Documentation / Care Plan
Steps to Follow
- Identify exactly what you're unsure about.
- Read the relevant part of the care/support/behaviour plan.
- Check communication book for updates.
- Ask senior staff, TL, RN, or on-call.
- Document facts only — what you saw, did, and outcome.
- Avoid opinions or blame.
- If you made an error, follow correction policy.
⚠️ Important: This app is not an official documentation tool.