The nurse is documenting on the patient's record and notes that he or she has made an error. What action should the nurse take?
a. Draw a line through the error, and initial and date it.
b. Erase the error, and write over the material in the same spot.
c. Use a dark-coloured marker to cover the error, and continue immediately after that point.
d. Footnote the error at the bottom of the page, including initials and the date.
A
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A If the nurse has made an error in documentation, he or she should draw a single line through the error, write the word "error" above it, and sign his or her name or initials. Then the nurse should record the note correctly.
B The nurse should not erase, apply correction fluid to, or scratch out errors made while recording because charting then becomes illegible. Entries should be made only in ink so that they cannot be erased.
C Using a dark-coloured marker to cover the error and continuing immediately after that point is not the correct action. It might thus appear as if the nurse were attempting to hide something or deface the record.
D Footnotes are not used in nursing documentation.
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