What is an example of appropriate documentation in a patient's electronic health record?

The correct response highlights the importance of precise and objective documentation in a patient's electronic health record. When documenting clinical information, it is essential to provide specific details that can guide clinical decisions and ensure continuity of care.

In this case, the mention of the patient's bowel movement being "large" and "dark brown" includes specific descriptors that describe what was observed, backed by a timestamp of when the observation was made (1100). This kind of detail not only conveys the relevant data effectively but also assists healthcare providers in making informed assessments regarding the patient's health, which is crucial for monitoring changes or issues in their condition.

Other choices, while containing some information, lack the necessary specificity and objectivity. For instance, expressing that the patient "reported feeling better" is vague and does not provide measurable data. The phrase "the technician noted no abnormalities" is also too general and does not indicate what was actually assessed. Finally, stating that "the patient is stable and normal" does not offer any concrete observations or measurements, making it less useful for clinical evaluation.