LissaBridget
Contributor
Would this be acceptable documentation for a laceration repair or does it need to be more in depth?
Laceration Repair
Date/Time: 11/8/2018 1:12AM
Performed by: Dr. X
Authorized by: Dr. X
Consent: Verbal consent obtained.
Body area: head/neck
Location details: scalp
Laceration length: 3 cm
Irrigation solution: saline
Amount of cleaning: extensive
Skin closure: staples
Number of sutures: 5
Dressing: antibiotic ointment
Laceration Repair
Date/Time: 11/8/2018 1:12AM
Performed by: Dr. X
Authorized by: Dr. X
Consent: Verbal consent obtained.
Body area: head/neck
Location details: scalp
Laceration length: 3 cm
Irrigation solution: saline
Amount of cleaning: extensive
Skin closure: staples
Number of sutures: 5
Dressing: antibiotic ointment