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a handbook for supervising allied health professionals - HETI - NSW ...

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Appendix B<br />

Clinical supervision agreement example<br />

Date of agreement<br />

Clinician<br />

Clinical supervisor<br />

Team leader<br />

Review date<br />

1 Clinical supervision will address the following areas:<br />

____________________________________________________________________________<br />

____________________________________________________________________________<br />

____________________________________________________________________________<br />

2 Clinical supervision will take the following <strong>for</strong>m and frequency<br />

(eg. 1:1 meeting, team meeting, peer shadowing):<br />

____________________________________________________________________________<br />

____________________________________________________________________________<br />

____________________________________________________________________________<br />

3 Confidentiality<br />

Our understanding of confidentiality is that the content of support meetings is confidential<br />

between the parties, but where there are issues regarding clinical risk and/or per<strong>for</strong>mance<br />

management, in<strong>for</strong>mation may need to be shared with other relevant parties.<br />

Should in<strong>for</strong>mation need to be shared, the supervisor will advise the clinician in advance of<br />

this occurring, including what in<strong>for</strong>mation will be shared, with whom and <strong>for</strong> what purpose.<br />

Other areas to consider:<br />

____________________________________________________________________________<br />

____________________________________________________________________________<br />

____________________________________________________________________________<br />

____________________________________________________________________________<br />

____________________________________________________________________________<br />

____________________________________________________________________________<br />

____________________________________________________________________________<br />

SECOND EDITION<br />

<strong>HETI</strong><br />

THE SUPERGUIDE<br />

73

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