Instructions for physician dictation
Posted By: smile on 2008-10-01
In Reply to:
1. At the beginning of the dictation, take the deepest breath you possibly can and then try to dictate the entire report before you have to inhale again.
2. When dictating a particularly difficult word or phrase, please turn your head and speak directly into your armpit.
3. If you have to sneeze or cough suddenly, please remove your head from your armpit and sneeze or cough directly into the microphone.
4. If you must eat while you dictate, please stay away from foods such as marshmallows, bananas, and pudding; apples, pretzels, and celery are much better choices.
5. Please do not stop dictating when you yawn; it throws off our rhythm.
6. Do not stop dictating in the event of a minor background noise such as an office party, the janitor’s vacuum cleaner, a screaming infant, etc.; again, it throws off our rhythm.
7. Talk as fast as you possibly can. Fair is fair, after all, and we type as fast as we can!
8. Dates of admission and discharge are not important for old H&Ps or discharge summaries.
9. Abbreviate whenever possible. Everyone loves a mystery and we are trying to learn new skills, such as mind-reading.
10. Finally, be sure to wait until the end to tell us what kind of report you are dictating, or to "scratch" this dictation since it was already dictated.
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Doc asking for instructions on dictation
A wounderful young man at my church is in his 2nd year of general surgery residency. When he found out what I did for a living, he asked me if I would please help him with his dictation and give him some pointers so that he could do better on his dictation. No one had critiqued him and he wanted to be sure it was o.k. Now THAT'S a good guy. He's a good Christian, he'll be a good doctor, and I know he won't ever change. You cynical so and so's just keep your opinion to yourselves. This was so refreshing to be asked for help like this. It made my day.
Letting Physician hear her own dictation
I had two bad dictating Rads, one who said "period paragraph" in the middle of a sentence throughout the entire report and another who threw up the films while dictating, as his handset was placed on the counter. There was no OM to talk to, it was me and after asking them repeatedly to fix the problem, they tried with no improvement. So I typed the report exactly as he dictated it and gave it to him for signature. He never said a word to me about it, just redictated clearly and never did it again. With the other, I walked into the reading room and played the tape for him and asked him if he wanted me to send the dictation to the referring physician so that he could figure out what he was saying. You would be surprised how quick these guys got their act together. But they really did not think there was a problem until it was presented to them. Maybe she needs to hear what it sounds like. She may not think its so bad. I say copy and send the bad dictations with the letter. Leaving out those things mentioned above.
Per my physician....
"All the antibiotics in the world will not clear up your sinus problems because you need to dry your sinus passages out." Get those little red Sudafed tablets and take the maximum dosage for several days. Also, try avoiding dairy products to see if that's a trigger. I can't even eat Ranch, mayonnaise or gooey cheese anymore because it triggers postnasal drip with that irritated ticklish throat and cough.
This is a physician saying this
The patient was tooken to the operating room. OMG, please keep me from screaming!! Where did you go to school, or did you finish?
Get another physician
NM
Not OUR job, it is the physician's and/or
x
EMR physician
I need quick advise. I worked for 4 physicians, one used EMR (partially) the others still use tapes. The EMR physician does not like to read his dictation and the three mouse clicks to sign his documents is too much. The physician has a high school graduate opening up the notes, reading them, editing them at her discretion and then SIGNING them. I informed them that to the best of my knowledge this was 100% illegal but they are still doing it. I have been doing this for some time, but did not think the rules had changed.
Thank you for the instructions. I will try that! nm
x
I saw instructions for doing this yourself on
You sure don't need to pay to convert!
Instructions
While in Word document, type FEV1 with the subscript. Then hightlight, do Alt+T to bring up Tools, select autocorrect. Screen will come up, type in FEV1 in the Replace section, click the Formatted Text button, click Add. It should save it with the subscript.
sm for instructions
Go to My Computer, click Tools, Folder Options, click File Types tab.
Scroll down list and select WAV. In the lower part of the window where it says Opens with, click the Change button. In the new window, scroll down and select Scribe, then click OK. Then OK to close the other window.
