After performing a medical history review, the patient tells you that she is allergic to penicillin. How would you notate this in the patient chart?
in the insurance notes in red pen
in the treatment notes in red pencil
on the cover of the chart in red pen
on the registration page of the chart in green pen
on the cover of the chart in red pen
Rationale: on the cover of the chart in red pen – Oftentimes if the office is paperless and notes are kept in the computer, this would present on a pop-up men. If it is neither in red pen on the front of a paper chart or is noted in the computer the patient is asked to verify allergy and the assistant can make the notation.
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