What should PTs do with notes from patient-related tasks?

Having patient notes countersigned on the same day is essential in ensuring the accuracy and validity of the documentation. This practice helps to maintain a clear and contemporaneous record of patient care activities. It serves as a safeguard against discrepancies or errors that might arise if the notes are reviewed later. By obtaining a countersignature, the physical therapist verifies that the entries are indeed reflective of the events that occurred and that the information is agreed upon by another qualified professional. This is particularly important in legal contexts where documentation must demonstrate accountability and adherence to professional standards. Furthermore, timely countersigning upholds the integrity of the documentation process, ensuring that it remains a reliable source of information for ongoing patient care.