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Healthcare Compliance

Chart audit

Answer each item. Not applicable items do not count against the score.

  1. 1. Allergies recorded
  2. 2. Code status recorded
  3. 3. Care plan current and reviewed on time
  4. 4. Nursing notes signed
  5. 5. Medication list matches current orders
  6. 6. Consent signed
  7. 7. Changes in condition reported to the physician