In Vital SIgns, doc dictates "MAP 77". ?? sm
Posted By: grace on 2007-08-23
In Reply to:
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.
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
vital signs
Subject: vital signs
He said something like apicar rate is 85, rhythm regular. Any suggestions?
help with vital signs - s/m
Subject: help with vital signs - s/m
Dictated: heart rate in the "1 teens to 120s" How do I write 1 teens? If I write 110s is that correct since the teens don't start till 13? Why can't they just keep it stupid simple?
Vital Signs
Subject: Vital Signs
Is there such a thing as "rest rate" temperature or "respirator" temperature??
vital signs
Subject: vital signs
When a doctor dictates the vital signs with only the values and no headings, does anyone fill in headings or do you just give them what they dictated. For example, they say VITAL SIGNS: 110/80, 72, 20, 97.9.
2 separate vital signs nm
Subject: 2 separate vital signs nm
nm
Vital signs: Pulse 85 s/l via VS machine??
Subject: Vital signs: Pulse 85 s/l via VS machine??
Afebrile, vital signs stable.
Subject: Afebrile, vital signs stable.
Good site for abbreviations.
http://mt911.com/site/search/abbreviation_search.asp
AVSS: Afebrile, vital signs stable. nm
Subject: AVSS: Afebrile, vital signs stable. nm
I've heard of AFVSS (afebrile, vital signs stable)
Subject: I've heard of AFVSS (afebrile, vital signs stable)
Dunno if that might be what your're hearing or not. 
Pediatrics, on vital signs. Pt is 47 inches, 46 pounds in weight, has an s/l "LFC" of 21.5 in
Subject: Pediatrics, on vital signs. Pt is 47 inches, 46 pounds in weight, has an s/l "LFC" of 21.5 inches.
vital blue?
Subject: vital blue?
? vital sign machine
Subject: ? vital sign machine
how would you write this vital sign
Subject: how would you write this vital sign
How would you write this so it looks okay - "The blood pressure came down to one-teens to 130s over 70s to 80s" ?
Thanks
yes FVC is forced vital capacity and you are right. nm
Subject: yes FVC is forced vital capacity and you are right. nm
Vital sign progression in dying patient
Subject: Vital sign progression in dying patient
Vital signs quickly declined and went from ST to SR to V-tach to V-fib then "estoley". Can anyone give me the final word?
Okay - could be "vital" - but cannot confirm a vital heart monitor when I google it
Subject: Okay - could be "vital" - but cannot confirm a vital heart monitor when I google it
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
I-signs
Subject: I-signs
"heart rate is 72 and regular. There were no I-signs."
Is it I-signs, eye signs, ISIGNS, ISINS or what?
F signs
Subject: F signs
Faget sign, fan sign, fatpad sign, Fischer sign, fissure sign, flag sign, Forchheimer sign, Fothergill sign, Friedreich sign or Froment sign.
Hope this helps!
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.
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.
orthopedics signs
Subject: orthopedics signs
There is a "Scotty dog sign" and an "Earle sign."
Scotty dog sign refers to a view of the lumbar spine in which an outline of a dog can be seen.
Earle sign refers to a bony prominence or large hematoma on rectal exam.
Maybe these are what you are looking for.
Does anyone have a site for ear signs?
Subject: Does anyone have a site for ear signs?
ESL is saying what sounds like trachal sign or trocal sign is negative. Thank you!
Spurling's signs
Subject: Spurling's signs
n/m
Neurovegetative signs?
Subject: Neurovegetative signs?
Hi, I was wondering if there is such a thing as neurovegetative signs? I thought that it sounded like nerovigitated, but google directed me to neurovegetative. Can someone please tell me if this is a vaild word? Thank you!!!
Genitoperitoneal signs
Subject: Genitoperitoneal signs
Abdominal exam shows no genitoperitoneal signs?
RE: Genitoperitoneal signs
Subject: RE: Genitoperitoneal signs
Back pain
RE: Genitoperitoneal signs
Subject: RE: Genitoperitoneal signs
Thank you!
lateralizing signs
Subject: lateralizing signs
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
|
