doc said the patient was dehydrated, so was given a bolus of URINE n/m
Posted By: Dictator should be glad this job didn't go to V on 2008-04-19
In Reply to: should be didn't go to voice recognition n/m - Dictator should be glad this job didn't go to V
OH me
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
The doctor just said ^^ The patient was given a bolus of urine. ^^
Don't we just love our jobs !!
Gatorade ... push it. He is dehydrated maybe with that weight loss.
dd
If it's 20 units given INDIVIDUALLY, it's were. If it's ONE bolus, or injection
of 20 units, then it should be was.
Oh yeah. I typed bolus for bullous just yesterday and let it go through before I realized it.
There was a time when we could leisurely type a report and really follow the information with interest but now, it is more about making the money to pay the bills, grabbing reports before someone else does and we end up sitting there with nothing to type. This induces an state of anxiety that can really place a person in a zone that can make it impossible to concentrate on the report itself.
I do have my tape rewind for several seconds to keep myself from word dropping and go from top to bottom of each report with an eye scan reports (radiology) to proof and make sure I don't screw up but even so, I sometimes do.
It is kinda scary,huh? The x-ray techs can make errors galore (underpenetrated, overpenetrated films, etc) but we are expected to be perfect.
This is true! We have a Dr. Urine
He is married too.
drug and urine test
Hi everyone. Need help . Someone told me that Ephedra shows up in urine and blood tests as an illegal drug. Took those tests today. I take Ephedra twice a week to help with weight loss. Will it really show up, does anyone know?
Albumin Urine Test
Found on Google:
Do not get toilet paper, pubic hair, stool (feces), menstrual blood, or other foreign matter in the urine sample.
Microalbumin Urine Test
Found on Google:
What affects the test?
Having menstrual bleeding or vaginal discharge, which may temporarily affect the urine sample.
my cat's spraying problem was a ton of bacteria in the urine
He was a feral that I adopted and he'd been spayed, etc., but he wouldn't stop spraying. I really thought I was going to have to have him put down. The RECEPTIONIST at the vet's office says, "So, have you had his urine checked?" which was about the only thing we HADN'T done - once he got that truckload of antibiotics under his *belt* he stopped spraying - that was two years ago and he has not sprayed one time since. By the way, if you have never tried "Anti Icky Poo" it is the best odor remover I have ever used and NOTHING else touches cat spray/urine like this product (I don't work for the company, honest) - the vet will even give you a needle to squirt it under the carpet with - it works enzymatically (is that a word?) and there won't be a trace of odor left. The odor won't come back either.
Anyway, just an idea. I hope you can figure it out because there is nothing worse than cat spray in the house....eeewhew!!
I hate to use mare's urine - think of the poor horse! but
it's the only thing that works for me. I have tried the *natural* stuff and ended up with either a bad tummy ache or nothing at all. It's the night sweats that I can't handle. Every night waking up drenched, unable to sleep. The doc convinced me it was a quality of life issue and basically, I wasn't having any, so I'm back on the very lowest dose. I hate it because of the horses and it doesn't cut out the hot flashes completely, but it helps.
The drug companies are too worried about men not being able to keep a hard on to explore the comfort of women. This research crap they are always handing us is just that, crap. They are looking for the big bucks. period.
You need to get the smell/urine enzymes out of the carpet and furniture - sm
The dog will just continue to go back to where he peeed (?) again and again because he smells his scent. I don't think neuturing him will make a difference in that respect. You need to go buy Nature's Miracle Odor & Stain remover. It's pricey but it does the job....I learned this by working at PetsMart years ago and by personal experience. You have to soak whatever it is the dog peeed on though and let it air dry, takes a couple days. You will have to decide on how to "contain" him until the smell is gone, either in a smaller area of the house, outside, whatever. You might want to seriously try training him to go outside. He never learned that he should NOT go inside so that behavior of him going wherever he wants in the house is going to be difficult if not impossible to change. You may want to call a professional legit dog trainer in the area and get their thoughts and suggestions. You are going to have a hard time modifying the dogs behavior, but with a LOT of persistance and consistency you can prevail. Good luck.
Putting patient versus The patient (sm)
When did this "rule" come about? I've been an MT/Editor/medeical records tech/ART for 30 years - Never, ever was I told to put that. You cannot make the sentence be "The patient sent to Radiology" but you can put "Patient sent to Radiology."
Thats just insane.
