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Guide to Clinical Documentation 3rd Edition by Debra Sullivan
Edition 3ISBN: 978-0803666627Guide to Clinical Documentation 3rd Edition by Debra Sullivan
Edition 3ISBN: 978-0803666627 Exercise 1
K.S. is a 50-year-old woman who presents for elective right carpal tunnel release. After reading the operative report shown in Figure 11-10, write an operative note.
Date of procedure:
Name of procedure:
Indication:
Surgeon:
Surgical assistant:
Anesthesia:
Pre-operative diagnosis:
Postoperative diagnosis:
Description:
Complications:
Disposition:
Date of procedure: Name of procedure:
Indication:
Surgeon:
Surgical assistant:
Anesthesia:
Pre-operative diagnosis:
Postoperative diagnosis:
Description:
Complications:
Disposition:
Explanation
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Verified
Here is one possible operative note for ...
Guide to Clinical Documentation 3rd Edition by Debra Sullivan
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