When I worked at both Johns Hopkins Children's Center and Children's Hospital of Philadelphia I used an APIE format that worked well. Assessment, Plan, Intervention, and Evaluation. I have examples I can send you, if interested. I agree, factual is the ONLY way to go: what you've observed, what you have planned, what you've tried, and what the outcomes were.
Carolyn
From: LEANNE NEWCOMBE <leannenewcombe@...>
To: Hospitalplayspecialists@...
Sent: Sunday, 25 January, 2009 18:26:28
Subject: Re: [Hospitalplayspecialists] writing evaluations in childrens hospital notes
Carolyn
Carolyn Parse Rizzo, M.Ed., CCLS
Soave, Italy
011 39 045 654 0343 (home)
011 39 044 471 6269 (work)
From: LEANNE NEWCOMBE <leannenewcombe@...>
To: Hospitalplayspecialists@...
Sent: Sunday, 25 January, 2009 18:26:28
Subject: Re: [Hospitalplayspecialists] writing evaluations in childrens hospital notes
Hi Natasha,
When writing in the child's notes I try to keep it all factual. Try to keep it to the point. I also try not to make any personal comments for example. "I think" etc. Try not to leave any spaces and sign and date it. I also write my name in capital in brackets. If your write up is factual you cant go wrong.
Good luck.
Take care
Leanne Gowland HPS.
--- On Mon, 19/1/09, natasha_lucy_atkins <natashaatkins1@ hotmail.com> wrote: From: natasha_lucy_ atkins <natashaatkins1@ hotmail.com> |
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