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What else can I help you with?
Why should a recording in the medical record never be erased or abliterated?
The medical record is a legal document.
Are medical records a legal document?
No, not generally. Many medical records, and the notations made in medical files, are unsigned and un-witnessed. They may be introduced as EVIDENCE and used in a case but generally, in and of themselves, they are not considered "legal" documents.
What actions should be taken if you identify an error in a patients medical record?
No deletions should be made, as the medical record is also a legal document. But an amending notation should be made and added to the medical record.
Is it legal to recreate a medical record document found missing in a patient chart when asked to do so by your administrator and nurse manager?
The answer is quite simple. No. It's considered fraud. Those that do can lose their license to practice, and/or go to jail. DO NOT DO IT.
What is the meaning of the term "stricken from the record"?
"Stricken from the record" means that something has been officially removed or deleted from a legal document or court proceeding and is no longer considered part of the official record.
What are three functions of a medical record?
1. To document the results of treatment and the patient's progress. 2. Provides an efficient and effective method by which information can be communicated to authorized. 3. Serves as a legal document.
Is a diploma considered a legal document?
Yes, a diploma is considered a legal document as it serves as proof of completion of a specific educational program.
Are a mother's dates of your births in her Bible considered legal documents?
No. Although bibles have been used historically to record family births and deaths the bible is not a legal record of such events. A birth certificate must be obtained from the keeper of vital records in your jurisdiction in order to be considered an official "legal" document.No. Although bibles have been used historically to record family births and deaths the bible is not a legal record of such events. A birth certificate must be obtained from the keeper of vital records in your jurisdiction in order to be considered an official "legal" document.No. Although bibles have been used historically to record family births and deaths the bible is not a legal record of such events. A birth certificate must be obtained from the keeper of vital records in your jurisdiction in order to be considered an official "legal" document.No. Although bibles have been used historically to record family births and deaths the bible is not a legal record of such events. A birth certificate must be obtained from the keeper of vital records in your jurisdiction in order to be considered an official "legal" document.
Is a high school diploma considered a legal document?
Yes, a high school diploma is considered a legal document that signifies the completion of high school education.
What is described by an Operative Record?
An Operative Record is a detailed document that outlines the procedures and outcomes of a surgical operation. It includes information such as the patient's details, the type of surgery performed, the surgical team involved, anesthesia used, and any complications encountered. This record serves as an essential legal document and a reference for future medical care and research. It ensures continuity of care and helps maintain accurate medical histories.
Which name do you use for a medical record legal name or the name on the insurance card?
Your legal name.
What is the Legal term for a forged document?
The legal term for a forged document is "forgery." This refers to the act of creating or altering a document with the intent to deceive others.Forgery is considered a serious crime and is punishable by law.
