Sure this is not the name of the facility performed at?
Posted By: pdqtrans on 2007-04-24
In Reply to: Pt with headaches had an MRI open imaging "of redwood". Nm - grace
Subject: Sure this is not the name of the facility performed at?
MRI at Open Imaging of Redwood?
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I would not unless there is a name to the facility such as Jones Hospital Urgent Care Facility but g
Subject: I would not unless there is a name to the facility such as Jones Hospital Urgent Care Facility but go by the client profile if you can for that report.
alm is right, skilled nursing facility, as in a short stay in a skilled nursing facility
Subject: alm is right, skilled nursing facility, as in a short stay in a skilled nursing facility
*oscopy was performed. ??
Subject: *oscopy was performed. ??
The beginning of this word is cut off. All I can hear is "oscopy" was performed that showed internal hemorrhoids.
Would this be "endoscopy" ?? Any help appreciated!
Procedures... would these be performed by MD or DDS?
Subject: Procedures... would these be performed by MD or DDS?
Cricopharyngeal myotomy and swallowing study.
s/l pan-cystoscopy was performed
Subject: s/l pan-cystoscopy was performed
I've never had a prefix added to cystoscopy. Does this make sense?
Do you have the name of the procedure performed?
Subject: Do you have the name of the procedure performed?
He says it as the procedure performed
Subject: He says it as the procedure performed
"Port: Right IJ single-lumen power port."
Stuff like this makes me look bad and also paranoid. The suits only look at QA scores, that type of thing, and never how crappy the report was.
It's just one of those nights.
Thanks so much...
It has been that way every facility I have
Subject: It has been that way every facility I have
Go by what YOUR QA says. They should know what the facility wants. (nm)
Subject: Go by what YOUR QA says. They should know what the facility wants. (nm)
x
Only if it is associated with the name of the facility, i.e.
Subject: Only if it is associated with the name of the facility, i.e.
Example Hospital Anesthesia Department, otherwise it should be in small letters.
Every facility is different in this. I have one
Subject: Every facility is different in this. I have one
who wants all caps, one who wants the heading then normal case, and one who wants it on a separate line, top of report, no matter were dictated. Need to check with specific client.
As the type of operation being performed
Subject: As the type of operation being performed
Debridement of nonunion, right distal femur with bone grafting (cancellous chips allograft and INFUSE BMP bone grafting).
I am asking because I found it 3 different ways and thus my confusion.
A cardiac cath is usually performed
Subject: A cardiac cath is usually performed
through the femoral artery that runs past the knees.
Maybe pending as in ordered, but not yet performed?
Subject: Maybe pending as in ordered, but not yet performed?
May we have the sentence please and the procedure being performed?
Subject: May we have the sentence please and the procedure being performed?
Is this performed on a baby or an adult?
Subject: Is this performed on a baby or an adult?
re: urinalysis..."long dip was performed"
Subject: re: urinalysis..."long dip was performed"
She is saying "s/l long dip was performed and showed a pH of 7.5.
I can't reference "long dip". Is this what she is saying?? Thanks in advance!
the facility or community as there....sm
Subject: the facility or community as there....sm
There is no such diet or anything so I tend to think this may be a nutritionist or dietician/dietitian in and around the facility or area where the dictator works from/around. Just a wild guess actually. 
Inside or outside facility...
Subject: Inside or outside facility...
Senior Care Center
There are Specialty Care Centers.
Surgical Care Center.
You definitely do for a JCAHO facility.
Subject: You definitely do for a JCAHO facility.
Some accounts will not tell you but cc is a big no no on the Joint Commission "Do Not Use List" See site below. Account I type for now, MTSO was/is not even aware. They dictate cc but I change to ml and have not had a report come back yet.
STEL facility?
Subject: STEL facility?
Sentence: Nursing home placement was secured in a 's/l STEL' OR stell' facility.
Anybody know if this is an acronym and what it may stand for?
Could he be saying SNIF facility?
Subject: Could he be saying SNIF facility?
Skilled Nursing Inpatient Facility (Unit)...
If your facility follows BOS, or your MTSO
Subject: If your facility follows BOS, or your MTSO
follows BOS, it is followup. Why not contact your QA/supervisor for clarification to be sure on your end. One facility I work for wants followup, the other follow-up. Verify to be sure for your sake.
