documentation 📑 Flashcards
Mandatory Reporting
Mandatory reporting, implemented through the Serious Incident Response Scheme (SIRS), requires providers to report serious incidents, including those suspected or alleged, to the Aged Care Quality and Safety Commission.
Personal Care Plan
A personal care plan is a detailed, individualised document outlining an individual’s needs, preferences, and goals, serving as a roadmap for caregivers to ensure comprehensive and person-centered care.
Individualised Care Plan
Individualised Care Plan (ICP) is a personalised document outlining an individual’s specific needs, preferences, goals, and the care required to meet them, ensuring person-centered care tailored to their unique circumstances.
Progress notes
These notes document the client’s progress, any changes in their condition or needs, and the interventions or treatments provided.
Serious Incident Report Scheme (SIRS)
The Serious Incident Response Scheme (SIRS) is a federal government initiative in Australia that aims to reduce the risk and occurrence of abuse and neglect in aged care, requiring providers to report and manage serious incidents.
Incident Report
These documents record any incidents or accidents that occur, providing a detailed account of what happened, who was involved, and what actions were taken.
Handover Notes
These notes are used to communicate information between different care providers, ensuring continuity of care and providing up-to-date information about an individual’s needs.
Medication Administration Records (MARs)
These records track the medications an individual is prescribed, including dosages, times of administration, and any relevant information.