![]() You should always try to document your patient encounters as soon as possible to both reduce the risk of forgetting key details and to ensure other team members are aware of any changes to a patient’s condition or management plan. What if you are too busy dealing with sick patients to write in the notes at the time? At the end of this entry, you need to include all of your details:Īlthough this may seem tedious it’s actually really important, as it ensures the chronology of your entry is clear to others reading it later. Continue the entry from the previous page.ħ. Write your name and role, followed by the word “continued” as an underlined heading.Ħ. Write the date and time of the entry on the second page.ĥ. Add the patient’s name, date of birth and unique identifier to the new page.Ĥ. Write your name, signature, professional registration number and contact number at the end of the first page.ģ. Write “continued on the next page” or “continued” with an arrow pointing off the page after the entry on the first page.Ģ. If your entry in the notes happens to span more than one page:ġ. ![]() Other things to be aware of… What if your entry spans more than one page?
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