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To accurately identify that a procedure was performed on the second lumbar vertebra, what would be documented in the operative report?

a) The patient's name and date of birth.
b) A detailed description of the procedure, including the specific vertebra involved.
c) The operating surgeon's signature.
d) The patient's home address and phone number.

1 Answer

4 votes

Final answer:

A detailed description of the procedure, including the specific vertebra involved, is what would be documented in an operative report to identify that surgery was performed on the second lumbar vertebra.

Step-by-step explanation:

To accurately identify that a procedure was performed on the second lumbar vertebra, it would be documented in the operative report with a detailed description of the procedure, including the specific vertebra involved. This information showcases the exact location of the surgery and is part of the critical details required for accurate medical records and post-operative care.

Important elements such as the patient's name and date of birth are usually included as well, but they don't specifically identify the location of the procedure. Similarly, while the operating surgeon's signature is a necessary part of the documentation for authentication and accountability, it does not serve to identify the location of the procedure. The patient's home address and phone number are pieces of contact information that would be present in the patient's overall medical file but are not needed for this specific identification of the procedure site in the operative report.

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