Who is permitted to make a change on a PCR?

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The correct answer indicates that only the individual who originally wrote the Patient Care Report (PCR) is authorized to make any changes to it. This policy is in place to ensure accountability and maintain the integrity of the medical documentation. The person who completed the report possesses direct knowledge of the circumstances, interventions, and decisions made during patient care, which is crucial for documenting accurate information. Allowing only the original author to make amendments helps prevent unauthorized alterations that could lead to discrepancies or false information in a patient's medical record, thus preserving the reliability and trustworthiness of the data.

Other individuals involved in patient care, such as supervisors or other healthcare professionals, have roles in overseeing or contributing to patient care but do not have the authority to modify documentation created by another practitioner to maintain legal and medical standards. Therefore, restricting the ability to change a PCR to its original author helps uphold these essential principles in healthcare practice.

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