Policies Update | 2026-02-09
| Document | Purpose | Rationale | Action | Education |
|---|---|---|
| ORG.1410.PL.201.SD.01 | Removed the retention of Manual Ledgers/Logs: OR, ER, Inpt, etc. from Retention Schedule of Personal Health Information | |
| CLI.4110.PL.014 Death in Facility | Updates to section 8 of the policy and Notiication of Death form to improve process when family or physician requestes autopsy. Note new resource 'A Guide to the Chief Medical Examiner'. | Managers and CRNs please reivew with your teams and ensure Notification of Death form is updated in the death packages, removing all old versions. |
| CLI.4110.PL.014.FORM.01 Notification of Death | ||
| CLI.4110.PL.014.SD.06 A Guide to the Office of The Chief Medical Examiner | ||
| ORG.1513.PL.006 Inclement Weather and Work | Updated to remove wording about requirement of medical notes | Read only |
| CLI.6410.PL.005 Safe Feeding and Swallowing Program in Personal care Homes and Transitional Care | Needed to reflect change in the name of SD.02 | Read only |
| CLI.6410.PL.005.SD.02 Foreign Body Airway Obstruction Training Guideline | Revised to be consistent with new BLS fuidellines of 2026 | Formal Education |
| CLI.4110.PL.015 Safe Medication Administration | Updates to include Automated Dispensing Cabinets (ADC) (ie Pyxis) and posters for medication rooms and updated requirements for narcotic and sedative administration to meet Accreditation Canada requirements. | Managers and CRNs please print and post the new medication posters, and review your teams of updates in the policy. |
| CLI.4110.PL.015.SD.01 7 Medication Room Standards | ||
| CLI.4110.PL.015.SD.02 Inventory Counts Reconciliation | ||
| CLI.4110.PL.015.SD.03 Medication Administration | ||
| CLI.4110.PL.015.SD.04 Preparing Medications | ||
| CLI.4510.PR.002.FORM.24 Adult Nursing Admission History | To ensure that referral forms are being initiated after the nutrition risk is identified added instructions to complete Dietitian Referral Form - Inpatient. | Manager/CRN ensure updated copies of the Adult Admission History Form and make available for teams, and remove any existing copies. |
| CLI.6710.FORM.001 Senior Social Prescribing Community Referral Form | Updated to include address | |
| CLI.6710.FORM.001.F Senior Social Prescribing Community Referral Form | Updated to include address |