Which of the following physicians document the operative report on the patient?

An Operative report is a report written in a patient's medical record to document the details of a surgery.[1] The operative report is dictated right after a surgical procedure and later transcribed into the patient's record. The information in the operative report includes preoperative and postoperative diagnosis and the condition of the patient after the surgery. In operative records there is given medications before and after surgery, there is also given patients data,medical history,(Hx , physical examination (PE),

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References[edit]
External links[edit]
Who is responsible for the operative report?
Which of the following is expected to be documented in operative report?
What is a patient operative report?
What is in the operative report?

consert form , informed consert form, surgeons orders, anesthesia note also written in operative report .)[2] It is necessary for other healthcare professionals immediately attending the postoperative recovery of the patient.

In most American states and in many other jurisdictions patients have a right to receive a copy of their medical records, including the operative report. Standards for operative reports are set by the Accreditation Association for Ambulatory Health Care (AAAHC) and the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

References[edit]

^ Deutsch, Laurence M. (2001). Medical Records for Attorneys. ALI-ABA. p. 224. ISBN 978-0-8318-0817-4.
^ Ireland, Patricia A.; Novak, Mary Ann (2004). Hillcrest Medical Center: Beginning Medical Transcription Course. Cengage Learning. p. 13. ISBN 1-4018-4108-2.

External links[edit]

"operative report". TheFreeDictionary.com. Retrieved 2019-10-06.
"Sample operative reports" (PDF). American Board of Facial Plastic and Reconstructive Surgery. Retrieved 2019-10-06.

Who is responsible for the operative report?

If an operation is conducted, then the surgeon is responsible for dictating the operative report of the patient, describing in brief the details of the surgery. This report should be entered in the medical report immediately after the procedure.

Which of the following is expected to be documented in operative report?

The condition of the patient at the completion of the surgery, as well as the disposition (postoperative location of the patient), should be documented in the operative report such as, "The patient is stable in a recovery room," or "The patient is critical in the intensive care unit").

What is a patient operative report?

The operative report is perhaps the single most important document in a surgical chart. It is the official document that captures what transpired in the operating room. It must support the medical necessity for treating the patient, describe each part of the surgical procedure(s), and reveal the results of the surgery.

What is in the operative report?

The operative report is dictated right after a surgical procedure and later transcribed into the patient's record. The information in the operative report includes preoperative and postoperative diagnosis and the condition of the patient after the surgery.