Just comes from experience. Every job I've worked has handled it differently.
Posted By: Every one! Agree, fight this one unless it's in on 2007-09-20
In Reply to: Points taken off... - JojoMT
Subject: Just comes from experience. Every job I've worked has handled it differently.
s
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- Points taken off... - JojoMT
- Just comes from experience. Every job I've worked has handled it differently. - Every one! Agree, fight this one unless it's in
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That's it, thank you! If it had been pronounced slightly differently, hope I would've gotten
Subject: That's it, thank you! If it had been pronounced slightly differently, hope I would've gotten it :)
nm
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.
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'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.
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
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
:)
Hospital experience as what? a doctor? a nurse? Or are you speaking of hospital experience as an
Subject: Hospital experience as what? a doctor? a nurse? Or are you speaking of hospital experience as an
experience is, it lacks credibility especiall when you base it on YOUR experience. Who are you? How much experience do you actually have? What kind of experience do you have? How many diabetic patients have you encountered in your years of experience?
You can't expect to make a sweeping generalization like "all diabetics have hypertension" and not get called out on it. Come on! Know your place. Arrogance is an unattactive personality trait.
maybe "straight handled" ? nm
Subject: maybe "straight handled" ? nm
facile? ( easily accomplished, handled, or attained) WAG here.
Subject: facile? ( easily accomplished, handled, or attained) WAG here.
do it, regardless if dictated differently...nm
Subject: do it, regardless if dictated differently...nm
x
UR right! He was just pronouncing it differently. Thanks
Subject: UR right! He was just pronouncing it differently. Thanks
Dorland and Stedman state differently SM
Subject: Dorland and Stedman state differently SM
ostiomeatal (os·tio·me·a·tal) (os”te-o-me-a´təl) [ostium + meatal] pertaining to an opening (ostium) and a meatus, especially in the nasal cavity.
I respect your link, but I can find many words spelled incorrectly on the 'net. One must go with trusted sources.
I made this mistake for years and was never corrected until... well, thats another story!
That always made sense to me too, but references say differently NM
Subject: That always made sense to me too, but references say differently NM
/
Ask your QA person. Accounts term their labs differently. nm
x
I see thumbs down as he is raising arms away from body. Others might see differently tho.nm
Subject: I see thumbs down as he is raising arms away from body. Others might see differently tho.nm
,,
Is there a suture material that sounds like Monopril but spelled differently?
Subject: Is there a suture material that sounds like Monopril but spelled differently?
nm
in my experience
Subject: in my experience
The standard now is to change cc to mL, but out of three accounts I work on, two want cc to stay as cc, and the other wants everything mL.
How much experience do you have?
Subject: How much experience do you have?
My experience
Subject: My experience
I work for a hospital doing transcription and when they switched us from hourly pay to productivity pay, I went from making a little over $14/hour to over $20 an hour! It's funny, we all thought it was going to be a bad thing to switch and our bosses kept saying we think you all will be happy, wait and see. They were right! I do have medical/dental insurance thru them also, it was never based on my productivity whether or not I have insurance or not.
You've got it right. I've type that for years, as in transforaminal steroid injection.
Subject: You've got it right. I've type that for years, as in transforaminal steroid injection.
nm
Not sure what she's saying. Not much experience with GYN exams.
Subject: Not sure what she's saying. Not much experience with GYN exams.
hospital experience tells me otherwise
Subject: hospital experience tells me otherwise
I'm diabetic, have been in the hospital and I don't have high high blood pressure. In fact, I have low blood pressure. You need to stop spouting off things like you are all knowing. Sheesh, what a goomba*!!
*Forget all the rest of the meanings of goomba, this is what a goomba really is: a goon, a goof, a kook, or poser who doesn't physically resemble a goomba from Mario Bros. but acts just like one. You know a true goomba when you see one.
hospital experience tells me otherwise
Subject: hospital experience tells me otherwise
I have yet to see or hear of a diabetic in hospital who does not have hypertension.
Never in my experience unless at start of a sentence. nm
Subject: Never in my experience unless at start of a sentence. nm
s
disc has always been preferred in my experience
Subject: disc has always been preferred in my experience
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
:-) darlin' - experience doesn't always mean correct
Subject: :-) darlin' - experience doesn't always mean correct
Did you even THINK of Google? Try? Your years of experience are obviously not very broad. nm
Subject: Did you even THINK of Google? Try? Your years of experience are obviously not very broad. nm
x
common sense and 20 years experience :o)
Subject: common sense and 20 years experience :o)
No joke! I'm not sure if the percent issue is documented. I worked for many years in heme/onc and this is the way it is done.
First thought based on my experience is Sulamyd. nm
Subject: First thought based on my experience is Sulamyd. nm
just as an aside...I have 17 years experience typing urology. LOL.
Subject: just as an aside...I have 17 years experience typing urology. LOL.
nm
You are very welcom. I have 19 years of uro experience. I have heard it all. LOL. nm
Subject: You are very welcom. I have 19 years of uro experience. I have heard it all. LOL. nm
nm
From my experience when a tape or dictation skips,
Subject: From my experience when a tape or dictation skips,
I will put a blank or a timestamp for QA. You really should never guess especially when the audio is broken up like that. My advice would be send to QA or leave a blank with a comment that the dictation skipped. 
I once worked for a national that had such bad QA, sm
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.
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!
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.
Thanks for trying. My supervisor who is great and has decades of experience couldn't get this on
Subject: Thanks for trying. My supervisor who is great and has decades of experience couldn't get this one.
Thanks for posting the solution to your problem..it is an educational experience for all of us...
Subject: Thanks for posting the solution to your problem..it is an educational experience for all of us...
Really, so many times when people find answers to the questions that they post, they just say...'Never mind, found it,' which leaves a lot of us up in the air as to what the answer was! So thanks for sharing your solution!
anhedonia: The absence of pleasure or the ability to experience it.
Subject: anhedonia: The absence of pleasure or the ability to experience it.
If you are wondering, I have 18 years of urology experience. Some of what I know would curl your hai
Subject: If you are wondering, I have 18 years of urology experience. Some of what I know would curl your hair. LOL. nm
nm
a knee aspirate would be considered a procedure, at least from my experience.
Subject: a knee aspirate would be considered a procedure, at least from my experience.
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 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.
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