The nurses who provide care in a large, long-term care facility utilize charting by exception (CBE) as the preferred method of documentation. This documentation method may have which of the following drawbacks?
A) Vulnerability to legal liability since nurse's safe, routine care is not recorded
B) Increased workload for nurses in order to complete necessary documentation
C) Failure to identify and record client problems and associated interventions
D) Significant differences in the charting between nurses due to lack of standardization
Ans: A
A significant drawback to charting by exception is its limited usefulness when trying to prove high-quality safe care in response to a negligence claim made against nursing. CBE is generally less time-consuming than alternate methods of documentation, and both standardization of charting and identification of client-specific problems are possible within this documentation framework.
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