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Documenting before administration

NCLEX-RN glossary · Pharmacological And Parenteral Therapies

Definition

The unsafe practice of recording a medication as given before it has actually been received by the client.

Documenting before administration in plain English

It creates a false medical record and risks drug omissions if the RN is interrupted before the dose is delivered. A frequent error is pre-charting a medication pass to manage time during a busy shift, leading to documentation of care that has not occurred.

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