Your Facility Is Using a Paper-Based Record

Multiple Choice

Your facility is using a paper-based record. The HIM department has decided to switch from an integrated record to a completely source-oriented record, postdischarge. You are responsible for training the staff members who assemble the records into the correct order. Which of the following must exist in order to implement this change?

A) All documentation must be changed to reflect the new order.
B) Except for physician's orders, physicians and nurses cannot document on the same page.
C) Nothing has to change; the way the clinicians document information is irrelevant to the chart order.
D) Physicians and nurses must document on the same page.