Dear Nicky
I work in a a Community Physical Disability Team. Our multi-disciplinary
team keeps one file. This contains a multi-disciplinary assessment form,
that is used by whoever visits the client first. Here, client problems and
aims of treatment are recorded. There are also separate sections for each
discipline to elaborate on profession-specific assessments and intervention
(for Speech & Language, OT and PT). Our Clinical Psychologists have a small
section to acknowledge their involvement, but they maintain separate notes
for confidentiality around very sensitive areas.
This usually works very well, probably because we are a non-acute service,
we talk to each other, and deliberately organise our visits either so that
they are done jointly, or several weeks apart. That way we avoid the
situation where colleagues need the notes at the same time. Because of the
nature of our team, we do need to take the notes with us when we visit and
this potentially means that the notes are away from base, depriving our
colleagues of them. So you need some sort of a system to cope with note
tracking especially if lots of people are going to be accessing them - or a
very strict "no walking" policy.
In a hospital environment, things tend to be more medical-note orientated.
(rather than client-orientated). You may indeed just have to add a section
to summarise your interventions and then keep your own more detailed notes
separately (like our Psychologists do). Unless you have some whacky
electronic systems up & running or planned. Whatever you decide to do, avoid
duplicating reams of paper !
PS Are you the Nicky Mackenzie that used to work in Leeds ?
Nikki Adams [log in to unmask]
----- Original Message -----
From: "Nicky Mackenzie" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Saturday, November 16, 2002 8:23 AM
Subject: multidisciplinary notekeeping
> Our hospital is about to begin mutidisciplinary notekeeping. If you do
this
> already please share your experiences?
>
> The doctors seem to think we can just write in the notes, but CSP
> guidelines on notekeeping advise that we maintain an accurate physio
record
> of treatment.
>
> We are trying to design a sheet to add to the notes, but if anyone has
> done this already please share.
>
> Thankyou
>
>
> Nicky
>
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