Published
I've was taught to add a footnote, and something along the line of "1. clarification, should read "JBN" for 0800 dose for 18-Sep-2012--JBN 09/18/2012" I was always taught you cannot cross-out or directly correct someone else's information as you should be initialling/dating corrections. But you can add a clarification, just like if the nurse before you transposed a medication dose you can put a foot note "1. Clarification, should read 1.5mL (1.5mg) as per MD order dated 09/10/2012--JBN 09/18/2012". My clarifications are always backed up in my narrative note/chart/nursing flow sheet as are the rest of my nursing interventions, treatments, etc.
What has your clinical supervisor instructed you to do? What does your QA department suggest you do?
smartnurse1982
1,775 Posts
I don't know what to do,but I think I did something wrong.There was a nurse working 12am to 7am and she put her initials in the box where I was supposed to put my initials. I worked 8am to 4pm. This went on for a week.I crossed out her initials and put my own,but I now know that was wrong.What do you do in your facility? I've don't it before with no problem.I'm in home health so its the same thing I guess.