If information is purposely omitted from the record, you should:
A) erase the notes that are not pertinent.
B) accept that sometimes data are omitted.
C) state in the record why the information was omitted.
D) use correction fluid to cover the information.

Question

Quizplus · Accepted Answer

Any deferred or omitted portion of the patient record requires proper documentation that documents this occurrence, along with a rationale for doing so. Erasures and use of correction fluid are inappropriate methods.

If Information Is Purposely Omitted from the Record, You Should