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signing chartsRating: (votes: 0) What do you mean by "sign patients charts"? Comment:
The chart has to be "signed-off" as complete. Basically, I apply (or did) my signature to all sections of the chart when all sections are accounted for: consents, pre-op, intra-op, PACU, post-op call, etc.
Comment:
Quote from lsoconnorThe chart has to be "signed-off" as complete. Basically, I apply (or did) my signature to all sections of the chart when all sections are accounted for: consents, pre-op, intra-op, PACU, post-op call, etc.
Comment:
Thanks for the input. It just seems weird to me that an unlicensed person would be able to close the chart by applying their signature, essentially verifying documentation that may be clinical in nature. But maybe I'm looking at this the wrong way, and it could be considered an administrative task, as you suggested.
Comment:
What you describe sounds like chart auditing, which doesn't necessarily have to be done by a licensed nurse.
Comment:
Rest easy. This isn't verifying clinical data or passing judgment on clinical documentation. It's just verifying that all the chart sections and components are there and in order for the days of the admission. Any reasonably-trained lay person can do that.
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