Newbie's reports
Posted By: QAQueen on 2006-01-21
In Reply to: Reports - NewbieMT
Subject: Newbie's reports
The area in which you most need help is in how to decide what is ethical. The moderator herself does not allow such reports to be posted here. You should have known better. Now you do.
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Newbie posting reports
Subject: Newbie posting reports
Newbie, this is the stuff of which lawsuits are made. Get informed. Get some ethics. Get a clue. Good thing you do not work for my company or you would be out in a New York minute.
Hey Newbie MT
Subject: Hey Newbie MT
I don't mean to put you down at all and I see that you are getting some excellent report, but your reports indicate that you are doing trauma level work. Where is the QA staff with your MTSO? I mean, if you are needing this much help and you are working a trauma hospital, it is going to be hard for you to make it in the long run if you are needing this much help with so many small issues.
Also, from a QA MTSO standpoint, if I thought that if this much of actual reports was being put in a web forum, I would have serious issues with your understanding of any confidentiality agreement you had to sign with the company.
I'm all for helping someone out but I seriously think you are overstepping the bounds of what the intent of creation of this board and of the people enabling you here. How did you pass all the testing to get a job on a trauma hospital? I really do wish you well but I hope someone at your company doesn't recognize these reports and lays you low.
To Newbie (sm)
Subject: To Newbie (sm)
I don't know how new you are, but I think your work is excellent, and you obviously care about doing a good job. We all needed help (still do) and most of us oldsters had people right there with us to help. If I ever see your posts on here, I'll be glad to help you.
As a newbie myself I am also sad to see this...sm
Subject: As a newbie myself I am also sad to see this...sm
... It stinks that someone can get a job by 'cheating' BUT once they are working that will certainly show and the position will open up again. However, this type of thing may be a big reason why so few companies are willing to hire a new graduate. Very sad.
Are you a newbie?
Subject: Are you a newbie?
I have the word *radiology* flagged to auto email me - for potential jobs...
Could you write your questions without that word (radiology) so I don't get them?
Newbie needs help!
I am brand new so this question will probably seem funny to you more experienced MT's....I am typing about a patient's sutures and the doctor said he used 4 0 nylon...how do you type that out?
Thanks for your help!!!
Susan
Newbie needs help again
Subject: Newbie needs help again
I need help from you wonderful people on this board! I am dealing with outward deviation of boty eyes, and here is the sentence:
Apparently the child was operated on at age 2 for (sounds like scabusiness)
please help!
Thank you!
Susan
newbie needs help...Please
Subject: newbie needs help...Please
Continue some OTC cold medicine which has acetaminophen, s/l gawfinocin, dextrum, s/l methorphane and pheniramine. I cannot get these.
Newbie
Subject: Newbie
 Okay, I am sure this is asked over and over and over but I haven't been able to find any recent examples. I am in training and really growing to understand so many reasons why this is an extremely complicated field to work in. I have had to transcribe, as of late, some extremely slurred and garbled transcriptions. I'm doing pretty good on figuring out procedures, drugs, equipment, conditions, etc. But trying to figure out some doctor who sounds either drunk or half asleep, and what they are trying to say is next to impossible. I have found that it doesnt matter how much I slow down or speed up a slurred word, I will still not understand it. So, I would just like to hear some tips of things you guys have tried over the years in this area. I realize that it is something that doesn't have just one or two tricks to figure out, but I have learned there are many creative and resourceful people here! Thanks.
Give us a s/l, Newbie! nm
Subject: Give us a s/l, Newbie! nm
x
Newbie MT, you did a really great job with this sm
Subject: Newbie MT, you did a really great job with this sm
tough op! I'm impressed! Not being able to hear it limits the help I can give you, but I've been doing ops for many years, and I think you did great!! As far as paragraphing is concerned, only paragraph if the doc dictates it unless your company says you can do it on your own. Most of the MT we do nowadays is "type what they say," so if they don't paragraph, don't paragraph.
