Disability support services central coast

Shift Notes User Guide

ShiftCare Shift Notes Overview

 
 

Purpose

Shift notes also known as progress notes, provide a factual record of the support delivered to a participant. They help demonstrate progress towards goals, support continuity of care, and meet NDIS and organisational compliance requirements.anisational compliance requirements.

 
 
 

Completing Shift Notes

All shifts require progress notes, completed as soon as possible after each shift and submitted by the end of the day. Shift notes are part of the participant’s official record and are essential for showing support provided, tracking progress, ensuring continuity of care, and meeting NDIS compliance.

 
 
 

When Should I Complete My Notes?

All shift notes should be completed immediately after each support. Avoid completing notes until the next day or accumulate them across multiple shifts. Where possible, choose one of the following options:

  • Complete notes directly after support. If you have another shift after, ensure all notes are completed by end of day.

  • Use the last 5–10 minutes of your support to finalise notes. Inform the participant/family first, as not all may agree to you completing notes while on support.

What Information Should Be Included?

Shift notes should include only relevant information about the support provided and anything another worker may need to know. Examples include:

  • Activities completed

  • Participant engagement and response

  • Progress towards goals

  • Health, wellbeing and safety observations

  • Behavioural or emotional regulation observations

  • Risks identified during the shift

  • Changes in support needs

  • Significant events that may impact future supports

Avoid including personal opinions, assumptions or information that is not relevant to the participant's support.

 
 

General Rules

DO

  • Be objective and factual

  • Describe what happened

  • Record support provided

  • Link activities to participant goals where possible

  • Include relevant health, wellbeing and safety information

  • Use professional language

  • Be specific

DO NOT

  • Write opinions or assumptions

  • Use judgemental language

  • Copy and paste previous shift notes

  • Use vague statements such as "Had a good day"

  • Include personal opinions about participants, families or staff