While Giving an End-Of-Shift Report at 1915,a Nurse Realizes That

question 27

Multiple Choice

While giving an end-of-shift report at 1915,a nurse realizes that a client's physical therapy session that occurred at 1030 was not documented.Which of the following is the correct method for adding this information to the client record?

• A)Ask the oncoming nurse to make the notation for you.
• B)Date and time the entry for 1915;then write "Late Entry (date-1030)" before making the addition.
• C)Do not add the information to the chart,but complete an incident report.
• D)Do nothing,since the physical therapist documented the session in the multidisciplinary progress notes.

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Definitions:

Subjectively

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