In the UK, a patient says staff have signed records stating that care was provided when it was not. The patient now has an early pressure injury. What should the nurse do?
Correct answer: B. Report the concern, protect the patient, and make an accurate current record
- A. Correct the earlier entries without identifying the changes
- B. Report the concern, protect the patient, and make an accurate current record
- C. Wait until the pressure injury becomes severe before escalating
- D. Ask the patient to write a replacement care record themselves
Explanation
The nurse should address the immediate care need, report suspected neglect and falsification, and document observations accurately. The NMC Code requires honest records and raising concerns about unsafe practice; earlier entries must not be secretly altered or replaced.
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About Safeguarding and Duty of Candour
Safeguarding covers recognising signs of abuse, neglect, exploitation and domestic violence in children and adults, responding to disclosure, recording facts, sharing information lawfully and escalating to the safeguarding lead or relevant authority. Duty of candour requires openness, apology, explanation and reporting after qualifying harm, and is distinct from investigating blame or proving negligence.
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