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The nurse is documenting / black pen on hardcopy nurses' notes about a pt's response to pain meds. The nurse suddenly realizes that she is writing the note in the wrong chart. Best action to take is?

a. Draw a line through the error and initial it
b. Report error to charge nurse
c. Use white correction fluid to cover error
d. Discard page that contains the error

1 Answer

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Final answer:

The correct action for a nurse who writes a note in the wrong patient's chart is to draw a single line through the error, initial it, and avoid using correction fluid or discarding the page.

Step-by-step explanation:

The best action to take when a nurse realizes that she is writing a note in the wrong patient's chart is to draw a line through the error and initial it. This action is part of a standard error-correction protocol in medical documentation known as the single line cross out, which allows the mistaken entry to remain legible for legal and clinical auditing purposes. It is important to avoid using white correction fluid to cover the error, as this would make the original documentation non-visible and could be seen as an attempt to conceal information. Additionally, discarding the page that contains the error is not advisable since this could be considered tampering with medical records. Instead, the error should be acknowledged, initialed, and if necessary, a note should be added to explain the error. Moreover, while it might be appropriate to report the error to the charge nurse, it does not rectify the incorrect note on the chart.

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