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What does the rule 'if it was not charted, it was not done' mean for the nurse aide?
- A.Care that is not recorded is treated as care that was not given
- B.Aides should chart extra care to make the record look full
- C.Only nurses need to worry about recording care they give
- D.Verbal reports can replace all written records of care
Correct answer
A. Care that is not recorded is treated as care that was not given
Why
The record is the proof that care occurred, so unrecorded care is legally treated as not done. That is why timely, accurate charting is required, and charting care that was not given is falsification.
Content outline: Role of the Nurse Aide - Documentation: Charting Principles · From the Role of the Nurse Aide practice bank (RA-104).