There were a few spots where you should relisten as I couldn't grasp what should go there. Most of my changes involved adding hyphens, as in 12-mm this, or 5-mm that. Both 12 and mm modify the following noun so you need a hyphen here. You had a couple of misspellings (and I think I left you one with "unde") (some things didn't fit my screen). Basically, I think you're being audited because your QA may be thinking you can be advanced to the tougher stuff.
Note, Steri-Strips is a proper name. Also, I see where I didn't change one term which should read (at the end) umbilical port site was closed AT the level of the fascia. And then, The skin was then...
Ya did good, NewbieMT!!!
okay, that helps this newbie! ty! nm
Subject: okay, that helps this newbie! ty! nm
x
newbie needs help with drugs
Subject: newbie needs help with drugs
Okay doc says earlier in the report pt lost his prescription for verapamil. In plan doc says renewal of his Verelan SR. In drug book it says they can get easily confused with one another. However, it also states Verelan is listed under brand names for verapamil. Would leave as is or flag it?
Yes, thanks. I'm a newbie and never had an transfusion before.
Subject: Yes, thanks. I'm a newbie and never had an transfusion before.
newbie reply
Subject: newbie reply
I google what the word sounds like with different spellings and sometimes that helps. Many slurring doctors on my end too! Jenny
Yes, I know I sound like newbie, but SM
Subject: Yes, I know I sound like newbie, but SM
I'm an oldie and the doctor giving dictation sounds about 101.
I left it as recess, since recessectomy does not exist and I'm tired of doctors making up words.
I really do appreciate input I receive here, so thanks.
Yes, I know I sound like newbie, but SM
Subject: Yes, I know I sound like newbie, but SM
I'm an oldie and the doctor giving dictation sounds about 101.
I left it as recess, since recessectomy does not exist and I'm tired of doctors making up words.
I really do appreciate input I receive here, so thanks.
You may not be a newbie, but you "pubically stated"???
Subject: You may not be a newbie, but you "pubically stated"???
nm
Newbie works for Sten-Tel
Subject: Newbie works for Sten-Tel
as previous bragged about on the new MT board.
TY! You ladies are lifesavers for a newbie!!
Subject: TY! You ladies are lifesavers for a newbie!!
Thank you! (New at these Op Reports!!)
Subject: Thank you! (New at these Op Reports!!)
Reports. (SM)
Subject: Reports. (SM)
The posts containing the reports have been removed and the poster was notified about not posting such information in the future.
Please feel free to contact the administrator (admin@mtstars.com) or myself (goldbird@mtstars.com) if you have any questions.
Your comments and postings are very much welcome here.
Let me know if I can help you,
Goldbird
Reports
Subject: Reports
I only got help for 2 reports, and the people that helped me wanted to help me.
No one was forced and I greatly appreciate their help. I just needed help in some areas that I was having some trouble in that is all.
You and Milton Red Stapler have a nice day.
and in my reports...I put....sm
Subject: and in my reports...I put....sm
*in regard to*, not *in regards to*....and as far as *alot* goes, I am used to my word program separating that out as a lot, and since this message board program does not do that, oh well....get off it already. sheesh. nitpickers!
new to op reports
Subject: new to op reports
I am new to op reports and looking for any good reference sites to refer to when needing help. My ops mostly consist of General surgery, orthopedic, ENT, ophthalmology, gyn and plastic surgery.
Any guidance would be appreciated. I have a M&S Equipment words book and an ortho book. Would like some good websites.
Thanks in advance
fractions in reports
What is acceptable, 1/4 or one-fourth? Thanks.
sample reports
Subject: sample reports
MT daily has sample reports, I need a C-section. Know where I can get one. Thanks in advance.
Psychiatric reports.
Subject: Psychiatric reports.
I have a question in regards to psychiatric evaluations. Would diagnosis or diagnoses be used when typing out Axis I, Axis II, Axis III, etc.? 
Does anyone do insurance reports?
Subject: Does anyone do insurance reports?
I called you requesting additional information in order to find out if there is any medical s/l: conjournigation OR conjure negation to work on a full-time basis.
