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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 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.
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.
Which name do you use for a medical record legal name or the name on the insurance card?
Your legal name.
Why government budget considered as legal document?
because is required by the law
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.
Is it legal to have someone rewrite the medical record even if they did not see the patient and shred the original?
No, it is not legal to have someone rewrite a medical record without having seen the patient and then shred the original. This would be considered falsifying medical records, which is illegal and unethical. Any alterations or amendments to a medical record should be accurately documented and maintained for legal and ethical reasons.
Is a document that is required to be notarized and is not a legal document?
A signed, notarized document is a legal document.A signed, notarized document is a legal document.A signed, notarized document is a legal document.A signed, notarized document is a legal document.
What is the etymology of the word document?
The meaning of the word document is an official paper, so any thing that is official, that is something that is legal or binding, is considered a document.
