Which of the following should not be included in medication documentation?

Study for the Maine CRMA Recertification Exam. Engage with flashcards and multiple choice questions, each with hints and explanations. Prepare thoroughly for your evaluation!

In medication documentation, personal opinions about the client should not be included because documentation must remain objective and fact-based. The purpose of medication documentation is to provide clear and accurate information regarding the administration of medications, dosages, and the client's response. Including personal opinions can introduce bias, subjetivity, and inaccurate information that does not reflect the clinical aspects of care. This can also lead to legal and ethical implications, as documentation is often reviewed for compliance and accountability purposes.

On the other hand, including the client's name and date, the routing of medication administration, and reasons for missed doses is essential for maintaining accurate records and ensuring continuity of care. These elements contribute to a complete and professional record that can be utilized by healthcare professionals for decision-making and health management.

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