A Common Sense Approach to Documentation in the Operating Room for the Neuromonitoring Professional

Medical documentation is a topic whose importance can never be emphasized enough. How to properly document is the subject of much debate and, in this paper, I will share insight based on almost 25 years in healthcare and nearly two decades in the field of Intraoperative Neuromonitoring (IONM), spanning roles from technologist and manager to clinical director and, eventually, business owner. Throughout my career, I have frequently – and understandably – been asked to describe and defend our medical documentation protocols.