correcting documentation after several days

Shouldn't you be asking your manager or supervisor this? At my hospital, we would indeed make a correction, but specifically how that is done may vary from facility to facility.

Shouldn't you be asking your manager or supervisor this? At my hospital, we would indeed make a correction, but specifically how that is done may vary from facility to facility.

Exactly…does your facility actually want you to alter the MAR? Are you even able to? Or does the facility want you to write a late entry nurse's note? You should alter the chart so the information is correct. The question is, what is the facility policy on what should be corrected?

I believe at my facility, we'd do an incident report for that. Your system really should have a pop up or something that prevents you from signing off a med when it's too soon to give. It shouldn't have let you do that. I wouldn't change your documentation days later because it will look suspicious. At the least, ask your manager what they advise.

Exactly, you need to ask your manager what the policy is. Electronic MARs will reflect what you documented, how to correct this days later may be difficult. Usually there is a 24 hour limit on correcting errors however, every facility is different.