Recording Concerns

•Clarity (exactly what is meant)

•Legible and understandable

•Date, time, signature

•Who what where when?

•Who was present or witnessed this?

•Objectivity and fact

•Clearly identify interpretation / conclusion

•What discussions or actions took place?

•What advice was given, by whom and when?

•Rationale behind decisions

•Quotations, body maps etc (but not photographs)