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keep records that are up-to-date,complete,accurate and legible
Keep records that are up to date, complete, accurate and legible : THE REASONS FOR KEEPING RECORDS Records should provide objective, accurate, current, [ comprehensive and concise information concerning the condition and care of the client. We keep records: • To record client details. Some will remain the same such as date of birth, others will change and require updating • to provide a full
assessment of the client’s needs and identify any factors that may affect or have affected the client’s progress. • to provide a record of any problems that arise and the action taken in response to them. • to provide evidence of the care required, the intervention by professional practitioners and client responses. • to provide the chronology of events and the reasons for any decisions made. • to provide a baseline record against which improvement or deterioration may be judged. • to enable all members of the multi-disciplinary team to care for the client, the records being an important means of communication within the team and for the purpose of risk assessment, regardless of what stage they have reached in the care process. ]
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Asked 5/16/2013 4:34:33 PM
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follow agreed ways of working for; recording information storing information sharing information
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follow agreed ways of working for storing information
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