When documenting in the patient's chart, the nurse should:

Use an ink pen


•The patient's chart is a legal document, so the nurse should use a pen with all documentation.

•Each entry should be signed with the nurse's full name and title.

•The nurse should not leave blank lines in the patient's medical record, as this could allow other healthcare workers to make additions.

•It is illegal to erase errors in a legal document, such as a medical record.

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