What must a nurse do after selecting 'Procedure Not Performed' in the patient record?

Create the best preparation for the PACU Pre-op and Recovery Test. Use flashcards and multiple choice questions, complete with hints and explanations, to ensure success!

After selecting 'Procedure Not Performed' in the patient record, it is essential for the nurse to ensure that this information is accurately updated in the patient’s chart. This step is critical for maintaining an accurate and comprehensive medical record, which is vital for ongoing patient care, as well as communication among the healthcare team. An updated chart reflects the patient's true medical history and any changes in their treatment plan.

This practice not only adheres to patient safety guidelines but also helps in preventing any miscommunication or misunderstandings regarding the patient's treatment. Additionally, an accurate chart supports the billing process and contributes to quality assurance efforts, although those actions occur subsequent to ensuring the chart is accurate. Thus, the correct course of action focuses on the integrity and accuracy of the patient’s medical records.

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