April - I was the exact same but worked a dept....
Posted By: SM on 2007-02-12
In Reply to: you love oncology? sm - april
Subject: April - I was the exact same but worked a dept....
I worked in radiation oncology and then helped develop surgical oncology for a local hospital all during the 80s and got very familiar with all the terminology (but admit that I have trouble with all the new combo drugs that are always coming out).
It gets easier the longer you do it!!! 
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Thats it, thanks April :)
Subject: Thats it, thanks April :)
The Dupuytren's contracture, which was s/l 15 15 on April 7, 2006 now has....
Subject: The Dupuytren's contracture, which was s/l 15 15 on April 7, 2006 now has....
severely affected the right little finger. MP 44, PIP 71.
Just curious how I would write the "15 15" 15/15 15:15. Not too familiar with this.
Thanks guys!!!
do you have a QA dept? If so, send it to them
Subject: do you have a QA dept? If so, send it to them
that's a poor, poor dictator FOR SURE.....I feel for ya....
It is probably a dept name specific to
Subject: It is probably a dept name specific to
x
Maybe for your own accts, but not if you have a QA dept. that's going to pick you apart for any
Subject: Maybe for your own accts, but not if you have a QA dept. that's going to pick you apart for any
s
seen "in" the clnic and dept "at" the hospital.
Subject: seen "in" the clnic and dept "at" the hospital.
x
should dept. (neurology, neurosurgery) be capped in the body of a report?
Subject: should dept. (neurology, neurosurgery) be capped in the body of a report?
TIA
Probably talking about report physicians file with Motor Vehicle Dept - sm
Subject: Probably talking about report physicians file with Motor Vehicle Dept - sm
When patient's have seizure disorder or passing out episodes, etc. most states want physicians to fill out a "Confidential Morbidity Report" (or name similar to that) and send to the DMV letting them know the patient has been diagnosed with condition that can cause loss of control of the vehicle -- did doctor say he counseled patient on not driving until seizures under control for x-amount of months or something like that?
when I worked
Subject: when I worked
at a hospital in-house, they required 4-year-10-month-old...
Where I have worked, this has been
Subject: Where I have worked, this has been
called a dangerous abbreviation or a doctorism (or nurse practitionerism) or something like that. How to handle it is often account specific, but I would always type out the words three times weekly or else 3x a week, or something that couldn't be misunderstood like that.
everywhere I have worked it is x2.
Subject: everywhere I have worked it is x2.
x
I once worked for a national that had such bad QA, sm
that I emailed the supervisor requesting that any document of mine that QA made "alterations," that that QA person's initials be placed alongside mine on the report. Hopefully, I made my point.
What's the patient being worked up for? nm
Subject: What's the patient being worked up for? nm
s
Don't think so, but what condition is being worked up? nm
Subject: Don't think so, but what condition is being worked up? nm
s
woo hoo! glad it worked!
Subject: woo hoo! glad it worked!
...especially before you hit the "send" button!
Not where I've worked
Subject: Not where I've worked
The places I work at make it real clear. If the doctor states Synthroid 100 mg and you type it and leave it that way, that is a patient care error which is the highest number of points I've ever seen taken off. We have to have 98% or above accuracy and if you mess up and drop below that, you either get correction action (at one place) or get 5% of your pay reduced (at current place). Now I agree with you that it shouldn't be that way. My sister-in-law is a nurse and is appalled that we have to do that since we are not in the chain of responsibility regarding medication distribution. Unfortunately, at least where I've worked, we are responsible for knowing all meds and proper dosages which is why my former employer gives Quick Look to all its employees.
That question has come up everywhere I have worked, and -- sm
Subject: That question has come up everywhere I have worked, and -- sm
... the consensus, across the board, has always been to use KCl unless specifically told by the dictator in some way that the other was intended (which, so far, has never happened in my experience).
On the other hand, lots of our dictators routinely say s/l "cipro" and we always give them Cipro as a result, but I suspect that many of them intend ciprofloxacin and are just doing their lazy thang....
So go figure.
What has worked for me over the years - sm
Subject: What has worked for me over the years - sm
I use all the methods the other poster suggested. I also begin thinking to myself "what could he/she be saying" here that would fit in with the context? Can I actually hear anything that is pertinent? Think in terms of what is being done to the patient, would they have a reason to be using a particular med, technique, test, whatever. You sometimes just cannot make sense out of garbage no matter what methods you use and even QA will give them big, fat blanks.
Huh? I worked for an osteophathic doc for 11 years
Subject: Huh? I worked for an osteophathic doc for 11 years
Who specialized in osteopathic manipulative treatment and I've never heard of "pub".
Does dictator pronounce it "pube" as in "tube" or "pub" as in "let's go get a pitcher of beer? :)
I worked on an account that wanted us to use pus-like, but you are right. nm
Subject: I worked on an account that wanted us to use pus-like, but you are right. nm
xxxx
I can only speak for the ones I've worked for...
