Like all procedures,surgical procedures are to be documented in the medical record thoroughly and completed immediately.Match the medical record entry with the description or rationale provided.Note: Answers may be used more than once.
-The provider might also request that you record when he or she made the incision and when the procedure was completed
A)patient identifier
B)informed consent
C)the date and time
D)the reason
E)the procedure
F)specimen
G)postoperative instructions

Question

​Like all procedures,surgical procedures are to be documented in the medical record thoroughly and completed immediately.Match the medical record entry with the description or rationale provided.Note: Answers may be used more than once.
-​​The provider might also request that you record when he or she made the incision and when the procedure was completed
A)​patient identifier
B)​informed consent
C)​the date and time
D)​the reason
E)​the procedure
F)​specimen
G)​postoperative instructions

Quizplus · Accepted Answer

Recording the date and time is essential for documenting when the incision was made and when the procedure was completed. This information helps in tracking the duration of the surgery and is crucial for the medical record.

​Like All Procedures,surgical Procedures Are to Be Documented in the Medical

Like All Procedures,surgical Procedures Are to Be Documented in the Medical