A nurse realizes they forgot to document an important patient assessment from 2 hours ago. What is the correct way to add this information to the electronic health record?

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B) Create a new entry with the current date and time, clearly stating it's a 'late entry' and specifying the actual time of the assessment.. Correct documentation principles require that late entries clearly state they are late, include the current date and time of entry, and specify the actual time the event occurred. This maintains the integrity of the legal document.

A nurse realizes they forgot to document an important patient assessment from 2 hours ago. What is the correct way to add this information to the electronic health record?

✓ Correct Answer: Option B

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