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Likely face sheet..first page of chart which usually contains known diagnoses. NM

Posted By: MTDays on 2008-02-23
In Reply to: phase sheet? - lola

Subject: Likely face sheet..first page of chart which usually contains known diagnoses. NM




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  • phase sheet? - lola
    • Likely face sheet..first page of chart which usually contains known diagnoses. NM - MTDays

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per face sheet?
Subject: per face sheet?

f
The exact reference is on page 196, see my post below, not page 6..nm
Subject: The exact reference is on page 196, see my post below, not page 6..nm

nm
PROMPT CHART??
Subject: PROMPT CHART??

New to doing ER reports and Dr. dictates refer to PROMPT chart for rest of patient's records.  Is this correct?  Thanks in advance.


Chart Note
Subject: Chart Note

On lab work do I put it in right order (i.e. EKG after white count and hemoglobin) or just do as dictated?
I checked wtih the original chart
Subject: I checked wtih the original chart

that I typed where the doctor stated that he was going to do an FNA and it was on the thyroid. I had already sent my charts, but I copied and pasted another with the work spelled colloid and an explanation and then sent that. Thanks so much.
s/l Labo and McCunning correction chart (sm)
Subject: s/l Labo and McCunning correction chart (sm)

Doc says: "I believe [patient] will probably need to have an epiphysiodesis done.  I will have to look at 'Labo and McCunning' Correction Chart to decide when it is most appropriate to that."


Pulled chart. Definitely Celexa. Good thinking!
Subject: Pulled chart. Definitely Celexa. Good thinking!


I reviewed each chart in detail as well as completed worksheets Please SM
Subject: I reviewed each chart in detail as well as completed worksheets Please SM

in accordance with 1997 HCFA Guidelines for-new-um documentation. This is a letter sent to a health plan regarding a recent office chart audit. Any help would be appreciated.
14 point review of systems was done s/l weighted, dated and placed in chart. Is that right?
Subject: 14 point review of systems was done s/l weighted, dated and placed in chart. Is that right?

n/t
s/l "cyberun" Maybe some type of chart record? Dialysis patient sm
Subject: s/l "cyberun" Maybe some type of chart record? Dialysis patient sm


States:  "Review of report in ____ suggests..."  Again later in dictation:  "Although this is not charted in ____. "


? term "cyber" in relation to "computer/electronic chart" documentation. (sm)
Subject: ? term "cyber" in relation to "computer/electronic chart" documentation. (sm)

This is just a guess as I am not "computer savvy" in regards to tech terms.
'T' sheet?
Subject: 'T' sheet?

Does that sound familiar to anyone?  A T-sheet/tee sheet?  I'm hearing a doctor say that in reference to another doctor's notes, and I'm baffled!


Thanks in advance!


Does anybody know what a T sheet is?
Subject: Does anybody know what a T sheet is?

Thanks
Is he saying p sheet or t sheet????
Subject: Is he saying p sheet or t sheet????


s/l pa=flu-sheet
Subject: s/l pa=flu-sheet

Vital signs are s/l pa-flu-sheet
meds are on the ***tap*** sheet. TIA
Subject: meds are on the ***tap*** sheet. TIA

x
silastic sheet?
Subject: silastic sheet?


per flow sheet
Subject: per flow sheet


phase sheet?
Subject: phase sheet?

PMH, FH, SH, ROS: Reviewed, updated today. See __________ (phase) sheet.


Word help...papoo sheet?
Subject: Word help...papoo sheet?

An extremely fearful 4-year-old.  She would be calm for a few minutes but as soon as we start to talk about removing the sutuesor even trying to wipe the area off with Betadine, she became completely out of control.  After much talk of trying to coax her into it, we ended up having to put her in a  ______________ sheet and parents helped hold her down.


s/l papoo sheet


could they be saying "data" sheet? is this an ER patient? nm
Subject: could they be saying "data" sheet? is this an ER patient? nm


I meant sheet or sheeting....nm
Subject: I meant sheet or sheeting....nm


Risk Complication Sheet?
Subject: Risk Complication Sheet?

