Late entry documentation in the medical record should include which elements?

Late entry documentation in the medical record should include which elements?

• A. A late entry is documentation added after the fact; include date/time of the original event, date/time of entry, reason for the late entry, and the clinician's signature.
• B. A late entry is a normal part of the chart with no time-stamp.
• C. A late entry is a note made by a non-authorized clinician.
• D. A late entry is any note missing a signature.

Answer: (A)