RT Documentation Standards 2

Question 1

A therapist records the wrong monitor units in a paper treatment record. What is the correct way to fix the entry?

Accepted Answer

Draw a single line through the error, write the correct value, and initial and date it

Answer

A single-line strike-through keeps the original entry readable, which preserves the record's legal integrity.

Question 2

Which pair of identifiers meets the Joint Commission requirement for verifying a patient before treatment?

Accepted Answer

Full name and date of birth

Answer

Joint Commission National Patient Safety Goals require two person-specific identifiers, and a location such as a room number is never acceptable.

Question 3

Under NRC rules, which of the following must be in place before a high-dose-rate brachytherapy treatment is given?

Accepted Answer

A written directive dated and signed by an authorized user

Answer

10 CFR 35.40 requires a written directive, dated and signed by an authorized user, before brachytherapy is administered.

Question 4

Which abbreviation is on the Joint Commission 'Do Not Use' list?

Accepted Answer

U (for unit)

Answer

'U' can be misread as 0, 4, or cc, so it must be written out as 'unit'.

Question 5

A therapist forgot to chart a treatment note yesterday and is documenting it today. How should it be recorded?

Accepted Answer

Label it a late entry, with the current date and time and a reference to the date of the event

Answer

A late entry must be clearly identified and carry the actual time of documentation to keep the record honest.

RT - Radiation Therapist Certification Practice Test