DOCU - 5

What is the purpose of documentation?

• All of the above

• Record of outcome of intervention

• Description of client's journey

• Justification of services

What are the fundamental elements of documentation?

• All of the above

• Clear, concise and accurate representation of contact

• Type of documentation

• Demographic Information

When should documentation be done?

• At the end of the month

• At the end of the day

• Immediately or as close to the time of service as possible

• At the end of the week

Where can documentation be done?

• Departmental Files

• All of the above

• Clinical Settings

• Educational Settings

Who are we writing about in documentation?

• The OT practitioner

• The client

• The supervisor

• The third-party payer

What is the purpose of using standardized terminology and abbreviations in documentation?

• To ensure clarity and consistency

• To save time

• To confuse the readers

• To make the report longer

What is the purpose of communication in documentation?

• All of the above

• To demonstrate the effectiveness of occupational therapy for third-party payers

• For legal reasons

• To inform others on the intervention team what happened during an intervention session

What is the purpose of confidentiality in documentation?

• To share client information with others

• To maintain privacy and trust

• To avoid documentation

• To increase billing

What is the purpose of storage and disposal procedures in documentation?

• To keep the documents forever

• To ensure documents are easily accessible

• To increase billing

• To maintain confidentiality and security

What is the purpose of demographic information in documentation?

• To ensure clarity and consistency

• To save time

• To provide background information about the client

• To make the report longer