You notice an incorrect pulse reading while finalizing the PCR. What should you do?

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When finalizing a Patient Care Report (PCR), it is essential to maintain accuracy and integrity in documentation, particularly regarding vital signs like pulse readings. The best practice for correcting an incorrect pulse reading involves drawing a single horizontal line through the erroneous entry. This method clearly indicates that a correction has been made without obscuring or deleting the original information, which preserves the transparency of the recording. Additionally, initialing the correction further confirms that the change was made by you, providing accountability and reducing the potential for confusion among those reviewing the report later.

By using this correction method, you adhere to standard documentation practices, ensuring that all information remains legible and traceable. This approach helps to maintain the credibility of the medical record, which is vital in clinical settings, especially in cases where accuracy can significantly impact patient care.

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