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Delivery note, med of s/l Arista sm

Posted By: Lyndia on 2008-02-01
In Reply to:

Subject: Delivery note, med of s/l Arista sm

Intraoperative meds: HEMABATE x1, IM intrauterine and METHERGINE IM, as well as 3 grams of s/l Arista. I can't find it.


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How to type something in delivery note
Subject: How to type something in delivery note

"The head was at minus 1 station over 5."  Must comply with AAMT BOS.


Thank you for taking a peek and seeing if you can help me on this one!  


Help needed on delivery note
Subject: Help needed on delivery note

The doctor dictates "the patient pushed for 2 hours with adequate maternal effort.  There was minimal (s/l) "transcessation"   It sounds close to that, but can't get it......any ideas?  Thanks!


Delivery note..second-degree RML without extension
Subject: Delivery note..second-degree RML without extension

Cannot find RML.     Repaired with 2-0 Vicryl. 


 


Thank you, Thank you, Thank you!!!!!


s/l arista vodka
Subject: s/l arista vodka

He drinks approximately 1/2 pint of arista vodka daily.
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


forceps delivery
Subject: forceps delivery

the placement was then verified with a sl-satchel suture.
Delivery ...Apgars 9/9 at 1
Subject: Delivery ...Apgars 9/9 at 1

Apgars 9/9 at 1 (s/l) 'in Fedmans' respectively.   What are the two words that sound like 'in Fedmans'?
vacuum delivery
Subject: vacuum delivery

Doc is doing vacuum delivery says the the vacuum could be applied at s/l spines +2  and twin B easily delivered.  Any help would be greatly appreciated.
labor and delivery NM
Subject: labor and delivery NM


Was this for delivery of a baby?
Subject: Was this for delivery of a baby?

I found several references on googling to torticollis and hemorrhage, either SCM or intracranial, etc., from traumatic/difficult deliveries. I also found a reference to a type of shaken-baby syndrome where they had been playing and tossing the baby in the air. Too late, I'm sure, but just thought I'd throw this in for the heck of it. It's another exciting night here...so studying the word board :-)
labor and delivery help please sm
Subject: labor and delivery help please sm

Helping out on different account - I am unfamiliar with labor and delivery notes -


The patient is a G1, P0 at 40 weeks plus 4 days, s/l Vye el equals 35-week ultrasound.


Help!!


 


another labor and delivery sm
Subject: another labor and delivery sm

Dictator says GCCT negative, and I have to expand the abbreviation, and I cannot find anything in my abbrev. books.  This is in the lab testing where they talk about the patient having an O positive blood type, rubella immune, GBBS negative, then she says GCCT or GC CT negative.  Can anyone tell me how to expand GCCT?


Thanks...


infant delivery
Subject: infant delivery

The cord was double clamped and cut and the infant was taken to stabelette?? for evaluation.  I'm pretty sure what he is saying is not stabelette (s/l stable-let) but that is what it sounds like. 


labor and delivery
Subject: labor and delivery

PROCEDURE


1.  External version attempt unsuccessful?


2.  Primary low transverse cesarean section. 


 


Does #1 make sense?? 


labor and delivery ..
Subject: labor and delivery ..

under findings it says:  a viable male, s/l unborn, 7lbs, 14oz.  S/l Tubes, ears and nares appears normal.    Is that a common phrase?
delivery report
Subject: delivery report

When typing a delivery report what does it mean when they say P1001. I think the first is the pregnancy, but what do the other numbers stand for?


Nicouette delivery?
Subject: Nicouette delivery?

C-section findings listed "clear fluid with (s/) nicouette delivery."


Thanks for any suggestions!


during a delivery of twins would they say the patient
Subject: during a delivery of twins would they say the patient

was given an epidural and noted to be a complete-complete, push and was taken back to the OR for a s/l double set?
Question about Breech delivery
Subject: Question about Breech delivery

Doctor describing breech delivery - says the "Marcells Smelly Vite maneuver" was used.


I know I've heard this before, but my brain is just not cooperating today ... TIA


Found it! CD is controlled delivery.
Subject: Found it! CD is controlled delivery.


ventilation delivery console? nm
Subject: ventilation delivery console? nm


NSVD Normospontaneous vaginal delivery
Subject: NSVD Normospontaneous vaginal delivery

/
word help for labor/delivery report
Subject: word help for labor/delivery report

"but despite adequate contractions with pitocin and (s/l mon of a day) units of 180 to 250, she failed to show any further dilatation."

I can't figure out that (s/l mon of a day). It's all run together like it's one word. I can't find any meds used during labor that sound like that! Or maybe it really says "of a day", then what is the "mon" part?

