Learning Activity Description: 

As a health care worker providing care or services to older people living in residential or home care you are required to practice in accordance with the requirements of the Aged Care Quality Standards. This learning resource will also have relevance in all of other health care settings providing care or services to older people. Aged Care Learning Solutions educational material is endorsed by the Australian Nursing and Midwifery Federation.

Learning Outcomes: 

• Define documentation 
• Outline the reasons for documentation 
• List the documentation you are responsible for in your job role 
• State the “do’s” and “don'ts” of documentation 
• Discuss what is meant by factual or accurate documentation
• Outline the principles of collaboration 
• Explain why good communication is vital for safe and quality care and service delivery
• Discuss how communication can be improved when  information is shared