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Case notes should be written the ______day. If this is not possible then within ____ hours.
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What is the reasons for case notes to be completes as soon after the interview as possible?
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DSW - Report Writing
| Question | Answer |
|---|---|
| Case notes should be written the ______day. If this is not possible then within ____ hours. | same, 72 |
| What is the reasons for case notes to be completes as soon after the interview as possible? | 1)accountable as records may be reviewed2)DSW does not confuse client |
| When writing case notes the should be documented... | can be done in black ink or on the computer |
| What are the three steps in the method to correct an error in a document? | 1)cross out error 2)write correction above 3)initial error |
| If the agency that you are working for is "paper free" how do they want you to complete xase notes? | endered by the DSW directly into a pre-designated database |
| Case reports can be used as a form of evaluation; evaluation should occur after... | assessment, planning, goal setting and termination |
| As a DSW you are accountable to... | client, profession and the agency |
| What are the two main components to accouintability? | effectiveness and efficiency |
| Who dictates how the DSW is accountable to their profession? | SSW code of ethic |
| To be sure of your accountability as a DSW working in an agency you need to be aware of: | policies and guidelines |
| What is another word for accountability? | Responsibility |
| When writing reports it is not effective to use: | symbols or DSW jargon |
| What is a diagnosic label? | Simple way of classifying sets of behavious or symptoms |
| If a diagnostic label is included in a report you also need to remember to reference: | source and date diagnosis occurs |
| What are the two things you need to remember when writting a summary report? | Clear and concise |
| As a DSW writing reports it is important to keep in mind: | who will ready the document and why I am writing it |
| When writing effective case notes it is always importnat to ask the client what before you begin? | Is it o.k. for me to take notes |
| When an individual is taliking you should never takes notes when they are talking about: | feelings |
| When writing a formal report and you had a rough draft, what do you do with the rough draft? | Desroy it |
| In a summary report what should not be included? | personal opinions and directs quotes from client or DSW |
| Describe a process report | a narrative report of all that happened during interview incl DSW feelings |
| Under the criminal code of definition of record is as follows | Any form of record that contains personal info incl. counselling notes |
| If you as a DSW receive a request for productions of records you must: | 1)determine if request or legal proceding 2)speak wioth supervisor 3)verify with court whether they need original or copy |
| What are two common problems with record keeping? | inclusion of unnessesary info and compromising clients privacy |
| What should be included in good reports? | basic intake info, police reports, CAS reports and contact/warnings |
| What are the most extensive type of report that we studuied? | Intake Social History |
| What are the catergories that are incl. in Intake Social History | Presneting problems, Psychiatric history, Substance abuse history, Family history, Education, Work history and Mental status |
Created by:
medix