Staff nurse A goes off duty, having forgotten to document administration of a prn medication to a
client.
She calls the unit and asks staff nurse B to use his personal password to access the medical
record and document the administration of the medication. Nurse B is not authorized to enter that
client's computerized medical record. Nurse B should
a. make an exception and fulfill the request.
b. refer the matter to the charge nurse to resolve.
c. report the request to the client's physician.
d. seek access to the record from the hospital's information systems department.
ANS: B
At most hospitals, termination is a possible penalty for unauthorized entry into a client record.
Referring the matter to the charge nurse will allow observance of hospital policy while ensuring that
documentation occurs. Option A puts staff nurse B in jeopardy. Option C would be unnecessary.
Option D would be unnecessary when the charge nurse can resolve the problem.
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What will be an ideal response?