As a direct support professional, or DSP, you will routinely document the services you provide. This course explains why documentation is important and the factors that affect the quality of your documentation. It also covers best practices for keeping records that adhere to legal, ethical, and programmatic standards.
The goal of this course is to teach DSPs in intellectual and developmental disability, or IDD, services about documentation guidelines.
As a direct support professional, or DSP, you will routinely document the services you provide. This course explains why documentation is important and the factors that affect the quality of your documentation. It also covers best practices for keeping records that adhere to legal, ethical, and programmatic standards. The goal of this course is to teach DSPs in intellectual and developmental disability, or IDD, services about documentation guidelines.
This activity is approved for 0.75 contact hours.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: The Importance of Documentation
Collin’s Emergency
What is Documentation?
Why Is Documentation Important?
Types of Documentation
Service Plan Tracking
Health Monitoring
Communication Tracking
Communication Log
Incidents and Accidents
Making Time for Documentation
Review
Summary
Section 3: Guidelines for Effective Documentation
Meet Claude
Effective Documentation
Legible
Timely
Clear and Accurate
Objective and Respectful
Correcting Mistakes
Writing Incident Reports
Objective Reports
Putting it All Together
Review
Summary
Section 4: Conclusion
Summary
Course Contributors
Congratulations!
Katy Kunst received her Bachelor of Arts in Psychology from the University of North Carolina at Chapel Hill, and her Master of Business Administration from Elon University. She has 15 years of experience serving people with intellectual and developmental disabilities and their supporters, including roles as direct support professional, program director, and training facilitator. She has created and facilitated training on topics including non-violent crisis interventions, person-centered planning, cultural competence, quality service delivery, regulatory compliance, and a variety of topics related to IDD services. Disclosure: Katy Kunst, MBA, QIDP has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.Instructor: Molly Shaw, MBA
Ms. Shaw is the Director of Adult Education for the Ohio Alliance of Direct Support Professionals. She received her Bachelor of Arts with majors in Public Affairs, Economics, Business, and International Business from Muskingum University, and her Master of Business Administration from Ashland University. While in graduate school she was introduced to the field and found her true calling to serve. During her 18 years of experience supporting people with intellectual and developmental disabilities, she has held roles as a direct support professional, case manager, community services director with a county board of developmental disability, and a project manager for the Ohio Department of Developmental Disabilities. She resides in northeast Ohio with her husband and 4 children and enjoys spending her free time in the great out-of-doors.
Disclosure: Molly Shaw, MBA has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
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