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Falsifying medical records?

Category: Health Care

Karla BKarla B


Is it considered falsification of medical records for first nurse to room a patient, take vital signs, medication history and medical history then have a second nurse document those actions in the electronic health record under the second nurse's name?

Marie K
Marie K

Was second nurse present to witness these things? Did second nurse ask pt to verify as she entered?

If neither then it is certainly poor practice!


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