Question

If an NA makes a mistake in handwritten documentation, how should she correct it? *

1/1
A) By erasing it and writing in the correct information
B) By drawing a single line through it, then writing the correct information
C) By using correction fluid to cover the error, then writing the correct information
D) By discarding the chart and starting a new one"

Answer 1

A Nursing Assistant should correct a mistake in handwritten documentation by drawing a single line through it, then writing the correct information and initialing the change. This maintains the integrity and traceability of medical records.

Step-by-step explanation:

If an NA (Nursing Assistant) makes a mistake in handwritten documentation, the correct way to address this should be by drawing a single line through the error, then writing the correct information next to or above it and initialing the change. This method ensures that the original content is still legible and that the correction is clear and accountable. It is important not to erase or use correction fluid, as this can make the document look tampered with and could raise questions about the integrity of the documentation.

Documentation in healthcare is subject to strict regulations to maintain the accuracy, integrity, and traceability of medical records. Mistakes can and do happen, but they need to be corrected in a way that is compliant with healthcare policies. A clear line through a mistake with the correct information written nearby is the standard practice. These practices are a crucial part of healthcare compliance and maintaining the trust in the patient-caretaker relationship.