As dictated, we may start urine replacement at 0.5 cc/mL for output greater than.....
x
Was with Hospice. He might live a few days w/o making urine depending on what
s
Not a word help question: Would menstrual blood mixed with urine cause increased microalbumin? (pl
My 21-YO daughter has type 2 DM, but it is very well controlled by diet alone. She just had some lab tests done (blood and urine), and they called to let us know her urine microalbumin was slightly elevated. However, she was on her period when they did the urine test, and she said there was definitely blood mixed in with her urine because of this. Does anyone know if this would affect the microalbumin result? They want her to start taking a small dose of lisinopril, but she doesn't want to and wants to wait 6 months for the next test. Her hemoglobin A1c and other values were "perfect" according to the nurse who called, but we are waiting for the actual results to come via mail.
Is the patient
x
patient name
It's surprising your company lets you put the name in the report. The trend has been to use "the patient" instead of the name.
The patient is...
The patient is a 2-month-old elephant.
The patient is a 2-month-old infant.
Work from India.
The patient will . . .
be maintained on a clear liquid diet. He is specifically instructed that beer does not constitute a clear liquid. (pt in for alcoholic gastritis) Still chuckle every time I think of that one!
Also that few MDs can say a patient is
slurring without stuttering or slurring the word, "slurring."
the patient
The client preference is to type "the pateint" To be even more exact, my account instructions state: "NEVER put patient's name in the body of the report, even if it is dictated. Always put 'the patient.'"
Usually if it's a no patient name
allowed either.
yea, but me as a patient...
when i asked to have copies of my medical records, i was APPALLED at the crap that was in them, by this I mean the errors ran rampant throughout, even if it was just a capitalization error, or incomplete sentences (which i consider errors).
I did not like what I saw at all, but would the average person care, if it doesn't change the meaning?
Patient logs
We are required to do a log for each batch of reports that we do. I will fill the info on the report and then control + end to the log and record the same info. Says time for me at the end of the whole document.
Patient info?
Where is my post on typing in patient information???????????
It took me 30 minutes to look-up a patient.
x
All FIVE of the patient's extremities....
Okey, dokey. This one's American, too.
Yes, and patient demographics.
I'm not going to compare myself to others, though. I've made a lot of progress, and that's all that counts. I've only been on this account for three months. Who's to say what I'll be able to do next year?
My doc would put that patient on protinix --nm
x
patient names
This is a problem that I am currently struggling with. My accounts are not 'searchable' and some docs don't spell out the patient's names. I have QC'd these many times with a note AND my e-mail address asking QC if I should be sending all these reports to them minus the patient's name, or send it to them GUESSING the spelling, or just spell the names phonetically and NOT QC them. About 15 requests now, and NO REPLY!! Very frustrating!!! Otherwise, the account is really good. I am new, so did not realize that other platforms gave credit for footers, headers, etc. I know on DQS you get a fair line count on just the body of the report. Don't know about the rest.
when I can't figure out the patient name (sm)
I just leave it blank because, like the other post said, I cannot get any feedback on what is protocol, so I make up my own. I aint gettin' paid enough to fool around trying to figure out what the dumb doc is saying!
Wow, I think I have PMS or something..I don't usually gripe this much! 
Patient Names
You'd be surprised how many facilities have the patient's name on the report. Its not that uncommon. Depends on the facility and the company you work for.
No patient transfered to the LSU
I'm in the procedure section where I cannot abbreviate...Help
RE No patient transfered to the LSU
ICU or CCU maybe - Intensive Care Unit, Coronary Care Unit, can't guess what LSU is in relationship to other than what was said above about football.
The patient is a male
The doctor said: "He denies bloody or cloudy urine, pain with urination and vaginal bleeding."
I crack up laughing and quote this to my husband, stating the patient's gender.
And his response was, "I hope so."
(think about it) 
This is actually between the doctor and patient.
Your job is to transcribe what the doctor wants. He's the one who needs to be compliant by having the paperwork in order to send these copies on. It's not your problem.
Probably something in patient care, maybe CNA. sm
They make about as much as I am making and with benefits on top of that at the hospitals around here.
Tks you all for being so patient. Looks like I'm out to buy WORD. I
computer and I don't see much, and nothing that says "autocorrect" or auto anything.
Yes, after being jerked around for several months now and starving to death I will feel better to get my feet on solid ground again with a local company that I know will be around and I know what the rules are (wink wink).
I'm off to find WORD. ((I don't know how people who have no time with computers at all, get geared up to work for MQ and do all this stuff with no help. I know a little bit/very little! and I just can't imagine just starting to work on a computer))
How old was your oldest patient? sm
Doesn't matter if it is someone you took care of or someone you typed a report about. I just did a report on a 103-year-old man and once while working as a aide, had a 104-year-old male patient. Cute as a button and sharp as a tack. Also had a 101-year-old lady at the nursing home. 
