Rules in Medical Report Writing

medical report writingMedical report writing rules

Medical report writing is full of rules. Most scientific writing is. While sometimes it seems like there are entirely too many rule most of them have a valid reason. Violating some of the rules might detract from your nursing capstone paper but not too much. There are some that will completely sink your report if you don’t obey them. Here are some of the more important rules to keep in mind when writing a medical report.

  • Written consent from the patient: There is no getting past this one. Medical ethics require that a patient give their written consent before you include them in a any medical report. You are also obligated to protect their privacy if permission is granted, and should remove anything from the report that could identify them
  • Citing resources: This is another rule that is taken very seriously. Citing a source incorrectly is bad. Failing to cite a source is plagiarism. Plagiarism will sink a paper and even a career. In the academic world it’s about the worst crime you can commit.
  • Follow the proper structure: Using the wrong structure on your paper will get it marked down considerably, but on its own you might squeak by if you rewrite it correctly depending on the instructor’s mood.
  • Follow the tenets of good English writing: The rules of English grammar and punctuation apply. One slipup wont destroy a paper but allowing two or three spelling mistakes and/or grammatical errors get by you is going to draw some attention
  • Incorrect data/information: If it is determined it was deliberate it is as bad as plagiarism. If by accident you may be viewed as lazy, careless, or not to bright. Double check everything
  • APA style guide: Medical report writing follows the APA style guide. When in doubt regarding the way to cite a particular reference, create a title page or anything else to do with style and format, the answer can usually be found there.

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