We ust Thromboguard at our facility,
Subject: We ust Thromboguard at our facility,
compression boots/stockings for DVT prophylaxis.
That is probably a facility preference. The
Subject: That is probably a facility preference. The
abbreviations you gave examples of are standard abbreviations still in use.
That is probably a facility preference. The
Subject: That is probably a facility preference. The
abbreviations you gave examples of are standard abbreviations still in use.
If the facility does not want it expanded,
Subject: If the facility does not want it expanded,
then you don't. Could be a specific rule of a particular client. If you are told not to, then don't.
It's probably facility specific
Subject: It's probably facility specific
It's possible this is the name of a facility or something that is specific to the account you're typing. You might see if the hospital has a web page and go there and look under services/programs, and see if there is a TLC listed there.
It really could be anything. My first thought was transitional long-term care, but given that they're on pressors, that's usually not the kind of drug they send you to a SNF with.
also, could it be "was performed on the RIGHT" (not 'on the side') ?? nm
Subject: also, could it be "was performed on the RIGHT" (not 'on the side') ?? nm
Cervical spine fusions performed with...
Subject: Cervical spine fusions performed with...
allograft, autograft and s/l metal graft. Yes? TIA!
He would like resection performed with s/l attempted margins. SM
Subject: He would like resection performed with s/l attempted margins. SM
He has a squamous cell carcinoma of the thumb. Thanks guys!!!
Just not sure if this is correct.
Podiatrist says performed an excision of a s/l "poracatoma."
Subject: Podiatrist says performed an excision of a s/l "poracatoma."
x
It is probably SNF (skilled nursing facility).
Subject: It is probably SNF (skilled nursing facility).
nm
it may depend on a facility rule
Subject: it may depend on a facility rule
our facility requires a hyphen for any statement of __ to__ so for us it would "x4-5" days.
Check with your TL on the specifics of the facility.
Subject: Check with your TL on the specifics of the facility.
Most hospitals I have worked with prefer cm2.
Cotton test?? performed under floroscopy? doing ORIF
Subject: Cotton test?? performed under floroscopy? doing ORIF
Pulse oximetry to be performed by "aprax air", because this can be done at home. nm
Subject: Pulse oximetry to be performed by "aprax air", because this can be done at home. nm
distal exam was then performed, s/l medial apparent?
Subject: distal exam was then performed, s/l medial apparent?
CT scan was performed and showed a 1-x-4-mm kidney stone SM
Subject: CT scan was performed and showed a 1-x-4-mm kidney stone SM
in the bladder with mild s/l "apney" of the ureter.
She had a definitive s/l blide local excision performed.
Subject: She had a definitive s/l blide local excision performed.
In a patient with vaginal melanoma. Any suggestions?
It's a 'per the facility' issue as both are acceptable. Just use what QA says to keep them
Subject: It's a 'per the facility' issue as both are acceptable. Just use what QA says to keep them happy. nm
s
It's probably something specific to that hospital/facility. Ask your QA or Google the
Subject: It's probably something specific to that hospital/facility. Ask your QA or Google the
s
Need more info. What's located on the 4th floor of the facility? nm
Subject: Need more info. What's located on the 4th floor of the facility? nm
s
The facility may have it's own stock or normal regimen that they
Subject: The facility may have it's own stock or normal regimen that they
s
should urgent care facility be capitalized
Subject: should urgent care facility be capitalized
A thought, wonder if it's the name of the unit, like facility slang
Subject: A thought, wonder if it's the name of the unit, like facility slang
just a thought
maybe normal values/ranges for this facility? nm
Subject: maybe normal values/ranges for this facility? nm
nm
Seems to be a facility, what state or town is the report in?
Subject: Seems to be a facility, what state or town is the report in?
googled acox tuberculosis facility,
Subject: googled acox tuberculosis facility,
On a Cox regression model, distance from home to treatment centre (hazard .... in the TB clinics of the respective health facilities provided treatment, ...
Comfort?? x-rays were performed on nursing home pt after fall
Subject: Comfort?? x-rays were performed on nursing home pt after fall
s/l incision was then performed of the alips and the adea clamps were used against towel
Subject: s/l incision was then performed of the alips and the adea clamps were used against towel
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