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Nursing and allied health

Nurses, techs, therapists and allied-health workers across shifts and visits.

A record here is built from things like a shift you covered in full, confirmed by somebody other than the person who did it.

What gets recorded

Both directions. A record that only carries the good weeks is not a record, and the person it is about is told about every entry and can contest any of them.

Clinical shift completed

Kept its word

The worker showed up on time and completed the full booked clinical shift.

Who confirms it
The charge nurse or unit/staffing managerSupervisor or reviewer
How they confirm
Confirmed from the clock-in/clock-out the staffing tool records, with a charge-nurse or manager sign-off.
Due
the booked shift start
Done
the actual clock-in the staffing tool recorded

Home-health visit delivered

Kept its word

A scheduled home-health or therapy visit was delivered and billed as agreed.

Who confirms it
The patient/family or the paying agencyCustomer or client
How they confirm
Confirmed via the post-visit link the agency sends, or by the paying agency as recorded by the processor.
Due
the scheduled visit time
Done
the recorded arrival or visit-verification timestamp

Supervisor reference confirmed

Kept its word

A supervising clinician confirmed the worker performed reliably over an assignment.

Who confirms it
The supervising clinician or unit managerSupervisor or reviewer
How they confirm
Requested via a reference link the supervisor responds to.
Due
the end of the assignment being confirmed
Done
the date the reference was given

Unfilled shift / no-show

Fell short

The worker did not show for a booked clinical shift, disrupting patient coverage.

Who confirms it
The unit/staffing managerSupervisor or reviewer
How they confirm
Recorded by the manager; the worker is notified and can dispute.
Due
the booked shift start
Done
Nothing was delivered, so there is no completion time to compare against.

Due and done are the pair that decide whether something counts as delivered on time rather than merely delivered. Send one without the other and the outcome can only ever read as finished.

Who counts as a witness here

2 kinds of third party confirm work in this trade. None of them outranks another. The formula does not read this at all. What varies is how hard each one is for either side to lean on, which is a fact worth knowing and not a weighting.

Supervisor or reviewer
The responsible party where the work happened, who is not the worker: a shift or site manager, a charge nurse, a dispatcher, a production manager, a reviewer. Distinct from the worker by construction, so a worker can never be their own supervisor here.
Customer or client
The party the work was done for, or who took delivery of it: a homeowner, a patient, a client, a consignee, a family. They know first hand whether it happened.

What is not recorded against the person

A client who did not attend, work the business itself pulled or rescheduled, conditions nobody controls, time off taken with notice, and an opinion about the person. None of it belongs on the record of whoever showed up to do the work.

The full list is on the index, and it is the same list for every trade.

How a confirmed outcome reaches a score

A confirmed outcome becomes evidence in a published formula, version 5.6, with five weights and six bands running from Distinguished down to At Risk. An outcome nobody else confirmed is still recorded, and it shows on the record as a claim rather than as evidence. No plan and no payment moves a score.

The record belongs to the person, not to the business that recorded the work. They take it with them. The model is published in full, and what an employer records covers the recording side.

Also under care and health