Formatting when doctor dictates "question..."
Posted By: Melissa on 2009-06-24
In Reply to:
Subject: Formatting when doctor dictates "question..."
Dictated: "Patient was prescribed question Pyridium"
How would I transcribe this? Would I type, "Patient was prescribed Pyridium?"
Thanks in advance!!!!!!
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 dictates
Subject: The doctor dictates
His aortic valve appeared well-(s/l seated). I found some examples like that, but am unsure of certainty and spelling accuracy? Thank you in advance for any help.
Doctor dictates ALT 1413 and AST 681? Should it be 14.31 and 6.81? TIA!
Subject: Doctor dictates ALT 1413 and AST 681? Should it be 14.31 and 6.81? TIA!
Doctor dictates Actos plus met 15/850 mg daily. nm
nm
doctor dictates and spells cellulagia
Subject: doctor dictates and spells cellulagia
I cannot find or verify this anywhere. Is this even a word?
Type it exactly as the doctor dictates, verbatim....nm
Subject: Type it exactly as the doctor dictates, verbatim....nm
nm
"question of pancreatic...." n/m
n/m
Not a typical heading, but how about "question etiology." nm
Subject: Not a typical heading, but how about "question etiology." nm
x
Formatting
Subject: Formatting
I would separate this from the social history with a new heading unless you're typing an account that is absolute verbatim and no embellishment is allowed.
I try to think of the record from the patient's standpoint - the easier the information is to locate quickly, the faster and more efficient their treatment will be in a pinch. I know I'd want my record treated that way! 
cc: formatting help!!!
Subject: cc: formatting help!!!
I have never come across this before... my cc line is "Karen Arndt at Buckley Mendleson & Criscione, Attorneys-at-Law"
Problems: It wraps to the second line and I don't know how to format/word that sentence into a cc line.
Helllllllllllllllllllp!!!!???? 
formatting help
Subject: formatting help
dictated: The patient was given Aminophylin, Lanoxin .25, Lasix 40 mg, Cardizem.
is it best to list and number? commas? periods? maybe a colon after given? Just wondering what others might have to say. Thank you. :)
Formatting
Subject: Formatting
I would type it as follows: aminophylline, Lanoxin, 25 mg, Lasix 40 mg, and Cardizem.
Hope this helps.
Re: formatting help
Subject: Re: formatting help
Thank you for the replies. The reason I ask is because it is different with every assignment; depending on who grades my paper. It ticks me off and confuses me.
Help with label formatting
Subject: Help with label formatting
Looking for any help on formatting transcription labels in Word to print to a laser printer. We purchased labels (3 per page)...I have tried to change settings in Create New Label; however, if we need it to continue on the next label it doesn't seem to work, the text continues, but "underneath" the next label. How can we set it up so that it continues on the next label? Any ideas would be greatly appreciated!
Forum Formatting
Subject: Forum Formatting
This forum doesn't bring posts to the top when they get a reply. See your original post with replies.
Question on formatting
Subject: Question on formatting
After abdomen goes into examination of left torso. Should create new heading or can I leave it in abdomen section. Doc describing pain in the left torso area.
Formatting questions
Subject: Formatting questions
Which is correct?
MEDICATIONS: Rantidine 150 milligrams
OR
MEDICATIONS: ranitidine 150 milligrams
note: Ranitidine is a generic medication.
Formatting question
Subject: Formatting question
What is the correct way to type these:
Diabetes mellitus non-insulin requiring.
Hypertension well controlled.
I need opinions on formatting. SM
Subject: I need opinions on formatting. SM
The patient was seen by Dr. John Smith of the cardiology service.
OR
The patient was seen by Dr. John Smith of the Cardiology Service.
This always messes me up! I've done it the second way for many moons, but I'm training a new girl who says according to the BOS, I'm wrong. Just wondering how everyone else does it.
Need help with formatting a word...
Subject: Need help with formatting a word...
I can't remember anything these days! Please jog the memory of a scatter-brained mother of 4 young children by telling her the answer to the following question:
Do you italicize the word monilia? Does the word need to be capitalized when transcribed within a sentence?
Thank you all you smart people out there for being wonderful, wonderful, wonderful to us "special" people like me!
Grades and stages formatting
Subject: Grades and stages formatting
How should you format the following:
chronic hepatitis at grade 2 and portal fibrosis that is stage 1?
Need Help Formatting a Numbered List in MS Word
Subject: Need Help Formatting a Numbered List in MS Word
Can anyone help me do the following:
I want to do a numbered list (i.e. an IMPRESSION: section), so that:
The numbers are flush left again the margin; and -
Each entry is indented a few spaces (a few spaces to the right of the numbers in the list). If one entry in the list goes for more than a single line, I want the second line of that entry to ALSO be indented -- so that it does not sit underneath a number and does not look good. Every time I try to use the MS Word numbering feature, it pushes the whole list (including the numbers) to the right, so that the numbers themselves are no longer flush agains the left margin.
Thank you very much. Willing to call someone too if they can help me. Very important.
David
Under PMH. MD dictates: sm
Subject: Under PMH. MD dictates: sm
Status post trauma/repair to patient’s eye.
Would you leave this as is with the slash or change it? I am permitted to change things when necessary. Thanks.
