When the nurse is charting in the paper medical record, what action does the nurse carry out?
A) Print his/her name since signatures are often not readable.
B) Omit nursing credentials since only the nurses chart
C) Skip a line between entries so that it looks neat.
D) Use black ink unless the facility allows a different color.

Question

Quizplus · Accepted Answer

Entries into paper medical records are traditionally made with black ink to enable copying or scanning, unless a facility requires or allows a different color. The date, time, and signature, with credentials of the person writing the entry, are included in the entry. No blank spaces are left between entries because they could allow someone to add a note out of sequence.

When the Nurse Is Charting in the Paper Medical Record