A dietitian must record a patient's nutrition information in his chart, and she is waiting for the nurse to finish her notes. What guideline must the dietitian consider when she gets the chart and starts her own documentation?
A) Review what the nurse wrote and write the same information in her own words
B) Leave a small amount of white space after the nurse's writing to add information later
C) Ask the nurse to document the nutrition information as well
D) Write a signature after the nursing information and the nutrition information
E) Write clearly so that the nurse or anyone else reading the chart can understand the information

Question

A dietitian must record a patient's nutrition information in his chart, and she is waiting for the nurse to finish her notes. What guideline must the dietitian consider when she gets the chart and starts her own documentation?
A) ​Review what the nurse wrote and write the same information in her own words
B) ​Leave a small amount of white space after the nurse's writing to add information later
C) ​Ask the nurse to document the nutrition information as well
D) ​Write a signature after the nursing information and the nutrition information
E) ​Write clearly so that the nurse or anyone else reading the chart can understand the information

Quizplus · Accepted Answer

The guideline that the dietitian must consider is to write clearly so that the nurse or anyone else reading the chart can understand the information. The dietitian should not copy the nurse's notes verbatim (answer A), leave white space (answer B), or ask the nurse to document the nutrition information as well (answer C) as it is the dietitian's responsibility to record this information. It is not necessary to write a signature after both sets of information (answer D), but it is important to ensure that the information is clear and legible.

A Dietitian Must Record a Patient's Nutrition Information in His