Writing An Entry In A Medical Record example essay topic
236 words
Give an example of a situation in which it would be appropriate to change a medical record. What are the ethical and legal implications of these changes. What would be the acceptable procedure for changing the records. Submit to email. An example of when it is appropriate to change a medical record would be in the situation while writing in a medical record or while typing an entry for a medical record and a mistake is made. The ethical implications of this is incident is being trustworthy and reporting all necessary information completely, honestly and truthfully.
The legal implications are by law providing complete, honest and truth full information regarding patients or medical treatments or medical care that was provided by the person them self and correctly documenting that information for the benefit of the patient and to be used as proof that services and care were completed and given as warranted. If making a mistake while typing an entry the right way to correct this is to delete any mistakes and re-enter the information correctly, if making a mistake while writing an entry in a medical record, draw one line through the mistake, write the correct information above or after the mistake (and if no room above line) write mistake and initial mistake with corrected entry. Submit to email. Submit to email. Submit to email.
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