Medication - s/l la-vell patch. He may be pronoucing it wrong. Thanks.
Posted By: Any help appreciated - Lynn on 2008-12-02
In Reply to:
Subject: Medication - s/l la-vell patch. He may be pronoucing it wrong. Thanks.
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Medication dosages, QA marking wrong both ways!
Subject: Medication dosages, QA marking wrong both ways!
Good afternoon everyone. I'm in need of some second opinions please. When typing medication dosages, I have always transcribed them the same way for the last 12-1/2 years. For example, Lortab 5 mg q.4h. p.r.n. pain.
I have worked for the same company for a little over two years now and have never had QA say anything about this until last month, when I got a QA audit marking it off and changing it to Lortab 5 mg q. 4h. p.r.n. (with a space between the q. and the 4h.) I thought okay, maybe I've been transcribing it incorrectly all lthis time and a new QA person picked up on it. It happens, no big deal. 
So, I started transcribing it their way with the space, as in q. 4h. and didn't think anything more about it. Yesterday, I get another audit. This time, I get dinged for typing it the way they wanted it the last audit q. 4h. with the space with a note stating it should be q.4h. with no space (the way I had been typing it).
 Now, I know they have been messing with all of the MTs big time lately, making changes daily from everything to hours, pay, policies, and procedures for vacation, days off, etc. You name it, they've been doing it, and I really think they are trying to either find a reason to fire some of us or drive us to the point of insanity until we quit, but despite the games, I still want to make sure I'm doing my job correctly. If I've been doing something wrong, I would like to correct it ASAP, except now I have no idea which one is correct.
Sorry for the long, drawn out post, but I'm totally confused now and beyond frustrated. Now, I'm questioning myself on everything, and I have no idea which way is correct as far the space or no space with the medication dosages. Thank you for taking the time to read my question and rant. I would appreciate any and all opinions on how you all transcribe this! 
Might be cloth patch. I was thinking of post op patch. Sorry. nm
Subject: Might be cloth patch. I was thinking of post op patch. Sorry. nm
Type of (med) patch s/l literem patch
Subject: Type of (med) patch s/l literem patch
You are correct, doc either gave wrong dosage or wrong drug, would "flag" this for your QA dep
Subject: You are correct, doc either gave wrong dosage or wrong drug, would "flag" this for your QA dept if you have one.
Was this in wrong spot before? We had a slew of responses, all wrong! nm
Subject: Was this in wrong spot before? We had a slew of responses, all wrong! nm
s
Kugel Mesh Patch or Composix Kugel Mesh patch..nm
Subject: Kugel Mesh Patch or Composix Kugel Mesh patch..nm
nm
pt medication list includes s/l lodapine. Purpose for medication is not stated. TIA
Subject: pt medication list includes s/l lodapine. Purpose for medication is not stated. TIA
Medication - s/l Endrion? Dictated in general medication list. TIA
Subject: Medication - s/l Endrion? Dictated in general medication list. TIA
? patch
Subject: ? patch
The only patch I can think of is a blood patch (I had 3 that didn't work), but that's in the L/S. It was after a myelogram, which I would NEVER have again.
Kugel patch
Subject: Kugel patch
type of patch
Subject: type of patch
Used during angioplasty, sounds like "ki-doe-seal"
s/l blood patch ? sm
Subject: s/l blood patch ? sm
States "She had post myelogram headaches and CSF leak. She ultimately underwent _____ and her current headaches have resolved."
s/l Wittenan patch
Subject: s/l Wittenan patch
Female patient status post MVA with "multiple abdominal washouts, s/l Wittnan patch or Whitnan patch closure " googled it and cannot find
Wittman patch ? sm
Subject: Wittman patch ? sm
Found some hits but not 100% sure of the spelling. Here's one of the websites
http://www.emedicine.com/med/topic2737.htm
Sorry, but Lyderm is not a patch
Subject: Sorry, but Lyderm is not a patch
yes it is a topical corticosteroid but the poster mentioned the word PATCHES and Lidoderm is a patch.
Lyderm patch
Subject: Lyderm patch
a corticosteroid for local irritation
It would be Lidoderm patch but
Subject: It would be Lidoderm patch but
not sure on the alcohol topian? I will keep on thinking about that one for you. May be someone else can get that.
Vivelle patch?
Subject: Vivelle patch?
