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debbieg

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  1. hi everyone, I'm new here and have a question pertaining to nursing documentation...when you are off the floor and something happens to a patient and the nurse who was still on the floor took care of the situation...i had asked her to do the note she asked me to do it.....so i did and I read it to her after i completed the note....She asked me why i put her name in the note and title....I told her you are suppose to....that if hypothetically if something happens she was the one to help the patient..and by right she should be doing the note....I told her if i just put RN, LPN, Unit Manager that it could mean anyone on the floor or other floor... What is the proper procedure to do?...I have always learned to cover your butt when in nursing school yrs ago...Has it all changed? What would someone else do in this instance? and what would the legal ramifications be if you just put RN, LPN...ect.?

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