The nurse makes an error while documenting a patient’s history. Which action does the nurse take to correct the error?

Include the correct information as an addendum to the original history. When adding to or revising information in a patient’s medical record, the original information should not be altered when mistakes are made. Instead, the correct information should be included as an addendum with the correct date and time it is made. It is not appropriate to rewrite, replace, or edit the original information in the patient record.

The nurse makes an error while documenting a patient’s hist...

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Management of Care
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Category: Management of Care
Difficulty: 3

Topics: Communication & Documentation Health Care Ethics, Law, and Policy Health Care Quality

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