Safety & ProfessionalismQuestion 98 of 100

A technician notices she wrote the wrong date on a completed paper EKG record. How should the correction be made?

a.Erase the entry and write the correct date
b.Cover the error with correction fluid and write over it
c.Draw a single line through the error, write the correct information, and add her initials and the date of the correction
d.Shred the record and print a new one without noting the change

Explanation

Legal health records are corrected by drawing one line through the error so it remains readable, entering the correct information, and initialing and dating the change, which preserves an honest audit trail. Erasing or covering the entry destroys the original and looks like concealment. Destroying a record and silently replacing it is falsification of a medical record.

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