Documentation in private footcare business
- 0Mar 18, '11 by liddibethFolks
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?
- 2,876 Visits
- 0Oct 7, '11 by Sandys Beach
- 1Nov 20, '11 by footqueenI document for each visit what I did at that visit (foot soak, cut nails, buffed or pared corns/calluses, drill to nails/calluses, lotion applied, referals, education, etc) and update their meds, health issues, etc. Initially and yearly, I will do a full lower leg exam/assessment and test pulses, sensory (monofilament), mobility, ankle/toe flexion/extension, med review, and health hx.