Completing documentation

One of the main purposes of progress notes is to

• a) Tell stories about the consumer

• b) Share important information about a consumer

• c) Make sure you look good to your manager

• d) Set the record straight about a consumer’s complaint about you

Answer explanation

One of the main reasons we write progress notes is to share information about a consumer. This allows everyone to know the consumer's progress and improves continuity of care!

Important information included in progress notes would include

• a) Whether their shoes matched their dress

• b) What was for lunch

• c) Any changes in the consumer’s physical or emotional wellbeing

• d) How their hair was styled that day

Answer explanation

Only important information such as changes in a consumer's physical or emotional wellbeing should go into a progress note

The rules around progress notes come from

• a) Legal requirements and organisational procedures

• b) Note writing for dummies

• c) Human rights

• d) Consumer rights

Answer explanation

There are legal and organisational rules about how and when we write progress notes

You can find the procedure for writing progress notes

• a) Under the desk in the back room

• b) In the staff room where you have lunch

• c) At the front desk of your service

• d) In the consumer’s bedroom

Answer explanation

At your organisation, the procedures for writing progress notes are at the front desk

Every progress note must include the time, date, your name, signature and

• a) Designation

• b) Degustation

• c) Devotion

• d) Design

Answer explanation

Your designation must be included in every progress note. Your designation is you position title such as CW for care worker, SW for support worker etc.

If writing paper notes, the pen colour must be

• a) Blue

• b) Red

• c) Black

• d) Green

Answer explanation

Legal documents must be written in black ink only. As progress notes are a legal document, they must be written in black ink

A progress note should be written

• a) At the end of every shift

• b) At the end of every week

• c) At the end of every hour

• d) At the end of the month

Answer explanation

A progress note must be written at the end of every shift to make sure any important information from that shift is recorded

Abbreviations should be

• a) Used as often as possible

• b) Used at least once per progress note

• c) Avoided wherever possible

• d) Included in every sentence

Answer explanation

Abbreviations can mean more than one thing and can be confusing. Instead, it's better to write without using abbreviations wherever possible!

When writing progress notes you should use

• a) Subjective language

• b) Objective language

• c) Descriptive language

• d) Offensive language

Answer explanation

Objective language must be used in progress notes as they are a factual record of events!

Quotation marks should be used when

• a) Describing the consumer’s mood

• b) Writing what consumers ate

• c) Describing the consumer’s clothing

• d) Writing the words someone said

Answer explanation

Just like in a book we might read, what a person says should be recorded in quotation marks and written exactly as they said it.