After completing this study guide and viewing the accompanying video, the perioperative registered nurse (RN) and other perioperative team members will have increased their knowledge of managing clinical data and comprehensively documenting the patient's plan of care in the perioperative setting.

Upon completion of this activity, the participant should be able to:

• Discuss the importance of documenting accurate and complete patient information
• List the advantages of using standardized vocabularies;
• Maintain the security of patient information
• Document and authenticate patient care orders
• Comply with local, state, and federal regulatory requirements