What do you do when the doc dictates sm
Subject: What do you do when the doc dictates sm
... and I gave the patient 50 "mikes" of whatever medication. One said to spell it m-i-q-u-e-s, one said to use m-i-k-e-s, and one hospital said not to use it at all. So, does it stand for micrograms? Should we use slang? Aghh! Help, please.
I would put as doc dictates..sm
Subject: I would put as doc dictates..sm
if he says "calcium one every day" I would not input the q.d., but I would expand it as "calcium, one tablet every day." jmo and how I have been doing it with no complaints.
Exactly the way MD dictates it
Subject: Exactly the way MD dictates it
If the patient could see anything at all (I had one today where the patient could see 20/1760), then the MD would have given the value, but when there is nothing there, you just type nothing. I have a verbatim account, but even if I didn't, I still would not change it to 20/0 as that lone "0" could be mistaken as something else.
If a Dr. dictates
Subject: If a Dr. dictates
"posterior tib", meaning posterior tibial artery, do you type the abbreviation or go ahead and type out tibial?
if that's the way he/she dictates it...then yes I would. nm
Subject: if that's the way he/she dictates it...then yes I would. nm
xxx
Think that one is bad? my md dictates things like this...sm
Subject: Think that one is bad? my md dictates things like this...sm
I used a small, tiny, little Q-tip .... and he doesn't want me to change it. Bizarre!!!
I have a doc that dictates same thing
Subject: I have a doc that dictates same thing
mine means adenosine thallium
I leave it as whatever the doc dictates.
Subject: I leave it as whatever the doc dictates.
It's not my job to keep them politically correct.
Do I change it when he dictates cc? nm
Subject: Do I change it when he dictates cc? nm
!
I have a psychiatrist who dictates like that. sm
Subject: I have a psychiatrist who dictates like that. sm
I leave most of his stuff as is even though the account is not verbatim. A lot of times I end up wondering WTH he is talking about. When I first got his dictations I was going back to read and relisten because I thought I must have scrambled something. Give them what they dictate, if they don't like what they read maybe they'll take the time to think before they dictate next time.
when doc dictates L-thyroid sm
Subject: when doc dictates L-thyroid sm
Does he mean levothyroxine or Levothroid?
Dictates died s/l **min** CVA
Subject: Dictates died s/l **min** CVA
Dictates died from m-i-n CVA. I can't verify min CVA anywhere. Any suggestions?
dictates **phagiagram**
Subject: dictates **phagiagram**
He clearly dictates *phagiagram* or something that is VERY similar to that. I don't hear a *dys*. I tried google and am getting zero hits.
Do you think I should I QA it or would it be fine to just use *phagiagram*?
Thanks in advance.
You transcribe what he/she dictates.
Subject: You transcribe what he/she dictates.
You transcribe the values as dictated. If he says "Cholesterol profile" and then just lists the values, then I would put a colon after profile and just list them.
I have an ESL who dictates a lipid profile
Subject: I have an ESL who dictates a lipid profile
and then says "lipid profile comment NIHN." What in the world does that mean?
whatever doc dictates. Would not use beats/minute tho. nm
Subject: whatever doc dictates. Would not use beats/minute tho. nm
Yes. I transcribe for a cardiologist who always dictates
Subject: Yes. I transcribe for a cardiologist who always dictates
Could be, although he only dictates 1 syllable. I think I will flag. Thanks.
Subject: Could be, although he only dictates 1 syllable. I think I will flag. Thanks.
provider dictates bivicd sm
Subject: provider dictates bivicd sm
Would you put bi-V ICD, biV-ICD, bi-V-ICD or something else? Says it multiple times in note. Thanks!
dictates ureteral meatus
Subject: dictates ureteral meatus
Could that be right? Or do you think dictator means urethral? Talking about vesicoureteral reflux in a male.
Thanks!!!
Is it Mersa or MRSA? he dictates
Subject: Is it Mersa or MRSA? he dictates
Doc dictates 3/5 systolic murmur (sm)
Subject: Doc dictates 3/5 systolic murmur (sm)
I always thought the last number was 6. Does this make sense? TIA!
The patient has MS, dictates she cannot s/l antigravitate the leg.
Subject: The patient has MS, dictates she cannot s/l antigravitate the leg.
Have not heard the term antigraviate before, and cannot find it anywhere. That is all the context I have
grr. doc dictates s/l alipta, spells a-l-m-i-t-a. sm
Subject: grr. doc dictates s/l alipta, spells a-l-m-i-t-a. sm
It's a second choice chemotherapy agent after carboplatin/Taxotere rejected by patient. Any thoughts?
Many thanks in advance!
dictates what sounds like omPUREizole
Subject: dictates what sounds like omPUREizole
I'm not finding this anywhere. Anyone have a clue?
dictates glucocheck/glucochecked
Subject: dictates glucocheck/glucochecked
Is that right? I can't 100% verify.
Thank you.
Your choice unless client dictates different.
Subject: Your choice unless client dictates different.
Okay, I'm not explaining right. Doc actually dictates "Positive Hepatitis CAB". nm
Subject: Okay, I'm not explaining right. Doc actually dictates "Positive Hepatitis CAB". nm
In Vital SIgns, doc dictates "MAP 77". ?? sm
Subject: In Vital SIgns, doc dictates "MAP 77". ?? sm
VITAL SIGNS: Temperature 36.0, pulse rate 62, respiratory rate 16, systolic 112, diastolic 160, MAP 77.
|
