Chapter 4: Your Documentation Matters

Emergencies can happen on your shift. Unusual incidents or downright strange things can also happen while you are serving a client. It’s completely natural to feel worried, anxious, or even scared when these things happen. However, it is more important to remain calm and to ensure the safety of your client. If your client falls while you are there, or if you need to dial 9-1-1, it’s important to document it. However, you might not know exactly where to do that. After all, the TASKS section doesn’t seem like the best spot. As you clock out for your shift, you [...]

We want documentation to be as easy as possible for you to complete. You can access your documentation on your ClearCareGo app. Here are common items you will need to document when you work as a caregiver here at Easy Living. First, you will need to document the tasks you completed during your shift. You will document if the task was completed during your shift or not. If you did not complete a task, you must document why. For example, if Mr. Everett refused his shower today, you will report that task was not completed. You will also note that [...]

If you’ve worked in a healthcare environment before, you already know that documentation is a major part of everyone’s job. You might have even heard the common phrase, “if you didn’t document it, it didn’t happen.” Here at Easy Living, caregiver documentation is the foundation of how we communicate with one another and how we provide the best care for our clients. Your documentation is your way of telling us what is going on with the clients you serve. When you document your day, you are giving us crucial information. When you document, it’s important to remember that you only [...]