Asked by Kacie Vassdal on Jun 04, 2024
Verified
Before the end of the shift,the nurse records the occurrences for each patient in the electronic medical record.Which statement below indicates that the nurse understands the main principle of accurate charting?
A) "Charting communicates to members of the healthcare team the patient's care and responses during my shift."
B) "Charting is important so that I may share with the healthcare team my opinions of what happened with the patient."
C) "Charting allows the other nurses to understand the patient care provided during my shift."
D) "Charting is important to comply with practice guidelines and institutional policies."
Accurate Charting
The precise recording of patient information, treatments, and observations in medical records.
Electronic Medical Record
A digital version of a patient's paper chart, offering real-time, patient-centered records accessible instantly and securely to authorized users.
- Elucidate the significance and responsibilities associated with nursing documentation and reporting.
Verified Answer
DM
Devon MolloyJun 11, 2024
Final Answer :
A
Explanation :
Accurate charting is needed to clearly communicate the patient's care and responses to other members of the healthcare team,not just the other nurses.This statement reflects the nurse's understanding of this principle.The nurse's opinions are not to be placed in a chart because they are not factual.While charting is important to comply with standards of practice and institutional policy,it is not the main principle of accurate charting.
Learning Objectives
- Elucidate the significance and responsibilities associated with nursing documentation and reporting.
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