What must be included in the documentation of a laser procedure?

Including details of the procedure performed is crucial in the documentation of a laser procedure. Comprehensive documentation serves several important purposes. It provides a clear account of what was done during the procedure, including specifics such as the type of laser used, settings, duration, and any complications that might have arisen. This information is essential not just for legal protection of both the technician and the facility but also for continuity of care. If a follow-up is needed or if the patient returns for further treatment, having accurate records ensures that all healthcare providers involved can make informed decisions based on previous procedures.

While personal opinions or patient preferences may influence treatment decisions, they do not warrant inclusion in the official documentation required for medical procedures. Focusing strictly on factual and relevant medical data guarantees clarity and professionalism in the patient's medical record.