I once worked for a national that had such bad QA, sm
Posted By: CL on 2005-07-19
In Reply to: white line of Toldt - Need to know
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.
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definitely incorrect and the national is right..nm
Subject: definitely incorrect and the national is right..nm
x
definitely incorrect and national is right....NM
Subject: definitely incorrect and national is right....NM
ww
Medline Plus, from The US National
Subject: Medline Plus, from The US National
Library of Medicine. They are a British variant. More than one dictionary in circulation.
my national insists it is Principal....nm
Subject: my national insists it is Principal....nm
x
Maybe National Center for Health? nm
Subject: Maybe National Center for Health? nm
It was National Institute of Health
Subject: It was National Institute of Health
Had you not given me National, I wouldn't have gotten it.
Thanks for the help!
According to the National Cancer Institute
Subject: According to the National Cancer Institute
there is a drug called Centrin
according to National Cancer Institute/NIH,
Subject: according to National Cancer Institute/NIH,
"pheresis (fer-E-sis)
A procedure in which blood is collected, part of the blood such as platelets or white blood cells is taken out, and the rest of the blood is returned to the donor. Also called apheresis."
I pondered National Institute of Health
Subject: I pondered National Institute of Health
something or other. Can't find anything like that though related to lipids.
National Cholesterol Education Program (NCEP) maybe.
Subject: National Cholesterol Education Program (NCEP) maybe.
//
Per the National Cancer Institute: sertraline hydrochloride
Subject: Per the National Cancer Institute: sertraline hydrochloride
sertraline hydrochloride
The hydrochloride salt of sertraline, a synthetic derivative of naphthalenamine with anti-serotoninergic and anti-depressant properties. Sertraline appears to selectively inhibit the neuronal uptake of serotonin, raising serotonin levels in the CNS.
could be "Air National Guard" CRNA training... nm
Subject: could be "Air National Guard" CRNA training... nm
this is a guess - NCEP (National Cholesterol Education Program) ..nm
Subject: this is a guess - NCEP (National Cholesterol Education Program) ..nm
.
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
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.
April - I was the exact same but worked a dept....
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!!! 
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
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
"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
correct word is sourcil....another tx worked for pedi ortho doc and he spelled it for her. Thanks
Subject: correct word is sourcil....another tx worked for pedi ortho doc and he spelled it for her. Thanks
No problem, worked for Urologists for 8 years so I've heard the term a time or two
Subject: No problem, worked for Urologists for 8 years so I've heard the term a time or two
:)
Secondary cause of hypertension was worked up, including s/l amurin? VMA, metanephrine,free cortisol
Subject: Secondary cause of hypertension was worked up, including s/l amurin? VMA, metanephrine,free cortisol
http://www.cancer.gov/ is a great reference (National Cancer Institute)
Subject: http://www.cancer.gov/ is a great reference (National Cancer Institute)
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