Describe how to correct an error made in a medical record.
What will be an ideal response?
Answers will vary. If you make an error, do not erase it. Draw one line through the mistake. It should still be visible; do not black it out. Initial it and write the "word "error" on" the line. Then re-chart the information correctly.
You might also like to view...
20 fluid oz = _____ cups
a. 2 1/2 b. 2 c. 3 1/3 d. 4
During her routine annual physical examination, a 48-year-old woman tells the nurse that she worries about her health all the time, spends 8 to 10 hours at the health center every week, and has spent a larger than usual amount of money on cosmetics
over the past 6 months. Select the most appropriate response by the nurse to this client. a. "Your concerns and actions are normal because you are trying to maintain your health and youth." b. "How are you doing at your work? Did you get that promotion you wanted?" c. "Is your husband still helping with the household chores? Support systems are very important." d. "You seem very healthy. You should avoid excessive exercise because it can cause more damage in the long run."
During an assessment of the cranial nerves, the nurse asks the client to smile, frown, wrinkle the forehead, and puff out the cheeks. What nerve is being tested by this action?
A) Cranial nerve I B) Cranial nerves II and III C) Cranial nerve VII D) Cranial nerve VIII
When a 60-year-old patient asks the nurse what a dysrhythmia is, the nurse explains that it is an irregular heart rhythm that can be caused by
A) Increased white blood cells B) Diminished coronary blood flow C) Deep-vein thrombosis D) Cerebrovascular accident