LX 219 instructions
How To Set Up & Use The LX-219 IMPORTANT—PLEASE READ CAREFULLY!!!! • IF THE FOOT PEDAL IS NOT ALREADY CONNECTED---Remove the Front Cover of the terminal block that has the cables attached, and Plug the Foot Pedal into the black connector. • Plug the cable marked “Trans Station” into the jack on back of the LX-219 labeled, “To Recorder” • Plug the cable marked “Power Supply” into the jack on the Power Supply. (some power supplies have two jacks, use the left one and ignore the other) • Plug the cable marked “UDLT” into the jack on the back of the LX-547 VTI, marked UDLT. • Plug the Telephone line cord into the jack on back of LX-547 VTI marked “TELCO”. Plug the other end of this cable into your telephone jack. • Plug Power Supply into wall outlet. • The VTI will now undergo a self test; all of the lights will come on momentarily and begin blinking. After a few seconds all lights will go out EXCEPT the TA and VD lights. These will remain on. (the letters identifying these lights are read from top to bottom, not left to right) You are now ready to Program your Station to call into the Lanier system and begin transcribing. Go to the Programming Instructions, and with the help of your Supervisor or Client, program the Codes and Telephone numbers that they want you to use, into the LX-219. AFTER programming is complete, use the following instructions to begin using the Transcriber. Copyright 2003 by: Ranzy Luster Plug Headset into jack on back of LX-219 labeled “Headset” • Put Headset on. • Press the ON/OFF key. You will hear a dial tone. • Press the Key that you have programmed your Telephone access number into • After the system answers and “Digital Connect” appears, the screen will display; “Enter Trans ID” • Press the key that you have programmed your ID number into. • The display will show “ENT - request Job” • Press the ENTER key. The small screen will display; “Searching for job”. After a few seconds, a job number will appear in the small display screen and all of the information will now appear on the LARGE DISPLAY screen. • Place your foot on the LISTEN part of the Foot Pedal and press down. • Press REVERSE to back up when needed, and if you have backed up quite a distance and don’t want to listen through the dictation again, Press FORWARD to get back to the point you were at when you started reversing. A Loud tone will be heard when you reach this point! • As you are transcribing and reach the end of a job, you will hear a steady TONE. At this point, remove your foot from the Listen Pedal and press the Finishing Touch Button. This will Complete that job and bring up the Next available Job. (the Finishing Touch Button is the one which you have programmed with the Code 1370) • When finished transcribing for the day, Press the button you have programmed with the Code 1371. This code completes the job and prevents others from coming to your station. • In Addition to the two codes listed above, the Telephone number of the system you are calling into should be programmed into a Key and your ID number should be in one. ALL OTHER FUNCTIONS YOUR EMPLOYER/CLIENT WANTS YOU TO USE WILL BE EXPLAINED BY THEM!
Copyright 2003 by Ranzy Luster
www.TranscribeSolutions.com
Instructions -sm
This is for WORD 2003. Just follow the steps EXACTLY as outlined.
1. Open a plain word document and type your ??. (A couple of sets with one set per line).
2. Go to Tools>Macro>Record New Macro
3. Name your Macro (type it in the box) Mine is named "jump". (Make sure in the second box, it says NORMAL template or normal.dot.)
4. Click the Keyboard button - choose the keyboad combination you want to use (I use ALT+J) Click Assign.
5. You should see a little button floating around that looks like a tape somewhere on your screen. Don't touch it yet. Instead, Go to Edit>Find and type in ??.
6. Hit find next (you should be seeing your ?? being highlighted while you are doing this.) Click the cancel button on that same window.
7. Go to Tools>Macro>stop recording.
Type in a few ?? sets and hit your shortcut combination to make sure it works.
If you have trouble with this, feel free to e-mail. I make these all the time. :)
Instructions
If you set a tap stop where you want the DOB on the same line you should be okay. In sounds like there are spaces there instead. Set your tab point by clicking on the ruler at the top. Retype your patient title then tab and put the DOB title. If this does not work, feel free to email. I am workin all day. :)
there are instructions
in the system on how to do this.
I'm sure most of you get instructions like this
from your employers:
The BOS is to be followed, except when it differs from this company's style guide and except when also not in conflict with the site specific information of the client.
So, you check the site notes from the hospital and if the question is not answered there, you check your company's style guide, and then if there is still no answer you do what the BOS says to do.
Does this make any sense? Making us consult three different references for the answer to one simple question? Do the MTs in Indiastan have to do this? Or do they get a pass because they work so cheap?
see what I mean? LOL ... physical not physician...
x
Your own physician tells you that you know too much. nm
//
I saw an xray the physician had
that showed a Gator-Aid bottle up this guy's rectum. The wife wanted to know if he had accidentally sat down on it. He had to have it surgically removed. And then again, there is the one I typed on where the person was an alcoholic, had drank dog shampoo and when arriving at the ER was blowing all kinds of bubbles.
Physician Websites
Here are a couple good ones:
www.healthgrades.com
www.doctorpricing.com
The physician put his comment in
quotes and it should have been transcribed. I would get more offended about incorrect dosing of meds you hear in reports if I had the option to pick my battles, but the fact is, you are a Transcriptionist who is being paid to transcribe what the physician says. You really have to leave your personal stuff out of it. And, if you are the patient, and you are crass enough to be so rude and foul then you deserve to see it in black and white.
