What should be documented after addressing a missed chemotherapy dose?

• A. Document the decision and the rationale.
• B. Delete the record.
• C. Do not document.
• D. Document only after 24 hours.

Answer: (A)

Recording what was decided and why after addressing a missed chemotherapy dose is essential for patient safety and continuity of care. This documentation communicates clearly to the entire care team how the situation was handled, including whether the dose was given at a different time, adjusted in amount, or omitted, and the rationale behind that choice. It should include the exact action taken (dose given or not given, time, route), the rationale for the decision, any monitoring or assessments planned, and the plan for subsequent doses. This creates a reliable record for follow-up, supports informed discussion with the patient, and provides a legal and quality-control trail. Deleting the record or delaying documentation undermines safety and accountability, so recording the decision and its rationale promptly is best practice.