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This is blanked in his past notes, too. Gotta send it. Thx anyway. nm

Posted By: wanderer on 2007-03-15
In Reply to: Wants to give IV Flagyl or s/l delinea for diverticulitis. Thx. nm - wanderer

Subject: This is blanked in his past notes, too. Gotta send it. Thx anyway. nm

s


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Nurses' notes or nurse's notes or nurses notes?
Subject: Nurses' notes or nurse's notes or nurses notes?

I am so confused on this one.  I have typed it several different ways over the years.  Do I really need to put any apostrophe in there at all?  Thanks!
thanks for responding - I blanked it and QA...sm
Subject: thanks for responding - I blanked it and QA...sm

QA sent it onto the client with a blank.........thanks again for responding!!! 
I blanked it. I think he mispronounced sm
Subject: I blanked it. I think he mispronounced sm

brand name for Spiracle. Maybe some sort of breathing apparatus. Close as I could get. Thanks for your help, though.
I blanked it in my report, s/m
Subject: I blanked it in my report, s/m

since I could not verify it, and then QA came along and filled it in with "PCO3", so I was wondering where they got their sources from?
Thanks to all - I blanked it - doc could have spoken clearly! nm
Subject: Thanks to all - I blanked it - doc could have spoken clearly! nm


Nurse's notes reviewed or nurses notes reviewed? nm
Subject: Nurse's notes reviewed or nurses notes reviewed? nm

x
I actually blanked it with a S/L pseudo-embolism.
Subject: I actually blanked it with a S/L pseudo-embolism.

dd
I bet that was it. Not familiar at all, I gave up and blanked it.
Subject: I bet that was it. Not familiar at all, I gave up and blanked it.


if you gotta go by bos... c msg
Subject: if you gotta go by bos... c msg

Write out the numbers related to minutes in order to avoid confusion and to draw attention to the scores.

example per bos: Apgars 9 and 9 at one and five minutes (no slash between the numbers).
it's gotta be INR and PTT (those go together)
Subject: it's gotta be INR and PTT (those go together)


That has gotta be it!! Thank you!
Subject: That has gotta be it!! Thank you!


oh geez, that's gotta be it.
Subject: oh geez, that's gotta be it.


that's gotta be it! Good job!
Subject: that's gotta be it! Good job!


Thank you!! Gotta love ASR. nm
Subject: Thank you!! Gotta love ASR. nm


it's gotta be coil -- (nm)
Subject: it's gotta be coil -- (nm)


I just gotta say that I luv your moniker! (and that movie)
Subject: I just gotta say that I luv your moniker! (and that movie)

nm
gotta be careful with google
Subject: gotta be careful with google

nm
Thanks, I gotta admit, that one was good...lol!
Subject: Thanks, I gotta admit, that one was good...lol!

I am laughing so hard, at my own joke! Can't stop...lolololol
Thanks so much - I've gotta get that book! nm
Subject: Thanks so much - I've gotta get that book! nm

x
It's gotta be kappa MGUS
Subject: It's gotta be kappa MGUS

Don't ya'll just love all these replies to myself!
Gotta be mushing up treadmill, I think. nm
Subject: Gotta be mushing up treadmill, I think. nm

s
you're right but you've gotta go with
Subject: you're right but you've gotta go with

what the client wants.
gotta love English....sm
Subject: gotta love English....sm

i think it's because "small" and "moderate" are COMPARATIVE ADJECTIVES and the grammar experts say not to use a hyphen with comparative or superlative adjectives...geez...language is so weird, and MT is so hard, hyphens are the LEAST of our worries, yes? =)
Gotta love the ESLs may not have a job without them.. :-) Thanks!
Subject: Gotta love the ESLs may not have a job without them.. :-) Thanks!

x
Thanks! I gotta brush up on my biology! - nm
Subject: Thanks! I gotta brush up on my biology! - nm

x
op notes

Here is a list from my favorites. Hope they are a little bit helpful. I think they are all still good sites.


