The nurse is charting using electronic documentation. With electronic documentation:
a. errors can be corrected and totally removed from the record in the screen view.
b. log-on access to the electronic record identifies the person charting.
c. each entry requires the nurse to sign her/his name and credentials.
d. documenting significant changes in the electronic record ends the nurse's responsibility.
ANS: B
Log-on access to the electronic record identifies the person charting or making a change. If an error is made in electronic documentation, it can be corrected on the screen view but the error and correction process remains in the permanent electronic record. Any correction in documentation that indicates a significant change in patient status should include notification of the primary care provider.
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