I understand why this question hits, but here’s some context regarding charting and medical chart audits.
The employers get in trouble if the check in forms are not filled out completely. This includes a complete set of vital signs, no single points of missing data for any reason, including an actual, not stated, weight. A month later, the auditors will have finished looking for blank spots in the chart and both doctor and nurse will receive email asking that this blank spot be filled.
The other piece is pregnancy or lack thereof determines meds. If a doctor prescribes a med that isn’t pregnancy safe they could be liable in a court of law. It’s also why the ubiquitous 3 minute pregnancy test is thrown in if they’re collecting urine. To make sure no one is harming a fetus with the wrong medication. Again, so the doctor doesn’t get sued.
The politics of the day make this question so loaded, but the reality is the question is likely not even being asked for you.
I understand why this question hits, but here’s some context regarding charting and medical chart audits.
The employers get in trouble if the check in forms are not filled out completely. This includes a complete set of vital signs, no single points of missing data for any reason, including an actual, not stated, weight. A month later, the auditors will have finished looking for blank spots in the chart and both doctor and nurse will receive email asking that this blank spot be filled.
The other piece is pregnancy or lack thereof determines meds. If a doctor prescribes a med that isn’t pregnancy safe they could be liable in a court of law. It’s also why the ubiquitous 3 minute pregnancy test is thrown in if they’re collecting urine. To make sure no one is harming a fetus with the wrong medication. Again, so the doctor doesn’t get sued.
The politics of the day make this question so loaded, but the reality is the question is likely not even being asked for you.
The easy fix in that case would be to explain why they’re asking…