Question
List essentials of good charting.
Answer :
Word Count : 356
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Essentials of good charting are -
Objectivity
Avoid charting what someone else may have told you. Only document what you see, hear and feel. If you chart something the patient reports, be sure to indicate the patient is stating it, such as “patient stated he was not in any pain.”
It’s legible
If you are using a computer charting system, you will not have to worry about handwriting. But if you are documenting the old fashioned way, make sure your handwriting is legible.
Accurate
Accuracy is one of the most important factors when it comes to charting. Even if you
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