What should be documented after performing any procedures?

After performing any procedures, it is essential to fully document all actions taken in the Electronic Health Record (EHR). Comprehensive documentation ensures that there is a clear and complete record of the patient's care, which is critical for continuity of care, legal protection, and quality assurance. Proper documentation includes details such as the type of procedure performed, the rationale for the procedure, any findings, the patient's response, and post-procedure instructions.

Completely documenting every procedure also assists in maintaining a reliable history for each patient, which can be crucial for future medical decisions and treatment plans. Additionally, thorough records are vital in case of audits, reviews, or legal inquiries, as they demonstrate compliance with healthcare standards and protocols. In contrast, some of the other options suggest limiting documentation, which could lead to gaps in the medical record and potential issues in patient care and legal protection.