Which of the following does not refer to the process of adding - ProProfs Discuss
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Which of the following does not refer to the process of adding written information to a health care record?



A. Recording
B. Charting
C. Data entry
D. Documenting

This question is part of Documentation (Nursing)
Asked by Mangala, Last updated: Jun 28, 2020

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4 Answers

Bobby Rickets

Bobby Rickets, Content Reviewer

Answered Jun 20, 2019

The correct answer to this question is C, Data entry. Adding information to a person's health care record is very important. It keeps every informed and up to date on what has been done, and it is for the patient's safety to ensure things like overdosage and incorrect diagnosis doesn't occur.

A nurse or doctor can use audio, or video record their interactions with a patient and then transcribe the recording to add it to their record. Charting has all of the patient's information, including their medications, progress, and plans for their treatment. The document includes both mapping and recording because these actions are forms of documenting all that has been done with the patient.

 

John Adney

John Adney

Answered Feb 15, 2017

Data entry
 

sunitatamang

Sunitatamang

Answered Feb 15, 2017

Data entry
 

John Smith

John Smith

Answered Feb 15, 2017

Data entry

P. 138
 

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