Describe why the following guidelines for vital when communicating in a medical record (documenting time, using abbreviations and symbols, punctuation and spelling)
Time will assist to know when the patient was seen and the how they were at that particular time Using abbreviations and symbols- this is used so as to save time and in the medical records they have their own language that they use to encode Punctuation and spelling- Is key because this will help another doctor or pharmacist to be able to understand the patients file in case of a referral
