documenting calls

Last reviewed 01/2018

Write down for medicolegal as well as safety reasons:

  • exact times when you answered the call and when you actually saw the patient
  • patient's full name, age and date of birth
  • the full address and phone number
  • a summary of all phone advice, signed with time and date
  • a contemporaneous record of all visits - don't leave till later if at all possible

Remember or indicate the need for claim procedures (night visits, temporary residents, emergency treatment, etc).