acronyms; the problems
a foreign body or a patient's social media account.
What is FB?
Never do this, even if the information is similar and you're short on time.
What is copy and pasting routine information between patients?
being vague
What is only appropriate when discussing your availability to work an extra shift, as all documentation must be based on fact, observation and/or the consumer's own statements.
"What is hashtag NOF"?
What is a real question posed to an AH MDT by a med intern when he saw #NOF in a patient's file.
Also known as above knee amputation.
What is AKA?
this routine ensures typed errors are minimised.
What is check spelling before saving?
is the timeframe when events should be documented, signed and dated.
What is "contemporaneously"?
This needs to be added in addition to the date, time, name and designation for a retrospective entry in a patient's file.
What is clear documentation that this entry is retrospective and why?
Perhaps the most important Allied Health discipline, or a person supporting an NDIS participant.
What is SW?
Things to include in your initial note (often asked in auditing)
What is 3 points of ID, patient consent and SW introduction?
the circumstances for when emojis can be used in documentation
What is NEVER (seriously, what happened that this needed to be included)
The designated AI chat application endorsed by Peninsula Care Group
What is Microsoft Copilot?
Is both when blood can’t get to all parts of your brain for a short time, or a Gr 1 social worker.
What is TIA?
things to identify in the initial psychosocial assessment
What is admission reason and reason for referral?
When there is clinically relevant correspondence
What is circumstances for an email to be copied and pasted (without modification) in a progress note (including the date and time it was received and it's author)?
The only acceptable colour for if you find yourself having to write in a patient's paper file as a Social Worker
What is Black ink?
using the expanded version of the acronym first, and include the acronym to be used in brackets
What is how you can utilise any acronym within your documentation?
Being subpoenaed
What is a reason outside of patient centred care for why clear, objective documentation is important.?
This must be written in red and in capital letters at the top of entries containing information about Family Violence and Child Protection matters.
What is "FOI SENSITIVE & CONFIDENTIAL INFORMATION"?
Just avoid using them
What is the Peninsula Care Group policy stance on use of abbreviations?