Not where I've worked
Posted By: FLMT on 2008-04-30
In Reply to: In regard with what you said about MTs being responsible - kt
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.
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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
Just comes from experience. Every job I've worked has handled it differently.
Subject: Just comes from experience. Every job I've worked has handled it differently.
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
:)
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
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
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.
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.
April - I was the exact same but worked a dept....
Subject: April - I was the exact same but worked a dept....
I worked in radiation oncology and then helped develop surgical oncology for a local hospital all during the 80s and got very familiar with all the terminology (but admit that I have trouble with all the new combo drugs that are always coming out).
It gets easier the longer you do it!!! 
Glad to help - worked for ENT group for 20 years!
Subject: Glad to help - worked for ENT group for 20 years!
nm
Hm, maybe he's just saying that one conversion was positive, meaning, it worked.
Subject: Hm, maybe he's just saying that one conversion was positive, meaning, it worked.
That's my best guess.
I typed it for years as 1 word, then worked
Subject: I typed it for years as 1 word, then worked
for an ortho clinic for a while and was told it was 2.
hope the link worked, it was loooong
Subject: hope the link worked, it was loooong
I've never heard of "Toprolol XL" and I've been sm
Subject: I've never heard of "Toprolol XL" and I've been sm
doing this a looooooong time.
GU History: Questionable BPH. He does have *guakisfuria**. He is being worked up for diabetes
Subject: GU History: Questionable BPH. He does have *guakisfuria**. He is being worked up for diabetes
Think it is both. I always heard repair from my husband who worked with AF guys. nm
Subject: Think it is both. I always heard repair from my husband who worked with AF guys. nm
"Ctrl, ALT, Shift" worked to switch CAPS lock OFF
Subject: "Ctrl, ALT, Shift" worked to switch CAPS lock OFF
THANK YOU.
"Ctrl, ALT, Shift" worked to switch CAPS lock OFF
Jonathan
correct word is sourcil....another tx worked for pedi ortho doc and he spelled it for her. Thanks
Subject: correct word is sourcil....another tx worked for pedi ortho doc and he spelled it for her. Thanks
Secondary cause of hypertension was worked up, including s/l amurin? VMA, metanephrine,free cortisol
Subject: Secondary cause of hypertension was worked up, including s/l amurin? VMA, metanephrine,free cortisol
thanks so much - I've been looking everywhere....
Subject: thanks so much - I've been looking everywhere....
What about this? I've seen it this way also, 2
Subject: What about this? I've seen it this way also, 2
coutes within a quote; it still makes sense. is so hard to tell though when you're not really hearing inflection in the voice.
"not been dieting or exercising;" "simply too busy."
I think you've got it! :) nm
Subject: I think you've got it! :) nm
s
Don't be - we've all been there. Have a better day. nm
Subject: Don't be - we've all been there. Have a better day. nm
nm
I've had to do this........
Subject: I've had to do this........
Go to the beginning of the sentence at #1, right click, click on decrease indent and this will put you at the left margin. You can then put (a) manually under the beginning of the sentence and space over 2, then starting typing. Hit enter and put in (b). I know when you hit "b" it will move over. Before moving on, go back to "a", right click, bullets and numbering, customize, go to "aligned at" and make it 0.5. This will align everything where you want it. When you start "c", it will be at the left margin but go ahead and finish a,b,c,d, however long. When finished, highlight this, right click, bullets and numbering, find the box starting with "c" and click it. It will line everything up. From then on,when you type #2, it will line itself up. I hope this isn't too confusing.
I've seen it before...
Subject: I've seen it before...
my(o) = the combing form for muscle.
ligamentous = relating to the ligaments.
myoligamentous strain = a strain of the muscles and ligaments.
Not exactly but thanks - you've given me something to think about
Subject: Not exactly but thanks - you've given me something to think about
A word that means "narrowing" but sounds like "graced" or "gracing"....that's a definite possibility.
Thanks!
Now I've got it too!
Subject: Now I've got it too!
Wonder if we are on the same account.
I've never
Subject: I've never
heard of a 270 mg dose of trazodone????? It only comes in dosages that you stated. Sounds a little strange to me.
Same here. Have done it that way wherever I've been, too. nm
Subject: Same here. Have done it that way wherever I've been, too. nm
s
I've got it...he's saying
Subject: I've got it...he's saying
nm
Looks like you've got it!
Subject: Looks like you've got it!
Of course! And I've seen that
Subject: Of course! And I've seen that
somewhere before in the far distant past. Told you I'd feel stupid!
Thanks VERY much.
I've never had a fab PAP, lol. ;-) nm
Subject: I've never had a fab PAP, lol. ;-) nm
x
Okay, I've had it....
Subject: Okay, I've had it....
I'm typing an orthopedic surgeon at the moment..he and his wife (who is also a surgeon) have developed the same MISERABLE, slurring speech pattern (I thought couples began to LOOK alike, not SOUND alike). If someone could help before I am bald from tearing my hair out, I would be extremely greatful. He is dictating a patient who developed an infection from a wound and was taken to the OR twice for "I&D and integator??? plus VAC placement." It is probably something easy, but I am experienced only in radiology. I do very well if I can hear what is being said. A couple of reports ago, his wife dictated a patient who had patysmal blanding...(platysmal banding) and craptional consrapsure (capsular contracture). Sorry bout this long-winded, whining plea, but thank you for letting me vent. Heavy sigh...I feel better now. 
I've Always . . .
Subject: I've Always . . .
Corrected grammar--had a time of it explaining to one clinician why it's "between her and her father" and not "between she . . ."--and only VERY rarely have been asked not to do it.
I think they usually know once the correction is made that what they dictated was incorrect.
Although I'm sure there have been raised eyebrows over my typing the correct "he has DRUNK (not "drank") alcohol since age 16" because to them it sounds (but isn't) wrong.
Past participle, doctor, look it up.
Have fun out there,
Clifton T.
I've been using "C"
Subject: I've been using "C"
for 30 years and nothing has ever been said... so maybe it depends on the company. I've seen it both ways.
I think you've got it!
Subject: I think you've got it!
 Just went back and listened and that is it! THANK YOU SOOOO MUCH! I did try and Google my "pronunciation" and it just came up blank. THANKS FOR YOUR EFFORTS - EVERYONE!
I've got a doc saying
Subject: I've got a doc saying
dyshyperplasia, but I cannot document this word . . . is this just another made up word?
TIA for any help you can offer!
thanks, could've been it! had sent to QA already nm
Subject: thanks, could've been it! had sent to QA already nm
nm
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