I would type it under PLAN and type what is dictated.
Posted By: tt on 2009-05-06
In Reply to: HPI - Cora
Subject: I would type it under PLAN and type what is dictated.
I have had that happen to me before, and I was told by QA to not move things around in the report, maybe that is the same for you, but if I were typing this report, I would type it in the order as is dictated, even if that means typing it under the heading PLAN. Also, his vitals were probably taken at the end of the exam as they were repeated, so it would make sense to type them again under that heading. Hope that helps!
Complete Discussion Below: marks the location of current message within thread
- HPI - Cora
- I would type it under PLAN and type what is dictated. - tt
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
I always type it the way you have it if that's the way it's dictated. sm
Subject: I always type it the way you have it if that's the way it's dictated. sm
Of course, go by your account specifics. If you can change it, some do. I always just type what they say and it keeps me out of trouble. :)
I would just type as dictated. nm
Subject: I would just type as dictated. nm
i would type as dictated.
Subject: i would type as dictated.
x
Type whatever he dictated.
Subject: Type whatever he dictated.
x
I'm with you, I type what is dictated. sm
Subject: I'm with you, I type what is dictated. sm
It is not my place to decide what the doctor means. I am not in any way offended by what he/she dictates.
You are correct, pus-like is not the same as pussy.
If they say the F word, I type the word, not asterisks in place of letters, because it's a direct quote from the patient. I do not change direct quotes.
Anybody who is offended by typing a word is putting way too much of their personal life into their work.
No, you type it as dictated.
Subject: No, you type it as dictated.
I type it as dictated.
Subject: I type it as dictated.
x
Just type it as dictated as it can mean more
Subject: Just type it as dictated as it can mean more
x
that is correct; type as dictated.
Subject: that is correct; type as dictated.
x
Same meaning - I would type as dictated
Subject: Same meaning - I would type as dictated
nm
If it is dictated clearly, I would type mid otitis.
Subject: If it is dictated clearly, I would type mid otitis.
Another way to say otitis media, albeit an uncommon one.
If dictated as C3/4/5 I would type it like that. Found you some examples. sm
Subject: If dictated as C3/4/5 I would type it like that. Found you some examples. sm
PDF] NON-OPERATIVE INTERVENTIONS
File Format: PDF/Adobe Acrobat - View as HTML Cervical or Thoracic -- Transforaminal (Selective Nerve Root Block / Selective Epidural) ... bilateral, single level [C3-4 joint] [T4-5 joint] ... www.theassr.org/pdf/codes_interventions.pdf - Similar pages |
[PDF] Techniques of epidural cannulation
File Format: PDF/Adobe Acrobat epidural block is determined by the concentration and type of local ... the phrenic nerve outflow is blocked (C3/4/5) by local anaesthetic drugs, ... www.extenza-eps.com/MPC/ doi/abs/10.1383/anes.5.5.152.34000 - Similar pages |
Cervical spondylotic myelopathy in elderly people: a high ...
CONCLUSIONS: A high incidence (95%) of focal conduction block at C3-4 or C4-5 with normal conduction at C5-6 and C6-7 characterises cervical spondylotic ... www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve& db=PubMed&list_uids=10201416&dopt=Abstract - Similar pages |
[PDF] I nterventional Neuroradioliogy
File Format: PDF/Adobe Acrobat - View as HTML vieHSvertebroplasty atT8 with epidural cement. F19.3, 4. Workstation reconstruction 01 the 3D CT ... mass nerve block is illustrated, and a C3/4 facet ... www.visions-journal.com/GB-2003-V04/ S-16-20.pdf?PHPSESSID=12cfdacbc7ed1637eae12f702b51b6ed - Similar pages |
If you are on a verbatim account, type exactly what is dictated.
Subject: If you are on a verbatim account, type exactly what is dictated.
If you sense a discrepancy, you can flag it for your QA department.
I am on a verbatim account so I have to type it either way it is dictated L4-L5 or L4-5. As far OB/G
Subject: I am on a verbatim account so I have to type it either way it is dictated L4-L5 or L4-5. As far OB/GYN, G2, P3 or gravida 2, para 3 means with the 3-0-0-2: 3 live births, 0 preterm births, 0 miscarriages, 2 living children
I personally always type as dictated, unless told otherwise. nm
Subject: I personally always type as dictated, unless told otherwise. nm
We type it as dictated, if dictated
Subject: We type it as dictated, if dictated
c spine we transcribe C-spine, if cervical then cervical spine.
same here. Type out numbers at beginning of sentences. Otherwise type numeral if in sentence itself.
Subject: same here. Type out numbers at beginning of sentences. Otherwise type numeral if in sentence itself.
nm
Patient with type 2 diabetes prescribed a s/l glutisone type drug. nm
Subject: Patient with type 2 diabetes prescribed a s/l glutisone type drug. nm
which is preferred ~ diabetes mellitus type II or type 2?
Subject: which is preferred ~ diabetes mellitus type II or type 2?
