If a nurse makes a mistake while charting, which of these actions is correct?
a. Black out the entry so that it cannot be read; then date, time, and initial the entry.
b. Cross out the entry with a single line; then write "mistaken entry" with date, time, and initials.
c. Erase the entry if possible.
d. Use correction fluid to obliterate the incorrect entry; then enter the correct notation over the previous one.
B
It is essential that the nurse use factual, descriptive terms to document procedures that were observed or performed, and complete sentence structure, with correct spelling and grammar. If an error in documentation occurs, the nurse should cross out the entry with a single line and then write "mistaken entry" with date, time, and initials.
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