Estradiol is a form of estrogen, a female sex hormone the regulates many processes in the body.
Estradiol transdermal skin patches are used to treat certain symptoms of menopause such as dryness, burning, and itching of the vaginal area. Estradiol transdermal also reduces urgency or irritation of urination. Estradiol skin patches are also used to treat ovarian disorders, infertility, and abnormal vaginal bleeding. Some estradiol skin patches are used to prevent postmenopausal osteoporosis. Transdermal skin patches release the drug slowly, and it is absorbed through your skin.
Estradiol transdermal may also be used for purposes other than those listed in this medication guide.
elvevel patch
Subject: elvevel patch
does anyone know what the correct spelling is. Elvevel patch. I don't know what it's for.
thanks!
try "Carrel" patch .nm
Subject: try "Carrel" patch .nm
.
Carrel patch.
Subject: Carrel patch.
vival patch?
Subject: vival patch?
vival patch for hormone replacement therapy? has anyone come across this? Thanks!!
a surgical patch
Subject: a surgical patch
This sounds like grand or gran or something along that line.
perforation of the duodenal ulcer which was closed using a ___ patch
THX in advance!
kcl and hormone patch
Subject: kcl and hormone patch
is it separate ie KCL, hormone patch?
durotesy patch?
Subject: durotesy patch?
a history of lumbosacral spinal stenosis for which she is on durotesy patch
sounds like Dur-o-tea-see patch
Vivelle-Dot is a patch
Subject: Vivelle-Dot is a patch
Might want to google for more info
Vivelle-Dot patch
Subject: Vivelle-Dot patch
x
fentanyl patch
Subject: fentanyl patch
nm
Fentanyl patch - NM
Subject: Fentanyl patch - NM
NM
fentanyl patch 25 mcg q.72 h.
Subject: fentanyl patch 25 mcg q.72 h.
s/l phenitol patch?
Subject: s/l phenitol patch?
fentanyl patch
Subject: fentanyl patch
s/l Oxy Tral Patch
Subject: s/l Oxy Tral Patch
I have never heard of a patch like this.
s/l Oxy Tral Patch or Oxy Trol Patch
Colles patch? Help
Subject: Colles patch? Help
"There is a larger s/l colles patch about the size of a dime at the edge of patient's left eyebrow." Does anyone know of something that would be described as a colles (or similar sound/spelling)? Any help would be appreciated. The patient has shingles.
Patch testing
Subject: Patch testing
Help! I am new to transcribing patch tests. Does anyone know where I can find a list of them?
patch tests
Subject: patch tests
Sorry, yes it is allergy testing.
neither really - it's nitroglycerin patch
Subject: neither really - it's nitroglycerin patch
x
Lidoderm patch? nm
Subject: Lidoderm patch? nm
x
It's Ionto Patch. nm
Subject: It's Ionto Patch. nm
nm
s/l Flextor patch.......sm
Subject: s/l Flextor patch.......sm
This is the second time my orthopod has dictated this today, and I cannot find anything anywhere. TIA.
Duragesic patch?
Subject: Duragesic patch?
Climara patch?
Subject: Climara patch?
s/l Plectal patch
Subject: s/l Plectal patch
did a google search and I cannot find anything!
Have never heard of this pain patch before.
Thanks for any help
s/l plectal patch
Subject: s/l plectal patch
it is Flector patch. you can google it.
it really pays to subscribe to the MPR, monthly prescribing reference, it is really good. relatively cheap and specially priced for the transcriptionist. lists all new drugs every month I can't live withou it
Flector patch ?
Subject: Flector patch ?
found on drugs.com
Thanks, not sure if that comes in patch, either. I will flag this one, thanks!
Subject: Thanks, not sure if that comes in patch, either. I will flag this one, thanks!
nm
Is there a s/l Klos eye patch? Thanks.
Subject: Is there a s/l Klos eye patch? Thanks.
x
How about cetocryl patch or something like that? -nm
Subject: How about cetocryl patch or something like that? -nm
x
It might be Salonpas patch.
Subject: It might be Salonpas patch.
Bard patch maybe?
Subject: Bard patch maybe?
x
V patch repair?
Subject: V patch repair?
Help Please. I'm stuck on a word. The patient had a laparoscopic cholecystectomy and a laparoscopic Nissen fundoplication with s/l varitos patch repair.
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