
7
Q
context info. to include:
A
- referral context
- client context
- personal details of client
8
Q
factual detail to include
A
- date, event, issue
- type of contact - home visit, telephone, email
9
Q
formulation and assessment to include
A
- completion of domains (psychosocial)
- professional assessment/ interpretation
10
Q
specific plan of action to include
A
- what action is to be taken (including no action)
- arrangements for next meeting