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QA puts in "EF cardiac profile"

Posted By: on an account I transcribe on 2008-03-14
In Reply to:

Subject: QA puts in "EF cardiac profile"

but it sure sounds like "ES" Cardiac Profile. I cannot locate it EF or ES when doing research as the way it is dictated.  dictator goes on to give lab values such as white count, bun and creatinine and so on. Any suggestions would be very grateful. BTW, even with my new Bose headsets the "ES" is coming in more clearly than it did before!!  TIA. 


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We will see what QA puts :)
Subject: We will see what QA puts :)

x
Puts Forceps
Subject: Puts Forceps

Has anyone heard of PUTS Forceps?
...puts her BMI at 29? or BMI level at 29? nm
Subject: ...puts her BMI at 29? or BMI level at 29? nm

s
one never puts post together when status is....
Subject: one never puts post together when status is....

Sorry, I cannot help you with the atouche thing but I saw you put


status postbilateral......


 


As I know it, we put post together with the next word only if STATUS does not precede post....


postmastectomy would be correct but status postmastectomy would be incorrect....s/b status post mastectomy in the latter case.  *S*


 


 


Pt is 5' 5 ", weight is 174.9 lbs, which puts her to be in "Live 29". n m
Subject: Pt is 5' 5 ", weight is 174.9 lbs, which puts her to be in "Live 29". n m


That's the only thing that makes sense, but he puts an emphasis on the "a". But that must
Subject: That's the only thing that makes sense, but he puts an emphasis on the "a". But that must be it. nm

nm
DM profile?
Subject: DM profile?

DM profile


Diabetes mellitus profile. this is ordered with labs. Not sure what this consists of. The pt has type-2 diabetes.


? maybe correlation profile ?
Subject: ? maybe correlation profile ?

nm
hypercoagulation profile
Subject: hypercoagulation profile

It's not that this word sounds too crazy, I am just too green to know what it is!


 


"We will check a hypercoagulable profile, antiphospholipid antibody and *S/L* sector five liden.


 


Thanks in advance!


BPP (biophysical profile) nm
Subject: BPP (biophysical profile) nm

x
I have a client profile that says DO NOT add...
Subject: I have a client profile that says DO NOT add...

paragraphs and I don't add them in those notes. Otherwise, I have never heard of a rule not to. QS may have client profiles confused.
chem profile, perhaps
Subject: chem profile, perhaps

nm
s/l hyperal profile s/m
Subject: s/l hyperal profile s/m

Patient with hyperchloremic metabolic acidosis.  Checking sodium, potassium etc.


Also ______lo testing for RTA evaluation.  TIA


diurnal profile?
Subject: diurnal profile?


Whole clonine? profile
Subject: Whole clonine? profile

Is there a lab test/profile that is something like clonine?  S/L it is pronounced KLAH-NEEN.  Any ideas?  He doesn't dictate all the specific findings of the test/s, but just mentioned the name so I don't have much to go on. 


invalid profile?
Subject: invalid profile?

Can someone tell me why I am getting this "Invalid Profile ID" sticker next to my posts?
Unless it is in the client profile to do such, I would not (sm)
Subject: Unless it is in the client profile to do such, I would not (sm)

If it states the specific hospital or institution, i.e. General Hospital Diabetes Education Team, then capitalize it. They way you have it would be NOT capitalized. Hope that makes sense (no coffee yet).
if client profile does not specify,
Subject: if client profile does not specify,

either way is acceptable.  Personally, I would separate.
I have an ESL who dictates a lipid profile
Subject: I have an ESL who dictates a lipid profile

and then says "lipid profile comment NIHN." What in the world does that mean?
depends on client profile...sm
Subject: depends on client profile...sm

Rule of thumb is verbatim........
Coalition profile lab test?
Subject: Coalition profile lab test?

s/l coalition profile was negative under lab section in with bilirubin values.  Thanks.


fetal biophysical profile? nm
Subject: fetal biophysical profile? nm

s
just a guess... porphyrin profile? nm
Subject: just a guess... porphyrin profile? nm

x
oops - could be profile and/or panel too....
Subject: oops - could be profile and/or panel too....


probably the BMP basic metabolic profile
Subject: probably the BMP basic metabolic profile

Sodium, potassium, etc.


