What record did the charge nurse create when documenting that Dr. Timely implanted a 3.5 mm Screw?

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When the charge nurse documents that Dr. Timely implanted a 3.5 mm screw, the appropriate record type created is an Implant (IMP). This is because an implant is a durable medical device that is placed inside or on the surface of the body and is intended to remain there for an extended period, often for therapeutic purposes. In this context, the 3.5 mm screw is functioning as an implant, thus it is crucial to record its use for tracking purposes, inventory management, and compliance with medical documentation standards.

The Implant record is tailored to capture specific details about implanted devices, including type, size, and the procedure during which it was used, which helps maintain accurate patient records and provide essential data for future medical references. This distinction clarifies that the documentation is focusing on an internal or permanent device rather than other types of documentation that might be relevant to surgical procedures or equipment.

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