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do not’s of charting in Patient’s Medical Record

Posted under Funda on Wednesday, 23 September 2009 by Site Admin
Posted by: Rey-Ryan P. Mapiles RN The do not’s of charting are very important also: 1. Don’t chart a symptom such as “c/o Pain” without also writing what you did about it. 2. Don’t alter a chart….this is a criminal offense. 3. Don’t add information at a later date without...
do not’s of charting in Patient’s Medical Record