NURSING ANM AND GNM

Detailed explanation-1: -Medical records are acceptable as per Section 3 of the Indian Evidence Act, 1872 amended in 1961 in a court of law. These are considered useful evidence by the courts as it is accepted that documentation of facts during the course of treatment of a patient is genuine and unbiased.

Detailed explanation-2: -After all, the patient record is a legal document. Whomever performs the treatment should document it in the record. All entries should be initialed or signed even if you are the only person who makes an entry in the patient record.

Detailed explanation-3: -It is a medical case with legal implications for the attending doctor where the attending doctor, after eliciting history and examining the patient, thinks that some investigation by law enforcement agencies is essential. It may be a legal case requiring medical expertise when brought by the police for examination.

Detailed explanation-4: -There are three kinds of samples of medical records that both patients and doctors frequently use: personal medical history (PHR), digital health record (EMR) digital health record (EHR).