Page 37 - INTRODUCTION OF NURSING 1.4 The Nursing Process (PART 3)
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1. Failure to record pertinent health or drug
                                                                                                  information



                                                                                                  2. Failure to record nursing actions


                                                                                                  3. Failure to record administered

                                                                                                  medications


             Common                                                                               4. Documentation in the wrong patient’s

                                                                                                  medical record

             Charting Errors                                                                      5. Failure to record discontinued medications




                                                                                                  6. Failure to record drug reactions


                                                                                                  7. Failure to record changes in the patient’s

                                                                                                  condition


                                                                                                  8. Transcription errors


                                                                                                  9. Illegible or incomplete Records





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