I'm curious how other MTs would have handled them?
1. Hemoglobin 9, hematocrit 39. (I would have flagged this with a blank for the hemoglobin and sent to QA).
2. The nose and mouth were suctioned on the perineum (during a C-section dictation). (I would have changed "perineum" to "abdomen" and sent it on).
3. SKIN: Without lesions, rashes or scars (Patient has HIV and kaposi sacroma). (I'm not the doctor. I did not examine the patient. Therefore, I would have transcribed as dictated and sent it as usual).
4. Left atrium is normal, measuring 4.6 cm. (I don't get paid enough to second guess the doctor on whether the LA is "normal" or not. You get what you pay for.)
5. VITAL SIGNS: Heart rate 70, respirations 18, BP 120/70 (in an 18-year-old with a comminuted ankle fracture). (Again, the patient may have gotten pain medication by the time the doctor saw him, so perhaps he/she didn't have pain at the time of examination and so the vitals were normalized. I wasn't there, I don't know. Type verbatim and send it on!)