This sounds like an ad placed by a physician's
I cold called thinking they may consider an at-home MT, which yes they would be fine with, but they thought event $1.00 per page was pricey since the in-house MT could easily type 20 reports an hour, so they were doing the math. They figured by my charging per line that I would make way too much. Of course, I told that person very politely that I would work for no less than $3.00 per page if that's how they were looking at it and that I charge for production. So maybe this office expected the same thing your hospital does. However, if you type 3 MRI reports, then you're done for with the expectation of 20-25 reports per hour. All I can say is the hospital advertising this way must have a lot of normals and only perform plain x-rays and not any kind of special procedures or MRI/CT.
A physician shared this one
with me...
The patient was in a cute dress... (medical Transcriptionist error....)
Physician Letter
Opinions on this please: Most of my physicians dictate where they would like new paragraphs to start in their letters to other docs. However, I'm just starting with a new person and she didn't specify. She told where she would like periods, quotations, etc. but she never even once dictated that there should be a new paragraph.
I'm tempted to just put the breaks where they seem correct, but I'm not sure if that's the right thing to do.
Any suggestions?
Physician Finder - a useful one
you can search using different criterias, might be helpful for u ppl
use the link below
http://doctor.webmd.com/
Try the AMA Physician Finder
You can do a "sounds like" search by state, and by specialty. Somewhat tedious, but you can generally find them when all else fails.
Here's the link:
http://webapps.ama-assn.org/doctorfinder/html/patient.html
Exactly why I quit using my last physician.
I would wait close to an hour in the waiting room only to feel ignored once I got into the exam room. My doctor spent more time on the computer than he did with my exam. I finally got tired of this and changed doctors.
How do you know the physician hasn't
reported it. No, I do not believe it is our place to do so.
are you sure the physician HASNT sm
reported it? I don't think (I am quite sure) that our scope of duties does NOT involve any of that. Would be real tempting to report though wouldn't it?
NSS: Here's the macro instructions
In a Word document, type a few words, like a diagnosis on a line. Leave your cursor at the end of the line.
Click TOOLS, MACRO, RECORD NEW
A window called Record Macro pops up. I suggest you put a name in the "Macro Name" field. (Hint: No spaces allowed in the name.)
Click KEYBOARD to assign it to the keyboard.
A window called "Customize Keyboard" pops up. In the field "press new shortcut key", press what you want as the shortcut. (Hint: I use ALT+N so I can remember it for numbering.) That key combination you type should populate that field.
Click ASSIGN, CLOSE
You will be back at your document (your cursor still at the end of the line of text you typed) and there will be a small window called "Stop" that has a solid square (the STOP RECORDING button) and another symbol (PAUSE RECORDING button). At this point, every single thing you do is being recorded!
Press the HOME key (to put cursor at the beginning of the line).
Press the 1. keys and space twice (or however many times you space between your number/period for your account).
Press the END key (to return cursor to end of the line of text).
Press the RETURN key.
Press the 2. keys and space twice (or, again, however many spaces you put between your number/period for your account).
Click the STOP RECORDING button in the little window.
Your macro is complete. I suggest you try it out. Skip down a few lines and type a line of text. At the end of that text, hit your macro shortcut. It should run (you won't see it do anything but make the changes you recorded) and automatically go to the beginning of the line, number it as 1 with a period and spaces, and return at the end of your text and start the number 2, period, spaces and be ready for more text!! Email me if you have problems.
NOTE: This will only work if the text you type is only 1 line long. If it word-wraps to a second line, this will not work...you will just have to manually return to the beginning of the line and number.
More ideas for building macros, at least the ones I use most:
-- macro to increase the zoom to a certain percentage (I use 110%)
-- macro to scroll down 1 frame or page
-- macro to copy the preoperative diagnosis heading, the 1-line text below it, return a line blank and type postoperative diagnosis heading and paste (for when the dictation is for "postoperative diagnosis same"). I use ALT+; for postoperative diagnosis and ALT+' for postop diagnosis
-- macro to copy the physician names/credentials in the signature block and search for the header for SURGEON and fill it in, putting it in all capitals, etc.
Just a handful of ideas I use. Hope these help.
I think you can d/l instructions from their web site. NM
.
Instructions inside (sm)
You have to right arrow on HISTORY when you are completely finished your report (it's in the demographic screen). This will sign this report to you, it adds your initials and that way no one can go in and get credit for it. Hope this helps.
Can't you post the instructions here instead
xx
And if you read the instructions (sm)
it will tell you that you cannot use that to file with.
Meditech instructions
Could someone be nice enough to help me find some instructions for shortcuts or commands in Meditech. I have asked employer and only get a few basic ones. Where can I look?
