Policy Number

1003.0

IWK - 1003.0 - Minimum Documentation Standards for Health Care Providers

Description

Policy provides direction and guidance for the recording of information in the permanent health record.  Outlines standards health professionals are expected to follow to ensure the permanent health record serves its purpose as an accurate reflection of patient assessment, interventions/treatment, outcomes, communication tool, etc.

Related Documents

IWK - 10.05 - Verbal/Telephone Orders for Medication
IWK - 123.1 - “DO NOT USE” Dangerous Abbreviations, Symbols and Dose Designations and Abbreviations for Ordering and Documentation of Medications
IWK - 1802 - Telepractice Policy
IWK - 301.2 - Adverse Event and Good Catch (near miss) Reporting
IWK - 333 - Privacy of Personal Health Information and Privacy Complaints Process
IWK - 704 - IWK Code Blue Response to Medical/Obstetrical Emergencies for Patients, Staff & Visitors