lundi 30 novembre 2015

Documentation signatures

Good Morning:

Wonder if someone can shed some light on this scenario. The CRNA's will document on the record (could be vitals on hand-off note) the and not sign off but the attending signs off. I am told by my superiors that this is acceptable. I was tought that anyone that documents in the record needs to sign the record. If the CRNA is scribbing doesn't the attending need to state this? Is there anywhere that I can go to and print these guidelines that state the record must be signed by all that document on the record? I need black and white. I was told by my instructor to have a reliable resource.

Thank you
RM

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Documentation signatures