Specify own responsibilities and those of others when recording information and producing reports

As part of your role, you will have responsibilities relating to recording information and producing reports. You should understand not only what your own responsibilities are, but also that of others.

Information that you will record as part of your role can include Medication Administration Records, fluid charts, care plans, timesheets, risk assessments etc. You may also be required to produce reports – these could relate to many different areas including quality assurance, staff training, service user satisfaction surveys etc.

General responsibilities relating to recording information and producing reports can include:

• Ensuring records are confidential 
• Ensuring records are accurate, legible, complete and up-to-date
• Ensuring records are factual (e.g. are objective and do not contain personal opinions)
• The use of black ink
• Recording the date and time
• Signing the record

Others can include your co-workers, managers and other professionals.

They may have similar responsibilities to you, however, some people may have additional responsibilities. For example, the registered manager will have the responsibility to ensure that systems are in place for the secure storage and retrieval of information. You may have agreements with other agencies about who is responsible for specific tasks during the production of reports. Similarly, team members may be responsible for completing their own timesheets, however, it may be your responsibility to check them and sign them off.