Question

The most correctly completed immediate postoperative note includes the name of the primary surgeon and his or her assistant(s), the procedure performed, and a description of

A. procedure findings, any specimens removed, and postoperative diagnosis

B. procedure findings, estimated blood loss, and postoperative diagnosis

C. procedure findings, estimated blood loss, any specimens removed and postoperative diagnosis

Answer 1

The immediate postoperative note should include the name of the surgeon, procedure performed, and a description of procedure findings, any specimens removed, and postoperative diagnosis.

Step-by-step explanation:

The most correctly completed immediate postoperative note includes the name of the primary surgeon and his or her assistant(s), the procedure performed, and a description of procedure findings, any specimens removed, and postoperative diagnosis. This information is important for proper documentation of the surgery and for future reference. For example, if a patient had a gallbladder removal surgery, the postoperative note would include details such as the surgeon's name, the procedure performed (cholecystectomy), any specimens removed (gallbladder), and the postoperative diagnosis (cholecystitis).