Workshop Only Programs
Documentation Essentials
Fortify Health Group is committed to encouraging both staff and students to continuously create, grow and learn. Our programs reflect this commitment, as well as the diverse backgrounds and cultures of our trainers assessors and students alike.
ABOUT THIS WORKSHOP
Documentation Essentials
Clinical and support records must contain all aspects of a participant’s care and support. They must also meet legal requirements and industry standards to manage participant safety and quality risks.
Documentation can apply to every component of a participant’s record including a progress note/shift summary, consent form, a clinical finding or investigation. The objective of this training workshop is to orientate support staff and students to the clinical, support and legal guidelines for documentation within the NDIS. It will cover; what to document, how to document it, confidentiality and documentation by providers.
Documentation Essentials
Training Information
Duration
1.5 Hours
Practical
1.5 Hours
Documentation Essentials
Learning Outcomes
- Ensure that a complete record of supports is created
- Substantiate decisions and management plans
- Support continuity of supports and show how supports are meeting NDIS goals
- Facilitate proactive and reactive risk management
- Help prevent and defend legal claims
- Provide useful information for quality improvement and research purposes
The test of a good documentation record is to be able to ask, ‘will this record tell the whole story in a year and prove that supports are aligning to what the NDIS want and meeting the participant’s goals?’
