Main Text

Key Takeaways

Key Takeaways

  • Documentation includes paper and/or electronic record-keeping of a client’s state of health and their care.
  • Nurses are legally obligated to complete accurate, timely, and comprehensive documentation.
  • In Ontario, nurses must adhere to College of Nurses of Ontario practice standards related to documentation.
  • The PHIPA is an important provincial legislation, and nurses are obligated to comply with it.

 

License

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Documentation in Nursing: 1st Canadian edition by Jennifer Lapum, Oona St-Amant, Charlene Ronquillo, Michelle Hughes, and Joy Garmaise-Yee is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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