Basic metabolic profile (BMP)
Subject: Basic metabolic profile (BMP)


BMP for basic metabolic profile? nm
Subject: BMP for basic metabolic profile? nm


comprehensive metabolic profile (CMP). ? nm
Subject: comprehensive metabolic profile (CMP). ? nm


Depends on client profile...
Subject: Depends on client profile...

If you have a verbatim account I would type as is. If not vertabim I would change it to gastroenterology. Really I think it depends on what your QA would say. Mine would do as above.
check your client profile sm
Subject: check your client profile sm

and follow any instructions you find there, and if it says to follow BOS guidelines, then you should probably type "3."
yes, BMP, basic metabolic profile, or panel (nm)
Subject: yes, BMP, basic metabolic profile, or panel (nm)

///
Yep, it's a lab profile; I used to type it all the time at my children's
Subject: Yep, it's a lab profile; I used to type it all the time at my children's

nm
bio short for biochemical profile(chem-7 for example)
Subject: bio short for biochemical profile(chem-7 for example)


OR comprehensive basic metabolic profile - nm
Subject: OR comprehensive basic metabolic profile - nm


they also do a high-risk lipid profile for SM
Subject: they also do a high-risk lipid profile for SM

metabolic syndrome ??
probably CMP, complete or comprehensive metabolic profile (or panel) nm
Subject: probably CMP, complete or comprehensive metabolic profile (or panel) nm

s
according to client profile/wishes. My acounts have it, DNR, etc. all caps (nm)
Subject: according to client profile/wishes. My acounts have it, DNR, etc. all caps (nm)

x
Complete basic metabolic profile = CBMP - nm
Subject: Complete basic metabolic profile = CBMP - nm


Personally I go by the client profile of the account I am doing. If not specified I put commas.
Subject: Personally I go by the client profile of the account I am doing. If not specified I put commas.

If it was me, I would argue the point with QA on that one.
It would depend on your client profile for that account. I have never run across numbers within the
Subject: It would depend on your client profile for that account. I have never run across numbers within the axes, it would normally just be commas between each diagnosis or periods if that is what the client calls for. Check with that CP if you can.


There is an Astra blood chemistry profile according to Stedman's Lab Book.
Subject: There is an Astra blood chemistry profile according to Stedman's Lab Book.

x
labs, fasting s/l sms7, liver, lipid profile,etc.
Subject: labs, fasting s/l sms7, liver, lipid profile,etc.


Try going to labcorp.com typing in anemia profile in search. May get you started. nm
Subject: Try going to labcorp.com typing in anemia profile in search. May get you started. nm


It would be STEMI in hpi and spell it out in diagnoses (unless client profile states otherwise)
Subject: It would be STEMI in hpi and spell it out in diagnoses (unless client profile states otherwise)


Sodium, potassium, CO2, calcium can be put together with commas as they are all one profile. Hemogl
Subject: Sodium, potassium, CO2, calcium can be put together with commas as they are all one profile. Hemoglobin, hematocrit, white count and platelet count are grouped together as they are all CBC's.


BPS comes to mind (biophysical profile score). Was there some sort of value dictated? SM
Subject: BPS comes to mind (biophysical profile score). Was there some sort of value dictated? SM

i.e. BPS of 1?


The actual Latin conversion for q.h.s. is every hour of sleep, but I go by the client profile for th
Subject: The actual Latin conversion for q.h.s. is every hour of sleep, but I go by the client profile for the facility that I transcribe, some want at bedtime, some do not clarify, some want at hour of sleep.


Modified emory functional ambulation profile found on google.
Subject: Modified emory functional ambulation profile found on google.


Fasting lipid profile and fasting blood sugar perhaps?
Subject: Fasting lipid profile and fasting blood sugar perhaps?

You need to correlate the correct abbreviations with the patient's medical history, eg. does the patient have diabetes, high cholesterol, etc.
Only that it's cardiac. -nm
Subject: Only that it's cardiac. -nm

x
cardiac
Subject: cardiac

pt had laser ablation to greater saphenous vein, developed flash pulmonary edema, workup was negative except for sl-immulionic cardiac myocardial infarction.


 


thanks for any help.