Ambulatory Care Note help
Posted By: mandiemt on 2007-10-23
In Reply to:
Subject: Ambulatory Care Note help
This is probably something simple, but I haven't a clue.
ALLERGIES: MKDA?
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wound care note: s/l casmet and silver dressing? (nm)
Subject: wound care note: s/l casmet and silver dressing? (nm)
x
doing a wound care clinic note. is sluffed loose skin
Subject: doing a wound care clinic note. is sluffed loose skin
correct??? the word "sluffed", sound familiar to anyone? thanks
ambulatory?
Subject: ambulatory?
ambulatory ER medi clinic?
Subject: ambulatory ER medi clinic?
The patient was seen in an "ambulatory ER medi clinic" while out of town. That doesn't look right to me. Can I get a more experienced opinion on that phrase? Thanks.
disposition of care versus deposition of care
Subject: disposition of care versus deposition of care
Talking about a patient's discharge planning. I have always typed this disposition of care but my new co-workers type deposition. which is correct? thanks for help in advance.
Psych note Axis III s/l VPS and neuropathy. No health history in the note. Only meds listed psych
Subject: Psych note Axis III s/l VPS and neuropathy. No health history in the note. Only meds listed psych
noteworthy; note worthy; note-worthy
Subject: noteworthy; note worthy; note-worthy
Just wondering if there is any general rule about transcribing noteworthy.
Also, status post; status-post.
Thank you.
they should care
Subject: they should care
well, who should care? The MT him or herself. This can be a crutch IMO. And, no, my opinion doesn't amount to a pile o' beans in the grand scheme of things. Maybe my post should have been more helpful, than critical, and should have asked posters if they know how to search. I've gotten really good at it and can find just about anything really. For instance, someone just recently posted ligament of Treitz question. All I did was google, ligament of *. Bingo!
Anyway, to the person who said I should just use the back button, pfft.
s/l tur-she-air care
Subject: s/l tur-she-air care
Has anyone heard of s/l tur-she-air care?
so what is ALP? Do you care to share.....nm
Subject: so what is ALP? Do you care to share.....nm
have come out of her care being basically ------? sm
Subject: have come out of her care being basically ------? sm
saying there are three good things, meaning her physicians listed? Just a guess.
Wound care med help, pls
Subject: Wound care med help, pls
Sounds like ***Alavesta***** 2-in-1 antifungal cream to all periwound tissue.
TIA
disposition of care (sm)
Subject: disposition of care (sm)
There is an eye care supplement
Subject: There is an eye care supplement
that comes in Vcaps- Nature's Benefit Eye Care Naturally.
s/l "TF" care
Subject: s/l "TF" care
He was transferred to the Vista Hospital on July 24, 2007 for continued s/l "TF" care.
V-care device???
Subject: V-care device???
Has anyone heard of a V-care device used during a hysterectomy???
so what was it? Care to share?
Subject: so what was it? Care to share?
wound care help
Subject: wound care help
The base of the wound is noted to be beefy red with evidence of S/L bunting___capillairies. Is that correct. Or could it be blunting.
Thanks
wound care
Subject: wound care
Apply Cedapress wraps to the wound. S/L either Cedapress or Zedapress?
Prisma will be used to the wounds daily, and cover with dry dressing, gauze and continue Cedapres______ wraps.
Thanks
wound care
Subject: wound care
s/l Norson debrider, ?Morrison debrider . Could not find anything. Thanks.
Tertiary Care
Subject: Tertiary Care
Lilly
s/l vee care instrument
Subject: s/l vee care instrument
it has a cuff and a balloon. Doctor is doing a laparoscopic hysterectomy.
tertiary care
Subject: tertiary care
tursuary care
Subject: tursuary care
tertiary care.
Tertiary Care Definition
1 – Definition of Tertiary Care: Specialized consultative care, usually on referral from primary or secondary medical care personnel, by specialists working in a center that has personnel and facilities for special investigation and treatment. (Secondary medical care is the medical care provided by a physician who acts as a consultant at the request of the primary physician.)
any wound care people out there?
Subject: any wound care people out there?
The patient had something applied to a wound that sounds like Panofil or Panocil.
S/L Care-a-cleanse cleanser? sm
Subject: S/L Care-a-cleanse cleanser? sm
For wound cleansing........cannot document. Thanks for any help!
s/l Glayds-C wound care
Subject: s/l Glayds-C wound care
Has anyone heard of this? It sounds like a dressing or some kind of medication used in wound care.
Thanks.
yes, I do wound care a lot and they do probe
Subject: yes, I do wound care a lot and they do probe
2 types of anesthesia care -- see msg.
Subject: 2 types of anesthesia care -- see msg.
Local and MAC (monitored anesthesia care) are 2 types of anesthesia, so probably "Local/MAC" would be best. However, I don't think I have ever been dinged on QA for typing "Local MAC" with a space.
Here is a link to an article on anesthesia types.
http://www.ispub.com/ostia/index.php?xmlFilePath=journals/ijh/vol1n1/mac.xml
Have a great day.
monitored anesthesia care
Subject: monitored anesthesia care
patient care manager? nm
Subject: patient care manager? nm
Practice Care Manager?....nm
Subject: Practice Care Manager?....nm
They usually say "failed conservative care" sm
Subject: They usually say "failed conservative care" sm
no idea about second.
Yo Kris - care to share what it was with....nm
Subject: Yo Kris - care to share what it was with....nm
Breast Care report
Subject: Breast Care report
Dictator says: After a total of 35 minutes time was spent together discussing the continued details of the (CAO2B trial 05052)statin. How do I correctly type the numbers and letter inside the ()?
Special Care Center
Subject: Special Care Center
I am OP. Just Goggled this and found the answer. Ya think?
care to share and educate us too? Would be ..nm
Subject: care to share and educate us too? Would be ..nm
What's he getting now that might need to be continued - wound care, IV
Subject: What's he getting now that might need to be continued - wound care, IV
s
and a TCC would be a transitional care center
Subject: and a TCC would be a transitional care center
my $0.02
This is end of life care and sounds like
Subject: This is end of life care and sounds like
an AND or A&D for possible hospice care.
Wound care question
Subject: Wound care question
I am helping out with a wound care clinic, which I am not used to, plus this dictator is a mumbler! Would venostasis ulceration varicose veins be all togather or would these be separate diagnoses?? TIA
Primary Care Provider or primary care provider? nm
Subject: Primary Care Provider or primary care provider? nm
Not unless it is the specific name of an institution for care.
Subject: Not unless it is the specific name of an institution for care.
health care agent?
Subject: health care agent?
Ctrl+Shift+8 took care of it. Thanks anyway!!
Subject: Ctrl+Shift+8 took care of it. Thanks anyway!!
nm
ablation care unit?
Subject: ablation care unit?
MAC modified anesthesia care
Subject: MAC modified anesthesia care
nm
s/l *tursuary* care center ???? nm Thanks
Subject: s/l *tursuary* care center ???? nm Thanks
nm
MAC IV placed, (monitored anesthesia care)
Subject: MAC IV placed, (monitored anesthesia care)
nm
s/l 'Teradex' oral care
Subject: s/l 'Teradex' oral care
Dictated in list of medications:
Teradex oral care q.4 hours....I am unable to reference this.
S/L Kadexamur for wound care
Subject: S/L Kadexamur for wound care
cellulitis?
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