A nurse has left the hospital for the weekend and remembers forgetting to chart a urine output in the electronic medical record (EMR) for a client. The nurse should correct this by:

Make an addendum on Monday in the EMR.

Explanation

•Documentation that is more than 24 hours late should be titled as an addendum in the medical record.

•Medical personnel should never chart the actions of other as though they performed them.

•A nurse cannot delegate the charting of nursing care they provided.

•If an action is not charted, then it did not occur per the medical records.

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