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3 Cards in this Set

  • Front
  • Back

When keeping written records at work what rules must be followed?

We must be able to understand the record.


It must be legible


It must be detailed


It must be able to be repeated/ replicated


It must be honest and an accurate record of what we did

Why must we pay attention to detail and accuracy in our written records?

To comply with the Law GDPR 2018


To limit liability , own and the organisation


Maybe required if an investigation is required especially into patient care


Assists in collaboration /integrated working


Provides evidence in audit trails


Ensures reproducibility of results should it need repeating

What else do we need to do when writing down our findings/ observations?

Sign and date!