 


Op note sites:


http://www.mt-stuff.com/ent.html


http://mtdesk.com/gen.shtml


http://www.medical-library.org/journals2a/tubal_ligation.htm


http://www.mtdaily.com/samples.html


http://www.nezhat.com/oplap_abst.htm


http://www-personal.umich.edu/~aalin/vitalsigns/contentappendix/cntappsamplenotes.html


 


 


op notes
Subject: op notes

I have never encountered such a rule. I don't generally listen to where the dictators want their paragraphs, though. They usually put in way too many. I start a new paragraph after the prep and drape description and a I start a new paragraph for the closing of the wounds. I add new paragraphs when the surgeon is addressing a new area. That's just my style of transcribing. I'm not saying it's the right way to do it. It just makes sense to me and I would think it is easier to read and comprehend that way.
take notes!
Subject: take notes!

Whenever I have to spend a lot of time looking something up, I make sure to write it down. It's worth it.
I don't do op notes! LOL
Subject: I don't do op notes! LOL


interesting, i gotta spell it out...lets try this again sm
Subject: interesting, i gotta spell it out...lets try this again sm

its acutally the letter "I" not the number "one"
You're Welcome! : - ) Gotta love Stedman's nm
Subject: You're Welcome! : - ) Gotta love Stedman's nm


There are diagnostic modules for this. Gotta search a
Subject: There are diagnostic modules for this. Gotta search a

s
...gotta use the tools at your disposal and your knowledge! nm
Subject: ...gotta use the tools at your disposal and your knowledge! nm

s
...gotta ask if you're working for a company. nm
Subject: ...gotta ask if you're working for a company. nm

s
LOL!!! Gotta love'em. I would just put antihypertensives. nm
Subject: LOL!!! Gotta love'em. I would just put antihypertensives. nm


isn't that the truth.Gotta love the expander NM
Subject: isn't that the truth.Gotta love the expander NM


Thanks both! Same doc that says "bujuuu" for bougie. Gotta love 'em.
Subject: Thanks both! Same doc that says "bujuuu" for bougie. Gotta love 'em.


Thanks I saw that one too, but the doc is saying either Tegris or Tigris. Gotta love 'em.
Subject: Thanks I saw that one too, but the doc is saying either Tegris or Tigris. Gotta love 'em.

nm
Fourth Edition, gotta keep current! page A61 under CBC. nm
Subject: Fourth Edition, gotta keep current! page A61 under CBC. nm

s
Thanks. I didn't feel bad. Gotta have nasty ppl along with the nice ones
Subject: Thanks. I didn't feel bad. Gotta have nasty ppl along with the nice ones


gaiter. Gotta love those docs that spell!!! nm
Subject: gaiter. Gotta love those docs that spell!!! nm


thanks - i usually do ER notes so not familiar with that!
Subject: thanks - i usually do ER notes so not familiar with that!


Resources for OP notes?
Subject: Resources for OP notes?

 


Is there anyone here who does operative notes and gynecology notes who could give me some websites to use for resources?  I am on an OB/GYN account and have operative notes.  I have trouble sometimes with the specific surgical instrument names and would greatly appreciate any help.  Thanks in advance.


Resources for OP notes?
Subject: Resources for OP notes?

My suggestion would be to purchase (if you do not already have)OB/GYN, equipment and surgical word books (Steadman's) my choice and you would be equipped to better perform your job.
OP notes resources
Subject: OP notes resources


I would do that but we are on a tight budget as we just bought a house and are getting in married in september.
Paragraphs in Op notes
Subject: Paragraphs in Op notes

I have noticed that when I transcribe an Op note as the dictator dictates it, starting a new paragraph as dictated...that QA always removes the spacing between the paragraphs.

Is there some rule in transcription that you don't break an op note into paragraphs? The client profile does not say anything about this.
SOAP notes
Subject: SOAP notes

Was wondering if there are any websites out there that gives sample reports for SOAP notes. Just trying to figure out which is the best way to do it with paragraphs between each heading or all scrunched together. Just want to see what is done more of. I realize it might depend on the clinic, dr, hospital, etc, but just want to get an idea.


Thanks Carla


Thanks so much! I'm taking notes!
Subject: Thanks so much! I'm taking notes!


SOAP notes
Subject: SOAP notes

transcribing for 7 1/2 week old child.  Dictator states fontanels are flat,  sound like "contrapendalence" are normal.
I have parascapular in my notes.
Subject: I have parascapular in my notes.


Think just nurses notes. IMO. nm
Subject: Think just nurses notes. IMO. nm