1. Do you agree with the statement, "If it's not documented, it wasn't done"? Why or why not? 2. As a health care profes

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1 Do You Agree With The Statement If It S Not Documented It Wasn T Done Why Or Why Not 2 As A Health Care Profes 1 (81.16 KiB) Viewed 34 times

1. Do you agree with the statement, "If it's not documented, it wasn't done"? Why or why not? 2. As a health care professional, are you able to read the medical record of a person you know? Why or why not? 3. Would it be helpful to other health care professionals who will be using the same patient's medical record to document that patient's poor attitude by including a statement such as "bad attitude"? Why or why not? 4. A patient requests her physician's office to change her diagnosis in her medical record from R/O (rule out) bladder infection to "bladder infection," since her insurance will not pay for a R/O diagnosis. Should the record be changed?