Notes
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• Recording both clinical and administrative
• Recording is use to document and retain information about clients needs
o Also in planning, implementing, monitoring, evaluating
o The information is to help assess the quality, appropriateness and impact of service
• The records vary
o They are intended to highlight the nature of each service
The Fifteen Principles of Good Records
1) Balanced Valued Goals
2) Mission Focused
3) Manage risk
4) Accountability
5) Abridgment
6) Objectivity
7) Client Involvement
8) Sources
9) Cultural context
10) Access
11) Usability
12) Currency
13) Rationale
14) Urgent situations
15) Exclusions
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