Asked by Faith Phillips on Sep 27, 2024
A preceptor is working with a new nurse on documentation. Which situation will cause the preceptor to follow up?
A) The new nurse documents only for self.
B) The new nurse charts consecutively on every other line.
C) The new nurse ends each entry with signature and title.
D) The new nurse keeps the password secure.
Documentation
Written entry into the patient's medical record of all pertinent information about him or her. These entries validate the patient's problems and care and exist as a legal record.
Consecutively
occurring in a successive, uninterrupted sequence without gaps or interruptions.
Password
A string of characters used to verify the identity of a user during the access process to a digital system.
- Master the aspects of the documentation process, focusing on precise charting and its legal repercussions.
Learning Objectives
- Master the aspects of the documentation process, focusing on precise charting and its legal repercussions.