Documentation

12   Documentation


Documentation of the procedure is essential since it not only provides the information to colleagues—chest physicians, oncologists, pathologists, thoracic surgeons, and others—but it is also a permanent part of the patient’s medical history. It consists of a handwritten or (better) typed report in which details of the procedure as well as of the abnormal findings should be included. These should be supplemented, if possible, by endoscopic photographs and/or video recordings. Newer systems most often allow both photographs and video. The use of a computerized documentation program is the ideal; these are available not only for bronchoscopy but also for medical thoracoscopy/pleuroscopy.


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Mar 12, 2017 | Posted by in RESPIRATORY | Comments Off on Documentation

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