Any help would be appreciated!
anyone know the acromyn for the estimated time of delivery (baby) thanks
Subject: anyone know the acromyn for the estimated time of delivery (baby) thanks


No that abbreviation pertains to the heart, maybe labor and delivery? Just a wild guess.
Subject: No that abbreviation pertains to the heart, maybe labor and delivery? Just a wild guess.


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.


 


Op note ref. SM
Subject: Op note ref. SM

http://www.mtdesk.com/frame.php?frame=resources
ER note
Subject: ER note

? pulse ox 99% on room air which is normal per ______ interpretation.


 


ER note thanks
Subject: ER note thanks

Thanks, practically sure it was per the ER physician reading. So, will be ready for next time!

At the end of OP note, he says
Subject: At the end of OP note, he says

what sounds like "mick" instrument and needle count. 


On another, says "sponge, _____and instrument" and that sounds like "lab".  Any clues are appreciated.  Thank you!


OP note help please sm...
Subject: OP note help please sm...

mild (s/l-fibulations-) with changes on the surface of the condyle
Of note..... I want
Subject: Of note..... I want

to thank everyone so much for all the help I have received on this website since I have become an MT.  Bless everyone of you.  I hope one day to help those also asking questions as you all have me.


Op note
Subject: Op note

Dictator says: Local Xylocaine 1% anesthesia 'arfate' cannulated.

What is the 'a' word?
me again - same op note :(
Subject: me again - same op note :(

The wound was irrigated and rough edges were S/L RASSED. 
op note help
Subject: op note help

Using an up-biting basket and a S/L 405 shaver a medial meniscectomy was performed.


 


TIA!


OP NOTE HELP
Subject: OP NOTE HELP

The iliotibial band was then split inline with the incision and retracted anteriorly and posteriorly with a _____ bow.  s/l charming.....


 


The procedure is a cemented bipolar hemiarthroplasty left hip. 


OP NOTE STILL
Subject: OP NOTE STILL

Should have went further in the note...sorry...another blank is


Attention was directed to the proximal femur, which was prepared with a box-cutting chisel, _____ canal finder and a trochanteric router  this sounds like "chauney"


 


ESL help with op note
Subject: ESL help with op note

She says:  With forceps and a S/L barpotta knife the lesion was excised.  (This is excision of a lid nodule). 
have another on this same note - sm
Subject: have another on this same note - sm

Bilateral elbow rheumatoid arthritis. The left side is more advanced with (s/l)'spectus articulusdamage than appears on the right side
op note help
Subject: op note help

This is an excision of a breast nodule.  Two questions:


1. The area was prepped with s/l Cloraprep


2. The needle was grasped with an S/L Alice clamp


See note below
Subject: See note below

 


This is the context of the report.  It sounds just like Waddellian.  He says this quite a bit and it stumps me every time....


PSYCHIATRIC:  The patient was alert and oriented x3 with a somewhat depressed and scattered mood, being very jumpy and quickly agitated by minimal movements or pressures in various areas such as supporting the leg while doing musculoskeletal motor examination for neurologic examination.  The patient definitely showed some ____________________ symptoms through our examination.  When the idea of psychiatric help in this manner was brought up in this case, the patient seemed almost excited to know this was a coming event.


op note help
Subject: op note help

This is a partial medial meniscectomy and synovectomy.


large s/l type 1 plica present - is type 1 correct?


This was resected back to a stable configuration using an s/l oslite shaver or 8 inch shaver (he mumbles) ???


op note help
Subject: op note help

This is for an amputation of the left hallux. 


Upon induction of IV sedtion a total of 10 ml of 0.5% Marcaine plain was infiltrated in a S/L Mayo block type fashion.


Mayo block??? 


note, no h on the end.
Subject: note, no h on the end.

x
Op note help
Subject: Op note help

ORIF surgery:  Intraoperative s/l FLORA showed excellent alignment of the implants. 
Note put above
Subject: Note put above

what does it mean when she dictates "note, put above..." before a sentence?  i'm confused.
not 100% sure, but I don't think so--also, another note
Subject: not 100% sure, but I don't think so--also, another note

should your first part of your message say "afferent pupillary defect" ?? instead of papillary
See note
Subject: See note

This is what you are looking for.


http://www.fda.gov/cdrh/pdf/p000040.html


 


Lilly


Thanks for everyone's help. I sent it in with a note for them to let me know. sm
Subject: Thanks for everyone's help. I sent it in with a note for them to let me know. sm

Hopefully, by boss will get back to me, and I will let you all know. Thanks again!
op note
Subject: op note

s/l groshime single lumen catheter
see note
Subject: see note

first word may be lucencies second word might be bezoar