CHIR113 Lecture Notes - Lecture 2: Correction Fluid, Hip, Trochanter

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5th march 2018 - tutorial 1: postural analysis: taking clinical notes: Document all positive findings, negative findings and treatment procedures. Do not change or erase notes, or use correction fluid. Use the same pen for each entry on a particular day. Ensure electronic notes are protected from tampering or erasure. Maintain records in indelible (impossible to remove) ink. Do not (cid:494)squeeze in(cid:495) notes, leave spaces or indents. Avoid disparaging (pained) the patient or using judgmental terms. Avoid frivolous (thoughtless) remarks and criticizing other practitioners. Maintain a legend for abbreviations and customise forms. Maintain copies of all incoming and outgoing correspondence. Review and achieve patient files and keep longer than the statutory period (approx. It starts from the moment you meet the patient while they are in the waiting room. Good lighting is important for clear observation as it may provide delusions and shadows.

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