If a written error occurs in a patient record, the legal protocol typically involves drawing a single line through the error, initialing it, and writing the correct information nearby. This ensures that the original entry remains legible while the correction is properly documented. It's important to avoid erasing or using correction fluid, as this can raise suspicions of tampering. Additionally, healthcare providers should follow their facility's specific policies regarding documentation and record-keeping.
written document of a patient in professional relationship with a doctor
ANOTHER NAME FOR THE PATIENT ACCOUNT RECORD IS THE PATIENT?
L. Nanda has written: 'The need for a computerised patient-record system for the public hospitals in Andhra Pradesh'
A patient's fluid intake should be recorded at the end of each shift or every 24 hours, depending on the hospital's protocol. It’s important to document the intake immediately after it occurs to ensure accuracy. Additionally, recording should include all fluids consumed, including oral intake, IV fluids, and any other sources. Consistency in timing helps in monitoring the patient's hydration status effectively.
The only person who can authenticate the information in a patient's medical record is the patient.
The only person who can authenticate the information in a patient's medical record is the patient.
The only person who can authenticate the information in a patient's medical record is the patient.
The only person who can authenticate the information in a patient's medical record is the patient.
The only person who can authenticate the information in a patient's medical record is the patient.
The patient.
no , is not the same protocol
when the fluids are served to the patient