Nursing · Documentation Standards
All of the following are proper legal guidelines for clinical documentation in a nursing progress note EXCEPT:
- 1Always record highly critical, subjective personal comments about a patient.✓
- 2Record all written entries legibly and in permanent black ink.
- 3Do not leave blank spaces or blank lines in a written progress note.
- 4Begin each entry with the date and time, and end with your signature.
Correct answer
Always record highly critical, subjective personal comments about a patient.
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