Courses · Disability Support Induction

Writing Effective Progress Notes

The record that becomes evidence. What belongs in a progress note, the language to use, and the habits that make a note worthless.

3 lessons 26 minutes 10 questions Pass mark 80% 24-month validity $29.95 inc GST Online certified

About this certificate

Non-accredited Certificate of Completion. Your employer's documentation policy, templates and record-keeping system apply alongside this.

About this module

Progress notes are the continuity between shifts, the evidence for plan reviews, and sometimes the document a coroner, a court or the NDIS Commission reads. This module covers what a note is for, the components of a useful one, objective language and the difference between observation and interpretation, the legal and privacy requirements, and a set of before-and-after examples you can measure your own writing against.

Who it is for

All disability support workers, and anyone who writes shift documentation.

What you will be able to do

  • Explain what progress notes are for and who reads them
  • Write a note containing the necessary components
  • Separate objective observation from interpretation and opinion
  • Apply the legal, privacy and correction requirements
  • Improve a poorly written note

Aligned to

  • NDIS Practice Standards — Governance and Operational Management
  • NDIS Code of Conduct — elements 2 and 4
  • Privacy Act 1988 and the Australian Privacy Principles

Lesson plan

What the module covers

#LessonWhat it coversTime
01 What the note is for, and who reads it Five audiences, most of whom you will never meet. 8m
02 What goes in, and the language to use Components, objectivity, and the words that cause problems. 10m
03 Legal requirements, privacy and corrections The rules that make a record admissible and lawful. 8m
✓ Final assessment 10 scenario-based questions · pass mark 80% · unlimited attempts ~15m