In the UK, a nurse realises that a paper clinical record contains an incorrect observation time. What should the nurse do?
Correct answer: A. Correct it according to local policy, preserving the original entry
- A. Correct it according to local policy, preserving the original entry
- B. Erase the time completely and write the new time over it
- C. Ask a colleague to rewrite the entry in their handwriting
- D. Leave it unchanged because the observation itself was accurate
Explanation
Records must be clear, accurate and completed promptly. An amendment should follow local record-keeping policy, preserve the original information and be identifiable, rather than conceal the mistake.
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About The NMC Code and Professional Accountability
The NMC Code is organised around prioritising people, practising effectively, preserving safety, and promoting professionalism and trust. Accountability includes working within competence, obtaining consent, communicating clearly, keeping accurate records, maintaining confidentiality, delegating safely, raising concerns and acting with candour, while distinguishing personal professional responsibility from organisational policy.
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