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Do you have an idea of what you want to draft, but you cannot find the exact words yet to write it down or lack the inspiration on how to make it? If you've been feeling stuck, this Sample Operative template can help you find inspiration and motivation. This Sample Operative covers the most important topics that you are looking for and will help you to structure and communicate in a professional manner with those involved.
ACCEPTABLE OPERATIVE REPORT 1 This operative report follows the standards set by the for sufficient information to: • identify the patient • support the diagnosis • justify the treatment • document the postoperative course and results • promote continuity of care This operative report also provides: • name of facility where procedure was performed • date of procedure • patient history • CPT code Blair General Hospital Patient Name: Preoperative Diagnosis: Bilateral upper eyelid dermatochalasis Postoperative Diagnosis: Same Procedure: Bilateral upper lid blepharoplasty. ACCEPTABLE OPERATIVE REPORT 2 This operative report follows the standards set by the JCAHO and AAAHC for sufficient information to: • identify the patient • support the diagnosis • justify the treatment • document the postoperative course and results • promote continuity of care This operative report also provides: • name of facility where procedure was performed • date of procedure • patient history • CPT code Patient Name Location of surgery: Riverview Surgical Preoperative Diagnosis: Facial and neck skin ptosis Cheek, neck, and jowl lipotosis Facial rhytids Postoperative Diagnosis: Same Procedure: Temporal cheek-neck facelift Submental suction assisted lipectomy Surgeon: ACCEPTABLE OPERATIVE REPORT 3 This operative report follows the standards set by the for sufficient information to: • identify the patient • support the diagnosis • justify the treatment • document the postoperative course and results • promote continuity of care This operative report also provides: • name of facility where procedure was performed • date of procedure
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