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The Note That Doesn't Match

In the Field · Episode 6

The Note That Doesn't Match

Hannah wrote that Albert ate well. Simone watched him push lunch away.

Key takeawayCoach the new ones gentlyNew staff often copy the habits around them. When a note doesn't match what you saw, ask what happened, without shaming. Be clear about the standard: write it after, write what really happened, and report changes like not eating or pain. Fear makes people hide mistakes; support makes them speak up.

In this scene

Simone: Hannah wrote that Albert ate well at lunch. I watched him push the plate away.

Simone: Can we look at your lunch note together? What did you see?

Hannah: I wrote it before lunch. Everyone does the notes early. I'm sorry. Am I getting fired?

Watch the episode to see what happens next.

Questions to think about

  • Hannah's note doesn't match what you saw. You first:
  • Care notes are written:
  • Albert says his tooth hurts and he isn't eating. This is:

About this series

For supervisors of direct support staff: real observation in the field, stopping unsafe care, feedback that lands, finding the real cause, hands-on coaching, coaching new staff, concerns you must report rather than coach, rebuilding trust, making it safe to speak up, and following up. Follow your agency's policies and your state's reporting rules. See the whole series

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