Chapter 25 of 62
Documentation & Compliance
Documentation & Legal Recordkeeping
Thorough documentation protects the patient, the clinician, and the organization. Every infusion must be fully documented with specific required elements.
Required documentation elements:
Key Points
- Date and time of infusion
- Solution type administered
- Additives included
- Lot numbers for traceability
- Site location used
- Infusion duration
- Patient tolerance notes
- Nurse signature
Module Progress1 of 4 chapters