The Alberta College of Paramedics has released a new Documentation Guideline, outlining clear expectations for patient care documentation.
High-quality documentation is more than a record of care, it is a professional, clinical and legal obligation. The guideline provides practical direction to support regulated members in meeting these responsibilities with confidence and consistency.
Within the guideline, you will find guidance on topics such as:
- What constitutes clear, complete and objective documentation
- The importance of documentation that accurately reflects clinical decision-making
- How documentation supports continuity of care, professional accountability and public trust
- Expectations for documentation across all levels of practice and care environments
- The regulatory role documentation plays in quality assurance, investigations and legal proceedings
We strongly encourage you to review the guideline in full to ensure your documentation practices align with current regulatory expectations:
Documentation Guideline