So, did my instructions work?
x
I sent you email with instructions
x
Instructions ...see inside
Go to Tools, Templates and Add Ins. Click Add. Browse and select support.doc (Program filesMicrosoft officeoffice 11Macros folder) Click OK twice. Then to run it, choose tools, Macros, Macros. In the drop-down box choose support.dot. In the Macro Name box choose AutoCorrect Backup. Click Run and then backup. Then save it as whatever you want.
To put in on the next system, run the utility the same way to get the support.doc and instead of clicking backup, click restore. Check your entries because some may not be completely the same depending upon how you have them set up. If you have questions, feel free to e-mail
Part # and instructions.
This site, option #3 will give instructions, part # you need. (From Radioshack)
http://www.nch.com.au/scribe/pedals.html
I have a nice set of instructions in PDF...
that includes diagrams! The plug in for phone is rear left on the bottom. If you would like me to send you the PDF file of C-phone instructions I would be glad to, just e-mail me.
Some detailed instructions for you. sm
I believe I understand what you're trying to do. Try following these steps.
Open a new blank document and set the margins as you've been instructed (File, Page Setup, Margins). Next, click on the tab for Layout. Make sure Section starts has New Page in the box. In the next section, Headers and Footers, make sure none of the boxes are checked. Change the measurement from edge for the Header to 1". In the Page Section for vertical layout choose Center. In Preview Section make sure that Whole Document is selected. Click OK.
Now, Go to View, Headers/Footers. Type the information that you want into the Header area. Don't worry that it looks like the Header area is larger than it should be; it will shrink as your letter grows. Save this as a document template (.dot)
Now, whenever you use this template, just type your first letter, use Ctrl+Enter to go to the next letter/page. The Header information will show at the top of each page and each letter will be centered on the page for you.
Read the instructions doc that was sent to you.
It gives detailed instructions of what to do. Sounds like you only read the first half of it if you actually got the test files.
I did read instructions....
I did read the instructions, thank you. I downloaded the PlayAll player also, but my footpedal that I use for Olympus player is not working for the PlayAll player. I can play it by starting and stopping it with the keyboard, but I would prefer using my pedal.
One file has an extension “.ofc” This is an actual work file. YOU CAN NOT OPEN THIS WITH A CLICK OF YOUR MOUSE. You must download this file to the .wav player software and open it with the PlayallX or the software you already have.
The file “playallx.zip” is a zipped file that will open the software to play our compressed digital work. This is necessary if your .wav player will not open the compressed file with the extension .ofc. PLEASE NOTE, THIS IS FOR WINDOWS XP ONLY.
This is like the "stupid" instructions on...
products like shampoo and hairdryers. Even though it seems stupid to us that they are pointing out "rinse after lathering" or "do not submerse in water"...the fact that it is on there is likely due to the fact that someone somewhere in this crazy world actually did it..and might have even tried to sue them for not telling them not to. I've been an MT for 15 years. And from your post I knew what DEXA was because I type radiology. I had no clue what pallor was. If I did clinic notes I would probably have known. It's all in what you're familiar with. So the other poster is right...if he's spelling it, it's probably because he knows a newbie is on the account or he's already had to correct it himself on a previous report.
To the original poster, don't feel like it's whining. That's completely understandable. I get frustrated over the same thing too. The docs sometimes spell a word that they have got to know we use all the time...but do you think they would spell a referring doctor's name that they could hardly pronounce themselves? Uhhhhh no!  So yeah, it is funny and frustrating at times what they think we need help with and we all need to vent sometimes.
I just e-mailed you with instructions
for the AutoText entries. You cannot use outside programs (text expanders, shorthand, etc.) with InScribe. It's kind of a long process to add AutoText, so I save up 25 or 30 and enter them all at once, usually.
C-phone instructions
I've got the PDF file with everything, so if you need them ... just post a message and I'll be in touch with 24 hours.
Here are the removal instructions..
You can download a utility here to remove it from here:
http://www.bleepingcomputer.com/malware-removal/uninstall-antivirus-2009
If it doesn't work, let me know and I will tell you a manual procedure to get it removed.
c-phone instructions
Thank you so very much. Got them. What a pain.
Thanks again.
cindy
DocQScribe instructions
Where can I find instructions on this platform?
Thanks!
Actually, throw out the BOS and use the physician's preference.
I learned that disc is eyes, disk is computer disk, and disc/disk for back is up to the account preferences. The doctors do not care what some stupid AAMT BOS book says because it's THEIR notes and they aren't regulated by the AAMT.
Work hourly for physician. Need help..
I wonder if someone could tell me how they created an invoice when being paid hourly doing transcription. I tried using MP Count but it only calculates using line counts. Thanks for any help.
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