As MTs, our #1 priority is the patient, just
as it should be for doctors, nurses and health care professionals. I know how frustrating it can be trying to translate broken English, etc. I complain about it, too!! Sometimes I get so angry, because it actually takes money out of my pocket in that I spend so much time trying to "get it right" instead of just using my knowledge and typing skills typing dictation from a clear-speaking doctor with good English. Sometimes you want to just scream!!!  BUT, again, it is part of our job to provide an accurate and presentable medical document. I wish things were different, but it appears that we have to work with what we've got or learn a new profession.
That is my humble opinion. 
Pain Patient - Where are you??
I have been SO WORRIED about that lady last week who was withdrawining on her own from OxyContin and was gonna go alone to a hotel and float in their pool, supposedly with a load of VALIUM that was recommended to her on this board! Good Lord!! I just pray she is not dead. Seriously. I tried and tried to post, but was banned for some unknown reason. At any rate, if you are out there, please let us know you are OK. Also, PLEASE don't withdraw from these meds on your own - you can easily seize from opiate withdrawal - everyone is different, and no way should you take VALIUM. NO WAY. I am a huge pain management buff, being in the midst of it myself. Its not safe to do alone - I know - been there done that. The best thing to do is check yourself into one of the 3-day detox programs at any local hospital - no matter who your pain mgmt doctor is. I seriously doubt your doctor wants to keep you addicted, and if you called any authorities and reported that, he'd be in deep trouble. Narcotic scrips are one of the few heavily monitored items today. PLEASE DON'T TAKE VALIUM off scrip. There are outpatient meds like Suboxone - supposed to be a miracle pill. 1 or 2 pills a day, no withdrawal, no urges. Or you can get detoxed under anesthesia in a few hours. Or do the inpatient detox in 3 days with clonidine and possibly Ativan for anxiety. NO VALIUM. And they are set up for giving you the antiseizure meds immediately should you develop seizures, which is common. PLEASE tell me you are OK, and I have given you my email address if you want to write privately. I have been so worried about you. And I 100% totally understand.
PAIN PATIENT
www.pillsanonymous.com
Well, the patient does have some control, actually.
The patient can see another doctor without mentioning seeing this doctor, if he/she believes this MD's opinion is worthless. You can hope the best for the patient, but that's about it. Now if you worked in this MD's office as an employee or you were an IC (I am assuming you are doing hospital work and he is just one of the dictators), then you could decide you didn't want to earn your living from him anymore, but if you are in a service/hospital employee situation, then you just groan when you get him, call him ugly names if you work at home, type his reports, and steer your family and friends toward better MDs whenever possible.
I think most patients can recognize a jerk when they meet one.
The patient has never been pregnant
x
Sounds like she should be a patient there -
First of all, your supervisor(s)/lead(s) or whoever else is overseeing this dept. should be fired. Sounds like it's out of control - but if they are dumb enough to hire her - what do you expect???
If it is a quotation of the patient, I put it in ==sm
quotation marks. If it is not and just something the doc says, I try to change it without losing the context of the report. patient notes are no place for cuss words. I had a question about it one time and asked my supervisor. she said she wanted to know about it, so I flag it. I even had one doc cussing out the Transcriptionist during the dictation for misspelling a word on a prior document, which I thought was rude, because he has no idea which transcriptionist is getting his dictation. I told my supervisor about that too. He has not done it since.
We are not allowed to keep any patient sm
records on our computers, at all. They should be stored in the provider's files if they want to keep them for access.
The patient's status
I got one yesterday that the patient's status currently is deceased. Wonder if that status is going to change in the future.
Patient list.
I too get a faxed list. However, the physicians use the list first and mark the patients they have dictated on. Then I check off as I transcribe. They do not ask for the list back, but if I notice any that the physician has marked that I did not transcribe, I let them know. In my experience doctors usually swear that they dictated the note and tend to get upset if they have to redictate later. I have worked inhouse in medical records so I also know how frustrating it is when a note is missing. The tendency is usually to blame the Transcriptionist if a note is missing, so it is nice to have that list if something comes up. However, at this office a staff member there goes through and double checks to make sure that the dictation is there. It all makes for a good relationship with the client in my opinion.
Some places use the SS# as the patient ID #. (nm)
.
It might not be fair to the patient, but --sm
sometimes these referrals need authorization from the insurance company and those are never fast. Pain clinics are also booked up probably a month or so in advance with other patients, as well. I really do not think they are delaying care on purpose, just that sometimes these things take time. I know it is hard to be patient when one is in pain. maybe you could perhaps suggest a different pain physician who may not be quite so busy??
|
