Clinical reasoning is an essential competency to be developed by nursing students. This concern has been relayed by renowned nurse researchers, accrediting bodies, professional nursing organizations, and other organizations in support of the nursing profession. Students traditionally used a clinical documentation product that allowed them to collect pertinent patient information; however, even after a review of how to utilize that documentation, students still had issues with clinical reasoning. An innovative documentation activity, developed by KeithRN, was utilized to aid in the development of clinical reasoning in third-semester undergraduate bachelor of science in nursing students. This alternative clinical documentation assignment was a simple and safe way to develop this skill during their clinical time. Students completed the activity, during one clinical day, as an alternative to their traditional course clinical documentation. Students engaged in an in-depth review of their patient's chart and collected relevant information that related to the patient's current medical issue, pathophysiology, medical history, medications, vital signs, laboratory test results, radiology reports, assessment findings, nursing interventions, and treatment plans. The activity was designed in a way to help students develop a rationale that linked the collected information and prioritize the patient's care based upon this information. Students evaluated the assignment and verbally reported the alternative activity assisted in the development of their clinical reasoning skills.