In our facility we do a lot of QA's on our charts. Anytime there is a discrepency, we have to go in and correct them. Most are very minor...a discrepency when a patient leaves the ER, but some are more important, like not charting the initial assessment or the discharge information. Some can be a week old, but some can be from months ago, depending on when the QA is done.
My question is this: Does a late entry consititue a violation of the Nurse Practice Act? A review of the North Dakota NPA does not clearly outline this, nor does our facility's policy and procedure. What do you think?
PrisonrNurs
36 Posts
Hello everyone,
In our facility we do a lot of QA's on our charts. Anytime there is a discrepency, we have to go in and correct them. Most are very minor...a discrepency when a patient leaves the ER, but some are more important, like not charting the initial assessment or the discharge information. Some can be a week old, but some can be from months ago, depending on when the QA is done.
My question is this: Does a late entry consititue a violation of the Nurse Practice Act? A review of the North Dakota NPA does not clearly outline this, nor does our facility's policy and procedure. What do you think?