How do you document in your practice?
I am in the process of settingup a footcare service and I have been given conflicting advise.From i just go and cut nails etc, no documentation to the full documentation.
This is my idea:
an assessment form for first visits and annually/as required if there is any change( history.feet,footwear, level of knowledge)
flow sheet to document subsequent visits
consent for treatment
Documentation will state if home visit or clinic visit and any education provided
Is this going overboard? Is it comprehensive enough?