Question

it is important to date and _____ every entry you put in the patient chart that it is easy to tell which items the medical assistant enters and which items other people enter

Answer 1

It is crucial to date and sign every entry in the patient chart for clear identification of input by the medical assistant or others, ensuring proper documentation which is essential in patient care.

Step-by-step explanation:

It is important to date and sign every entry you put in the patient chart so that it is easy to tell which items the medical assistant enters and which items other people enter. Careful and proper documentation is vitally important in the medical field. This information becomes part of the patient's medical record and can guide and contribute to future care decisions and analysis. For example, during a procedure, a nurse may review items aloud with the team, such as the name of the procedure as recorded, checking that needle, sponge, and instrument counts are complete, ensuring that the specimen (if any) is correctly labeled including with the patient's name, and identifying any issues with equipment to be addressed.