Documentation of Clinical Care
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Main Topics
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Record Keeping; how important is it?
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Accountability
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Confidentiality
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Safety and Security
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Consent
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Legal Considerations
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SMART Documentation
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Use of Tools in the interest of Objectivity
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Guidelines for Practice in Recording Clinical Care
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Local Policy
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I.S.B.A.R.
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Abbreviations
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Errors
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Multidisciplinary Input
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T.E.A.M.
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Advice and Education
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Uniformity
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Clinical Supervision
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Audit
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Trends and Issues in Fitness to Practice
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Types of Complaints
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REFERENCES
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Quiz
