Question

You misunderstood the patient's response to the question of any history of skin cancer. The correct answer is that the patient does NOT have a history of skin cancer. You made an error when documenting on the patient record. How would you correct the following: "Patient states he has history of skin cancer."* You misunderstood the patient's response to the question of any history of skin cancer. The correct answer is that the patient does NOT have a history of skin cancer. You made an error when documenting on the patient record. How would you correct the following: "Patient states he has history of skin cancer."*

a.Insert the word NOT into the sentence and initial.

b.Stikethrough sentence, mark error and initial

c.Throw out note and start new one

d. Make a new note and attach

Answer 1

If a record contain any mistake or something that is incorrect or that may have legal implications does not justify destroying, rewriting or replacing the prior record. Destroying a record can be considered against the law and criminal in nature. So correct option is (d) that is make new note and attach.