Question

The attending physician is responsible for which of the following types of acute- care documentation?

1) Admission history and physical examination
2) Progress notes
3) Discharge summary
4) All of the above

Answer 1

The attending physician is responsible for all types of acute-care documentation: admission history and physical examination, progress notes, and discharge summary.

Step-by-step explanation:

The attending physician is responsible for all of the above types of acute-care documentation. This includes the admission history and physical examination, progress notes, and discharge summary. Let's break it down:

1. The admission history and physical examination involves gathering information about the patient's medical history, conducting a physical examination, and documenting the findings.
2. Progress notes are written by the attending physician to record the patient's progress during their hospital stay. These notes include details about the diagnosis, treatment plan, and any changes in the patient's condition.
3. The discharge summary is prepared when the patient is ready to leave the hospital. It summarizes the treatment received, follow-up instructions, and any necessary referrals or recommendations.