If an NA makes a mistake when documenting care by hand, what should she do?

When an NA makes a mistake in documentation, the proper protocol is to draw one line through the error and write the correct information. This method ensures that the original entry remains legible, which is crucial for maintaining accurate medical records. It provides a clear trail of the mistake and its correction, safeguarding the integrity of the documentation. Proper documentation practices are essential in healthcare settings to ensure continuity of care and legal compliance.

Drawing a line through the error instead of erasing it or simply ignoring it helps prevent any misunderstanding about prior entries and can protect against potential claims of falsifying records. It reinforces transparency and accountability in the documentation process, both of which are vital in patient care and the healthcare profession as a whole.