What is the first step in documenting the administration of medication during the Intraop activity?

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Recording the medication is the foundational step in documenting medication administration during the Intraop activity because it captures essential information regarding what medication has been given to the patient. This step establishes a clear record of what substances have been administered, which is crucial for patient safety and ongoing care. Accurately documenting the medication helps ensure that all members of the healthcare team are aware of what has been given, which can prevent medication errors and interactions, especially in a dynamic environment like the operating room.

Noting the line/IV for administration, documenting the dose, and stating the time of administration are also important steps in the medication administration process. However, they follow the initial recording of the medication itself, which lays the groundwork for the rest of the documentation. Proper order of operations is critical to nursing practices, particularly in high-stakes situations like surgery.

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