MyCLPNA
Updated Policy: Documentation
The accurate, complete, and timely documentation of nursing care is an essential part of the duties of a Licensed Practical Nurse (LPN). A complete record of care is required for communication and legal purposes.
The updated Practice Policy: Documentation lays out the CLPNA’s expectations of LPNs. It is comprehensive enough to meet LPN professional Standards of Practice and regulatory expectations but allows flexibility for variations in employer requirements.
This policy includes strategies to support quality documentation practice, promoting effective communication between care providers. Additionally, this policy highlights some of the legal implications of documentation. High-quality nursing documentation protects LPNs by serving as evidence of the care that was provided.
The update provides details on emerging technology, such as Connect Care, and guidance on best practices for electronic documentation.
The College of Licensed Practical Nurses of Alberta asks all Licensed Practical Nurses to implement this important policy into their practice.