Subject: I can only speak for the ones I've worked for...
Only 1 company wanted "disc". The rest wanted "disk".
I worked for an orthopedic clinic and their
Subject: I worked for an orthopedic clinic and their
preference was L2-L3.
I worked in insurance for 8 years before being an MT and.....
Subject: I worked in insurance for 8 years before being an MT and.....
We were told it was Worker's Comp. That was the way the insurance company I worked for at the time wanted it. I think it is just a matter of preference.
I've worked on site with radiologists
Subject: I've worked on site with radiologists
at both hospitals and an outpatient center. AND I worked in the operating room.
So I offered the OP my best ideas, and all I got for attempting to help was sarcasm.
You're welcome. Dang.
Glad to help - worked for ENT group for 20 years!
Subject: Glad to help - worked for ENT group for 20 years!
nm
Hm, maybe he's just saying that one conversion was positive, meaning, it worked.
Subject: Hm, maybe he's just saying that one conversion was positive, meaning, it worked.
That's my best guess.
I typed it for years as 1 word, then worked
Subject: I typed it for years as 1 word, then worked
for an ortho clinic for a while and was told it was 2.
hope the link worked, it was loooong
Subject: hope the link worked, it was loooong
thanks! that's exact!
Subject: thanks! that's exact!
:)
The companies I've worked for favor writing it out, sm
Subject: The companies I've worked for favor writing it out, sm
but it depends on if your account is strict "type what they say" and abbreviations like this are okay. I'm not in my office so I can't check BOS, but I'd bet the BOS says write it out unless you have strict rules about typing what is dictated.
Not above poster, but every place I've worked has wanted
Subject: Not above poster, but every place I've worked has wanted
s
Just comes from experience. Every job I've worked has handled it differently.
Subject: Just comes from experience. Every job I've worked has handled it differently.
s
GU History: Questionable BPH. He does have *guakisfuria**. He is being worked up for diabetes
Subject: GU History: Questionable BPH. He does have *guakisfuria**. He is being worked up for diabetes
Think it is both. I always heard repair from my husband who worked with AF guys. nm
Subject: Think it is both. I always heard repair from my husband who worked with AF guys. nm
What is the exact phrase? nm
Subject: What is the exact phrase? nm
What is the exact phrase? nm
Subject: What is the exact phrase? nm
What is the exact sentence?
Subject: What is the exact sentence?
nm
What is the exact sentence?
Subject: What is the exact sentence?
What is the exact phrase? nm
Subject: What is the exact phrase? nm
Could we have the exact sentence please.
Subject: Could we have the exact sentence please.
what is the exact sentence? nm
Subject: what is the exact sentence? nm
Here the exact phrase. sm
Subject: Here the exact phrase. sm
MRI was performed on 10/7/2008 which was notable for enlargement of the lateral and 3rd ventricles disproportionate to the size of cerebral sulci, which would represent normal pressure hydrocephalus or _______ hydrocephalus.
the exact sentence is
Subject: the exact sentence is
With regard to her abdominal pain, she has now seen a gastroenterologist, Dr. S. in Pdx who thinks she might have cytoid vomitism. He prescribed her nortriptyline 10 mg q.h.s. for one week and then up to two p.o. q.h.s. for a week. He is planning a CT scan of her head to make sure she doesn’t have a tumor, but thinks this is more neurologic than irritable bowel syndrome.
I just changed the names of the doctor and location
the exact sentence is
Subject: the exact sentence is
The dx is actually abdominal pain, this is in the subjective: With regard to her abdominal pain, she has now seen a gastroenterologist, Dr. S. in TD who thinks she might have cytoid vomitism. He prescribed her nortriptyline 10 mg q.h.s. for one week and then up to two p.o. q.h.s. for a week. He is planning a CT scan of her head to make sure she doesn’t have a tumor, but thinks this is more neurologic than irritable bowel syndrome.
I just changed the names of the doctor and location
"Ctrl, ALT, Shift" worked to switch CAPS lock OFF
Subject: "Ctrl, ALT, Shift" worked to switch CAPS lock OFF
THANK YOU.
"Ctrl, ALT, Shift" worked to switch CAPS lock OFF
Jonathan
I think we posted at exact same time *lol*..sm
Subject: I think we posted at exact same time *lol*..sm
and EXACTLY the same way *too funny* - great minds think alike...
What is the exact phrase/context? nm
Subject: What is the exact phrase/context? nm
Never that that word. What is the exact phrase? nm
Subject: Never that that word. What is the exact phrase? nm
Procedure? Exact phrase? nm
Subject: Procedure? Exact phrase? nm
What are we dictating here? Exact phrasing etc?nm
Subject: What are we dictating here? Exact phrasing etc?nm
Can you give the exact phrase, before and after this? sm
Subject: Can you give the exact phrase, before and after this? sm
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