Identify at least five examples that contain poor documentation practices within the patient's records.

Question

Question

Answer 1

Answer #1

1.documentation has done with out date,time and signature.

2.illegible writiing.

3.if it is not done on exact time of procedure.

4.missing any data like name of medication

5.reason for not giving medicine is not entered eg.patient refused medication it should be mentioned or any allergies.

Answer 2

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