I get confused, how do you type out grade, class, type SM
Subject: I get confused, how do you type out grade, class, type SM
I forget which ones use Roman and which do not. TIA
When doctor says tib-fib, do you type it like that or do you type tibiofibular? Thanks
.
Siewart type I or Siewert type I
Subject: Siewart type I or Siewert type I
When I google it, I'm finding both. Cannot locate it in a Stedman's book. Doctor spells with "a" but you can't always go by the spellings!
How do I type this particular type of dialysis bath? sm
Subject: How do I type this particular type of dialysis bath? sm
Doc is an ESL and unclear, but it s/l he is saying "...using a 3 K 21/2 bath." I have never had this in a report and after googling, am still as clueless as I was. I cannot find it in AAMT, either. Any help would be appreciated. Thank you!
acromion process - type 2 or type II
Subject: acromion process - type 2 or type II
Could it be hollowing-type or hollow-end-type? - nm
Subject: Could it be hollowing-type or hollow-end-type? - nm
xx
how to type out Type I Aortic aneurysm
Subject: how to type out Type I Aortic aneurysm
Would you use a roman numeral for Type I Aortic aneurysm or use Type one or type 1 ... I am thinking it is Type I but I am unsure. I am new to this all. Thanks for any help.
Type II diabetes vs. Type 2....sm
Still running into confusion about this....which is it? If Type 2, was this a medical community change accepted by all?
Could it be pincer-type and cam-type?
Subject: Could it be pincer-type and cam-type?
x
Type 2 DM or type II DM, which is correct? nm
Subject: Type 2 DM or type II DM, which is correct? nm
what type of dictation do you type?
Subject: what type of dictation do you type?
It might help to know the specialty. I am finding a lithiasis, but I don't think it would relate to gonorrhea, are you sure it is gonorrhea?
how to type a blood type
Subject: how to type a blood type
simple question but how is a blood type transcribed .. such as 0+ .. is there a space between the 0 and + or is the word positive typed out? Thanks for your help.
ONCOtype, ONCO type, ONCO Type, found all three...
Subject: ONCOtype, ONCO type, ONCO Type, found all three...
nm
MRI of the C-spine - which is correct Modic type II changes or Modic type 2 changes.....nm
Subject: MRI of the C-spine - which is correct Modic type II changes or Modic type 2 changes.....nm
pincer-type nail or pincher-type nail? nm
Subject: pincer-type nail or pincher-type nail? nm
Not sure but comprehensive 65 plan, may be referring to age/healthcare plan?
Subject: Not sure but comprehensive 65 plan, may be referring to age/healthcare plan?
Sorry, tried to help. Have a nice weekend.
Of course you should type it. Why would you not type it? nm
Subject: Of course you should type it. Why would you not type it? nm
;
I would type it like this
Subject: I would type it like this
It sounds like a direct quote from the patient and not the doctor’s words. I would type it:
The patient reports, "When he tried to pee, he got weak, dizzy, hit the floor, did not feel right."
Would type exactly the way you have it.
Subject: Would type exactly the way you have it.
x
I just type re-x-ray as that is what they say. nm
Subject: I just type re-x-ray as that is what they say. nm
Would you type I&D'd?
Subject: Would you type I&D'd?
The toe was then I&D'd
Type 2
Subject: Type 2
Yes, it used to be Type II, but clarity is more important, so it was changed. Either would be acceptable in transcription, however.
Ah, eye-type
Subject: Ah, eye-type
good subject for you, huh? ;) Thanks for the correction. It's good to know so I can be right for a change!! :)
T1/2 is the way I type it....
Subject: T1/2 is the way I type it....
T1/2 is the way I've always seen it. (I've been doing radiology transcription for 3+ years) Hope this helps.
I type it just as you have it. nm
Subject: I type it just as you have it. nm
ss
yes, that's how I'd type it NM
Subject: yes, that's how I'd type it NM
x
How to type this?
Subject: How to type this?
What is the best way to type this:
She has diffusely diminished strength at "four plus to five minus over five" in the right upper extremity.
Thanks
I type 2/5 , 3/6, etc. nm
Subject: I type 2/5 , 3/6, etc. nm
nm
This is how I would type it. SM
Subject: This is how I would type it. SM
TECHNIQUE: Coronal TR 500/TE 15, sagittal TR 500/TE 12, sagittal TR 3050/ TE 95, axial gradient TR 47/TE 15.
Would type it the way he wants it. sm
Subject: Would type it the way he wants it. sm
It has always been Merchant view, as far as I know. All my Sted refs have Mechant view. Though I do not do BOS, I typed ortho for 4 years in a railroad hospital with lots and lots of injuries/surgeries etc.
would I type our tab though?
Subject: would I type our tab though?
if she is saing tab which I though was possible would I type out tab?
how would I type this?? Thanks!!
Subject: how would I type this?? Thanks!!
In the lumbar spine, L1-L4, the (s/l-BND-) is 1.003 grams per cm squared, T score -1.5, Z score -.7. In the left femoral neck, the (s/l-BND) is .740 grams per cm squared, T score -2.1, Z score -1.5.
|