Читать книгу The Nursing Associate's Handbook of Clinical Skills - Группа авторов - Страница 203

In the rare case of needing to alter a record, the original entry must remain visible (draw a single line through the record), and the new entry must be signed, timed and dated (RCN 2015).

It is essential that all nursing associates do not falsify records either by recording that something has occurred when it has not or by falsifying or forging a signature attributing a record to another person for whatever reason. You may come across a record made by another healthcare professional that has not been signed by them. In a situation like this, do not consider putting their signature adjacent to the record; the two choices which could be followed are:

1 Alert the individual as soon as possible so that they can add the necessary signature to the record or

2 Where there is going to be a considerable gap in time before this signature can be entered, a senior nurse on the ward (or care area) must be advised, and appropriate action can be taken.