Remove ink in the Nursing Visit Report Form

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How to Remove ink in the Nursing Visit Report Form

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hey everybody welcome back to my channel this is as you can see a video about giving report nurses giving report I come from a background of working in a hospital setting for the last 10 years thats kind of gonna be the focus of this video is how do nurses in the hospital setting to give report so I want you first to go to the link below in the description and I have a link to one of my report sheets it is a great comprehensive report sheet everything you need nothing that you dont and if you follow this Rubik while you are verbally giving report to a nurse she will have pretty much no questions at the end unless she thinks of something crazy which you know weve all given report to you know that one lady debbie who has a thousand question every every floor has one lets start with the beginning of your shift you are getting report always be available to get report dont hang out in the break room finishing your breakfast waiting for the last second you know what its like at the en

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Which action should the nurse take when recording mistake has occurred?

1. Use correcting liquid to cover the mistake and make a new entry. 2. Draw a line through it and write error above the entry.

What happens if a nurse falsified documentation?

If your facility participates in Medicare or Medicaid, charting falsifications can be prosecuted as federal criminal offenses. The nurse who falsifies the record could lose her license and possibly serve prison time.

Why should you not leave blank spaces in your notes or entries?

Avoid blank space between entries It might appear crowded, however you should never leave blank lines or space between entries. If you have a blank line that you dont want to write on, draw a line through it, as this will avoid the possibility of someone inserting additional notes in the space.

Which action would the nurse take to rectify a documentation error?

Strike with a single line, tag it as an error, put initials, and document the correct medication. If an error occurs during documentation of the clients health information, the nurse puts a straight single line through it, tags it with the word error, and initials and dates it.

How do you correct a charting error?

Proper Error Correction Procedure Draw line through entry (thin pen line). Make sure that the inaccurate information is still legible. Initial and date the entry. State the reason for the error (i.e. in the margin or above the note if room). Document the correct information.

What action should the nurse take to correct an error in paper charting?

Leave the entry as is and tell the charge nurse. Documentation mistakes must be acknowledged. If an error is made in paper documentation, a line is drawn through the error and the word error is placed above or after the entry, along with the nurses initials and followed by the correct entry.

How should the nurse correct an error in charting?

Draw a single line through the erroneous entry and write the time, date, and your name. Identify the reason for the correction. Include the rationale in your notation; for example, mistaken entry, wrong medication name written. Follow facility policy when adding late information.

What are the dos and donts of nursing documentation?

The Dos Donts of Documentation DONT copy information. DONT use vague terms. DONT use P.U.T.S. in place of the patients signature. DO support medical necessity. DO be specific. DO be truthful. DO document treatment results.

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