Colorado Nursing Home Administrators (NHA) Practice Exam

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How must changes or corrections be made to a health record?

Sign and date the record again
Provide a separate correction form
Note the date, time, nature, reason for the correction, include their name and the name of a witness
Submit the correction via an electronic system

The correct answer is: Note the date, time, nature, reason for the correction, include their name and the name of a witness

Changes or corrections made to a health record must be documented by noting the date, time, nature, reason for the correction, including the individual's name making the correction, and the name of a witness. This protocol ensures transparency and accountability in the documentation process. Signing and dating the record again (Option A) may not provide sufficient information regarding the correction made. Providing a separate correction form (Option B) without incorporating the details within the original record may lead to discrepancies or confusion. Submitting the correction via an electronic system (Option D) does not necessarily fulfill the requirements for properly documenting changes or corrections in a health record. Therefore, Option C is the most appropriate way to handle changes or corrections to a health record.