These statements are about charting.Which is correct?
A) You can chart a procedure before completing it.
B) You should never use the person's exact words.
C) You need to use terms with more than one meaning.
D) You need to record facts.

Question

Quizplus · Accepted Answer

Recording facts accurately is a crucial aspect of charting. A chart must contain objective information that reflects the patient's condition and the care provided. It must be accurate, timely, and complete to be useful for patient care, legal, and reimbursement purposes. Choice A is incorrect because charting should always be based on completed procedures, and not before. Choice B is incorrect because charting must include the patient's exact words where relevant, such as in the case of recording patient complaints or symptoms. Choice C is incorrect because charting must use clear and unambiguous terms that have a single meaning to avoid misunderstandings.

These Statements Are About Charting.Which Is Correct