Is it the ASP or ASPR Risk Complication Sheet?
Bet the PA is reading the patient's history sheet. sm
Subject: Bet the PA is reading the patient's history sheet. sm

9 times out of 10 it is  arthroscopy and meniscectomy.


or Medication Administration Records Sheet..n/m
Subject: or Medication Administration Records Sheet..n/m


Plantar fasciitis surgery, s/l sheet weighting placed SM
Subject: Plantar fasciitis surgery, s/l sheet weighting placed SM

over the patient's foot. This is after pneumatic tourniquet applied. TIA
TEE Sheet - Transesophageal Echocardiogram - probably report results...nm
Subject: TEE Sheet - Transesophageal Echocardiogram - probably report results...nm


Oh got it, yes there is a Compass sheet used for therapeutic notes in medical management.
Subject: Oh got it, yes there is a Compass sheet used for therapeutic notes in medical management.


closing the surgery. a 0.25 mm thick cial-is-tic sheet was trimmed to shape and placed
Subject: closing the surgery. a 0.25 mm thick cial-is-tic sheet was trimmed to shape and placed

in a bifold fashion in the left ethmoid cavity.
En face
Subject: En face

nm
en face
Subject: en face

OneLook defines "enface" as "writing on the face of"


but...I remember researching this awhile ago and finding out it was French.  Babel Fish translate "en face" from French to English as "opposite".


Clear as mud now??? 


en face
Subject: en face

This means, "in front" or head on, in this case I am guessing "face up"
en face
Subject: en face

Vera Pyle's Current Medical Terminology Book states: en face ("ahn fahs") (Fr., in front, head on) - Usage: "X-rays revealed left chest wall and diaphragmatic pleural plaques, the former seen both in profile and en face"
I believe it's en face (nm)
Subject: I believe it's en face (nm)

(nm)
en face
Subject: en face

pronounced on fos.
en face
Subject: en face


en face
Subject: en face


en face
Subject: en face

The tumor bed was boosted with a 10 x 10 cm electron cone en face. 
en face
Subject: en face


en face
Subject: en face


en face
Subject: en face

/
en face
Subject: en face

This means *on face* literally but refers to something being viewed straight on.
No, it's more like a patient info sheet, by a company called Compass. Just wanted to verify SM
Subject: No, it's more like a patient info sheet, by a company called Compass. Just wanted to verify SM

if this is correct...
You're absolutely right, it was "and ferritin". And keeping a lab sheet is an awesome idea!
Subject: You're absolutely right, it was "and ferritin". And keeping a lab sheet is an awesome idea! TY both!


it's two words en face nm
Subject: it's two words en face nm

:
What is s/l max face scan?

Not found in search of board or in ref books.  Found in one place on-line but doesn't expand or give any info.  This account wants abbrev. expanded 1st time. 


Thanks anyone if you know. 


S/L: face-ease
Subject: S/L: face-ease

New neurology account for me:


Cranial Nerves:     Reveals EOMI without nystagmus, full visual fields to confrontation testing bilaterally.  Mild left chronic facial droop.  Mildly masked S/L: FACE-EASE.  Hearing grossly intact to voice bilaterally. 


 


Haven't heard of this word...Thanks!


en face is correct
Subject: en face is correct

and just to learn something new medical-word speaking, it comes from the french and means *opposite*
said it twice, first s/l Bi-face, second s/l Vidase 30 mg
Subject: said it twice, first s/l Bi-face, second s/l Vidase 30 mg


If it's on the face, it could be jowls. sm
Subject: If it's on the face, it could be jowls. sm

It's kind of hanging skin on your jaw.  Hopefully we won't have them anytime soon!


en face -- s/l on foss
Subject: en face -- s/l on foss