Question

Rose, a newly hired office worker, was brought on board to busy medical office, to process patient information. Feeling overwhelmed at the workload, she felt herself falling further behind in her tasks, but was still determined not to ask for help in order to not appear inept at her job. She decided she needed to prioritize her tasks, but found herself frustrated at the constant interruptions from other staff members, and patients assigned to her for processing. While recording information from a particularly curt and agitated patient, she realized she had documented in the wrong area. She decided to make the corrections after the patient left in order to give herself some time to cover up the error.

After the patient had been directed to have a seat in the waiting area, she quickly grabbed the White Out and began to cover over her mistakes. After transferring the information into the correct area, she wrote a comment next to errors to indicate she was sorry for the mess up, along with a sad face character. Later during her shift, the nurse manager came storming through the office obviously very angry, and yelling “Who was the idiot who tried to cover up their mistakes with white out!” Rose, feeling very frightened and embarrassed at her public chastisement, admitted that it was she who had made the corrections to the documents using the White Out. The nurse manager then shouted in retaliation, “Don’t you know this is illegal” Don’t you ever do that again or you’re fired!”

1. What should Rose have done to prevent the chain of events initially?
2. Instead of using the White Out, what should Rose have done instead with the documents?
3. What is the proper procedure for maintaining medical records?
4. Should Rose report the nurse manager’s abusive behavior?
5. Should Rose be fired for the infraction? Why or why not?

Answer 1

1. What should Rose have done to prevent the chain of events initially?

A. Rose need to make a workload plan. She needs not to rush towards completing more tasks.She should be clam and perform each job by fully concentrating towards one work at a time.

2. Instead of using the White Out, what should Rose have done instead with the documents?

What is the proper procedure for maintaining medical records?

A. Error Correction Procedure

At the point when an error is made in a medical record section, appropriate error correction procedures must be pursued.

Draw line through section (dainty pen line). Make sure that the inaccurate information is still legible.

Initialise and date the section.

Write the explanation behind the error (for example in the edge or over the note if space).

Enter the right data. If the error is in a narrative note, it may be necessary to enter the correct information on the next available line/space documenting the current date and time and referring back to the incorrect entry.

3. Should Rose report the nurse manager’s abusive behavior?

A. The behavior of nurse manager was wrong. She should not shouted Rose, instead talk to her in private and discuss the things. I don't think she can directly fired Rose for one offense.She should have given a warning to Rose and asked her to work by full concentration. Since this was Rose's first mistake and as she was not aware of the error correction rules. Mistake was done. Rose must be given a second cance.