A nurse is asked to sign a checklist showing that all discharge instructions were given, although the medication teaching was not completed. What is the safest response?
Correct answer: A. Complete the teaching before signing the checklist
- A. Complete the teaching before signing the checklist
- B. Sign it because another nurse can teach later
- C. Ask the patient to sign instead of the nurse
- D. Leave the checklist blank and provide no explanation
Explanation
Documentation must accurately reflect care that has been completed, and medication teaching should occur before discharge when possible. Signing an incomplete record creates a communication and legal safety risk.
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About Quality and Patient Safety
Quality and patient safety include standards of care, quality assurance, continuous quality improvement, audits, indicators and patient feedback. The subject also covers medication errors, falls, infections, communication failures, incident reporting, root cause analysis and preventive actions, distinguishing system improvement from assigning blame to an individual.
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