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Hi

About 2 years ago now I inherited a nursing home from a colleague who was retiring from private practice - now he already had a system in place whereby he had a blank book in the home where he would write the date he was visiting and who he was planning to see - he would write in the patient notes at the home when they were seen but no other notes

I have basically been following his lead (except that i write my own patient notes aswell with the paperwork from the society website) i take them home and put them away with my other private patient notes (all of whom are regular home visits - I just do a mobile practice evenings and weekends around my NHS work)

I have been thinking about setting up a better system for a while (carers never know any medical details about patients, nurses always busy, patient files incomplete etc...) but I am a bit stumped - then when i visited at the weekend the book where we write our lists down has had all the pages taken out of the middle to be found nowhere...I was completely stumped had to go home and look at my old invoices to see who i should have seen - so I think this is the perfect time to implement my changes!!!!

To make the situation more complex there is also an FHP who sees some patients there - she also keeps a book in the same system as the previous Podiatrist

I would welcome any advice - if somebody has a system that works really well for them i would be overjoyed to hear from you!!!

 

15x10cm Index Record Card, one for each patient, filled in with relevant detail on the completion of treatment, brought with me at each attendance, brought home when finished. Simple and works for me.

 

KDF,
Personally I would never trust a care home to keep any Chiropody/Podiatry records. They invariably get lost and staff are on so many different shifts that it is sometimes impossible to have continuity.

I have my own record cards that I bring with me and I also record the Tx in the relevent section of the client files. It a bit of a pain to duplicate notes but it is essential to have defensible documentation as so many care home residents are high-risk Chiropodially.

Podess

 

I use WriteUpp for all my notes and must keep your own care home notes!

Easy once the routine is going and the initial record is created with medical info etc

 

Hi

Podess thanks for your feeback - I am actually thinking of giving up the nursing home if I can get more regular customers. It is regular money but it is quite pressured as they are pretty much all high risk, you have limited time with them and getting medical information about patients from a care plan/carer.nurse is like getting blood from a stone.

Blue 123 - just googled WriteUpp - it looks brilliant (didn't check the cost) but at the minute I don't think I can warrant paying for it as I have such a small client base but will definitely look this back up again

Cheers everyone
:)

 

less than £20 a month for a single user....great service on top.