Avoid these charting errors
Staff Development Weekly: Insight on Evidence-Based Practice in Education, January 26, 2007
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What pitfalls can you avoid to ensure proper documentation? These are eight common mistakes made:
- Failing to record pertinent health or drug information
- Failing to record nursing actions
- Failing to record that medications have been given
- Recording on the wrong chart
- Failing to document a discontinued medication
- Failing to record drug reactions or changes in patient's condition
- Transcribing orders improperly or transcribing improper orders
- Writing illegibly or incomplete records
Editor's note: The above excerpt is from the online course, "Nursing CE Series: Nursing Documentation - Reduce Your Risk of Liability." For more information on this and other courses in our library, go to http://www.hcprofessor.com/.
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