The Operative Note

Chapter

Abstract

This chapter gives the fundamentals of writing a good operative note. It also discusses the (several) purposes of the note. The operative note is an integral part of the medical care provided to the patient and reflects the quality of care delivered. Its value may not be immediately apparent, particularly to the harried surgical resident. If the patient does well and does not require any further care for that problem, it may become a purely historical document. However, its value cannot be underestimated when a patient presents in the future needing additional related care at the same or another healthcare facility. Such need may arise when the original healthcare provider is no longer available and a different healthcare provider is going to assume care of that patient. Similarly if another operation becomes needed in the future, the pertinent details of what was performed during that operation cannot be undervalued.

Keywords

Catheter Prep Carol 

References

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of SurgeryAmerican University of Beirut Medical CenterBeirutLebanon

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