Thanks for any help!
help new to ortho reports
Subject: help new to ortho reports
Can a person have full finger flexion at the volar wrist?
This is just a statement made in the Objective portion of the report. She is stating he has full dorsiflexion, palmar flexion and radial and ulnar deviation of the wrist. THen goes on to say "finger flexion at the volar wrist irriation with clicking"
This is not a verbatim account and she is somewhat scatterbrained sometimes so you have to fill in the blanks at times.
Tenses in reports
Do the majority of y'all change tenses when the docs dictate them incorrectly? Normally I'm inclined to, but there are times when I question it. Of course, my pet peeve is dictating a surgery that already happened, yet everything is present tense!
In this case, here's what I'm questioning:
The patient was evaluated previously, and a left inguinal hernia is reducible.
Thanks in advance!
Echocardiogram Reports
Subject: Echocardiogram Reports
I need help. I have been thrown the lions den, this man garbles his words and I am not used to typing echoes. I need to know how to is it end diastolic or in diastolic? Is only the left side measured?
Thank you! I don't do many ortho reports.
Subject: Thank you! I don't do many ortho reports.
tx
psych reports
Subject: psych reports
Just wondering if GAF on psych diagnosis should be expanded to Global Assessment of Functioning? Or just GAF
more on psych reports
Subject: more on psych reports
When there are multiple items under an AXIS, should #1 start two spaces after AXIS I, or hit return and start #1 at the left margin?
Thanks so much! I'm new to Physical Therapy reports. nm
Subject: Thanks so much! I'm new to Physical Therapy reports. nm
x
DO NOT POST COPIES OF REPORTS. (SM)
Subject: Please kindly do not post reports (sm)
Please kindly do not post reports from your employer on this site. I have also made the Administrator aware of this.
Goldbird (Moderator)
Can you access old reports to see if it's something used routinely? nm
Subject: Can you access old reports to see if it's something used routinely? nm
s
Can you access any of the old reports to see if he "normally" says something here? nm
Subject: Can you access any of the old reports to see if he "normally" says something here? nm
s
Thanks a bunch, now I do not have any blanks in none of my reports
Subject: Thanks a bunch, now I do not have any blanks in none of my reports
exam reports as having no problems..
Subject: exam reports as having no problems..
There are Conners reports and scales. nm
Subject: There are Conners reports and scales. nm
nm
one last try before getting these reports done.... a drug s/l clu-thy-lone.. thank you
Subject: one last try before getting these reports done.... a drug s/l clu-thy-lone.. thank you
I work on psych reports
Subject: I work on psych reports
we capitalize Verbal, Performance, and Full Scale IQ where I work. We have all our resulting scores listed in a table. I hope this helps. Where are you getting all the psych work from?
Question to QA about spacing in reports
Subject: Question to QA about spacing in reports
Have to change from 2 spaces after a period to 1 space. If you have only one space after periods in sentences, is it okay to leave 2 spaces after colons? The reason I ask is that some of my expanders have a lot of expansions (like Neck: Supple) that have 2 spaces after the colon and need to know if I have to change them all or can I leave them be?
Any advice is much appreciated! 
thank you again, now I have no blanks in my reports. Thanks a bunch!!
Subject: thank you again, now I have no blanks in my reports. Thanks a bunch!!
Paragraphs in body of op reports.
Subject: Paragraphs in body of op reports.
When dictators dictate 'paragraph' within the body of the procedure portion of op reports, do I create separate paragraphs or ignore this request? This is not a verbatim account.
Site for sample reports. sm
Subject: Site for sample reports. sm
http://www.stedmans.com/AtWork/section.cfm/27
to be truthful, I do a lot of colonoscopy reports
Subject: to be truthful, I do a lot of colonoscopy reports
and still, no incision.
Always seen it as two words in medical reports....nm
Subject: Always seen it as two words in medical reports....nm
nm
Always seen it as two words in medical reports....nm
Subject: Always seen it as two words in medical reports....nm
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