Guidelines for reporting
- Check it first Care plan, see if there is a goal with action defined for what you have to report.
- No suitable purpose has been defined for the resident, then make your report under Dossier. => If a lot of reports are made for a specific resident under Dossier, this may be a reason to revise the goals from the care plan.
- Be holding back met “Highlight reporting“.
General rules for reporting:
- Respectful: Report respectfully. Always think about how you would feel if you were written like that.
- Be objective: Report as objectively as possible, support this with concrete examples. For example: “resident did not want to help clean up his room” instead “resident is obtrusive”
Avoid words like "sometimes", 'often', 'bit', "Always", 'very', 'quite a few', "Fairly", "Constantly", 'fairly', and such. - No interpretations: Only describe facts or if you have your own interpretation, please state this clearly: “I have the impression that resident is unhappy because ….”
- Keep it concise, but complete: The information must be readable quickly, are complete and contain the most recent information. So no long stories, but a concise representation.
- Correct language use: Avoid jargon and abbreviations. Remember that residents and their legal representatives must be able to understand what you are reporting – after all, they have the right to inspect.
- Avoid labeling: By using phrase like "Resident is from day 1 already a tricky person’ There is a danger that we no longer see the resident as a unique person but as a "difficult person’ and approach it as such.
- Report quickly: In order not to forget things, it is important to report them immediately. Sometimes, however, if something has really affected you, it is better to postpone reporting until you have processed the event for yourself. In that case, just make a brief note and come back to it later.
- Do not mention names of employees or other clients when the information contains privacy-sensitive information about data subjects, but use initials if necessary.
- Mention agreements. Clearly state what has been agreed with the resident.
- Relevant: do not report to report. But if it were the case that you had nothing to report about resident X in a week, then this can be a reason to create a new image and to draw up a new care plan (in consultation with the care coordinator).
