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Asked by Yasmine0709
Based off reading the do’s and don’ts document I would tell my peers that nursing is one thing you don’t play with when it comes to documentation for your patients. when documenting I would suggest that you be very accurate and very detailed as possible so that others can understand what is going on with the patient. never make up stories or abbreviate or even document early, you chart on real time. In a way if you document early something happened to the patient afterward then your held accountable and your liable for everything that you document. even if its something so simple you need to chart everything so that when situations happen your supervisor can see that you follow all the right steps. Out of all the tips I think the main important one is charting your medication, the rout its being taken and if the patient refuse it or not. the reason I think that’s the most important one is because you don’t want to over dose your patient. If that happen then that is a federal offense. You wouldn’t want to work so hard to in a quick second loose everything you work towards. That’s why I
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