Type and hold. Patient may need transfusion?
Posted By: CL on 2005-12-22
In Reply to: Dictation on a patient who is to - soon receive a stent
Subject: Type and hold. Patient may need transfusion?
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patient does not want to receive a blood transfusion since she is a *Jalvis* witness. Anyone?
Subject: patient does not want to receive a blood transfusion since she is a *Jalvis* witness. Anyone?
Perhaps guards as in bumps to pad or hold the patient during surgery.
Subject: Perhaps guards as in bumps to pad or hold the patient during surgery.
Maybe 'hold, on call' to hold the patient in the office for the on call xray? nm
Subject: Maybe 'hold, on call' to hold the patient in the office for the on call xray? nm
s
Still confused - so is it hold and call, or hold, on call?
Subject: Still confused - so is it hold and call, or hold, on call?
Thanks, but my physician mumbles it so fast that I cannot make out if it is "hold and call" or "hold, on call."
Patient with type 2 diabetes prescribed a s/l glutisone type drug. nm
Subject: Patient with type 2 diabetes prescribed a s/l glutisone type drug. nm
transfusion?
Subject: transfusion?
xxx
blood transfusion
Subject: blood transfusion
I need help on a word for blood transfusion.
Doc is saying : She had a SL natoglious __________ blood transfusion with her hip replacement.
Thanks,
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.
hold and call
Subject: hold and call
Is there something like "hold and call" for any test like an x-ray or CAT scan, that needs to be done urgently on a patient before the patient leaves the office?
Thank you...my brain must be on hold today...sm
Subject: Thank you...my brain must be on hold today...sm
Thank you. It is CNS. I went back and relistened. I am losing it here today,too many hours trying to help catch up, the brain must be slowing down, lol. Your help is much appreciated.
OMG! I no longer know anything! ?ring to hold the
Subject: OMG! I no longer know anything! ?ring to hold the
He said the pupil was not dilated enough during a cataract surgery, so he used a ? ring was used to hold the pupil open. I have done hundreds, if not thousands of report for this ophthalmologist, but my whole day has been like this!
Won't it scroll if you hold the arrow key? (sm)
Subject: Won't it scroll if you hold the arrow key? (sm)
or maybe I don't understand your question...?
should I type patient's with apostrophe? Thanks
Subject: should I type patient's with apostrophe? Thanks
I did communicate with the patient through a friend of the patient’s whose English was marginal
patient was told to F-off. How would you type that?
Subject: patient was told to F-off. How would you type that?
Would that be "F" off/ "F-off" ... Thanks alot...
Found it finally - TRLI - transfusion-related lung injury - just s.l. "trolley" the way they s
Subject: Found it finally - TRLI - transfusion-related lung injury - just s.l. "trolley" the way they say it.
Could you type the sentence out completely? Also what is the patient being seen for?
Subject: Could you type the sentence out completely? Also what is the patient being seen for?
Patient has a persistent s/l pil-rong type tic.
Subject: Patient has a persistent s/l pil-rong type tic.
nm
what is the correct way to type patient was *medevaced*??? Thanks. nm
Subject: what is the correct way to type patient was *medevaced*??? Thanks. nm
nm
When I hold my nose, tilt my head back and sm
Subject: When I hold my nose, tilt my head back and sm
say your s/l really fast it "sounds" like drug-eluting stent..? lol worth a try anyway, couldn't find anything else.
Outpatient hold admission versus inpatient
Subject: Outpatient hold admission versus inpatient
Please read this with a little grain of salt, since I don't have enough info to be sure in this case, but this has happened to me before. Most hospitals and most insurance companies have a "24 hour hold bed" policy of some sort. The patient is considered an outpatient, (and charged the lesser "hold bed" charge) even though admitted to the hospital, for the first 24 hours, or 23 hours and 59 minutes. Maybe this doc is saying that the EKG was done at that time in the admission - hour #23, minute #____. Again, use caution, and if this is the case, the doctor sure SHOULD have said "at 23 hours X minutes after" admission or clarified it somehow. But this is just food for thought, since I have had docs dictate using the number of hours since the patient was admitted, though I'm happy to say they the docs always made it known that that's the way they were counting down the hold bed time.
I would make dg meds a heading, then type Patient is still... under it. nm
Subject: I would make dg meds a heading, then type Patient is still... under it. nm
x
s/l Chanz-type injury. The patient has a fracture...sm
Subject: s/l Chanz-type injury. The patient has a fracture...sm
subluxation of the thoracic spine.
ortho help. The patient had a s/l jersey-type injury with SM
Subject: ortho help. The patient had a s/l jersey-type injury with SM
disruption of the profundus tendon of her left ring finger. TIA
Does this patient have cancer? If so, do they state what type? Almost sounds like a new drug
Subject: Does this patient have cancer? If so, do they state what type? Almost sounds like a new drug
therapy? It would help to know the diagnosis. Does the doc state what the diagnosis is?
s/l "cyberun" Maybe some type of chart record? Dialysis patient sm
Subject: s/l "cyberun" Maybe some type of chart record? Dialysis patient sm
States: "Review of report in ____ suggests..." Again later in dictation: "Although this is not charted in ____. "
Patient with pruritic rash. No known exposures to s/l dosica dendron type plants.
Subject: Patient with pruritic rash. No known exposures to s/l dosica dendron type plants.
blood transfusion: 3 units s/l spectra blood cells
Subject: blood transfusion: 3 units s/l spectra blood cells
doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM
Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
Subject: Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
nm
same here. Type out numbers at beginning of sentences. Otherwise type numeral if in sentence itself.
Subject: same here. Type out numbers at beginning of sentences. Otherwise type numeral if in sentence itself.
nm
OB patient - s/l The patient has a 'null' sign.
Subject: OB patient - s/l The patient has a 'null' sign.
which is preferred ~ diabetes mellitus type II or type 2?
Subject: which is preferred ~ diabetes mellitus type II or type 2?
I get confused, how do you type out grade, class, type SM
Subject: I get confused, how do you type out grade, class, type SM
I forget which ones use Roman and which do not. TIA
When doctor says tib-fib, do you type it like that or do you type tibiofibular? Thanks
.
Siewart type I or Siewert type I
Subject: Siewart type I or Siewert type I
When I google it, I'm finding both. Cannot locate it in a Stedman's book. Doctor spells with "a" but you can't always go by the spellings!
How do I type this particular type of dialysis bath? sm
Subject: How do I type this particular type of dialysis bath? sm
Doc is an ESL and unclear, but it s/l he is saying "...using a 3 K 21/2 bath." I have never had this in a report and after googling, am still as clueless as I was. I cannot find it in AAMT, either. Any help would be appreciated. Thank you!
acromion process - type 2 or type II
Subject: acromion process - type 2 or type II
Could it be hollowing-type or hollow-end-type? - nm
Subject: Could it be hollowing-type or hollow-end-type? - nm
xx
how to type out Type I Aortic aneurysm
Subject: how to type out Type I Aortic aneurysm
Would you use a roman numeral for Type I Aortic aneurysm or use Type one or type 1 ... I am thinking it is Type I but I am unsure. I am new to this all. Thanks for any help.
I would type it under PLAN and type what is dictated.
Subject: I would type it under PLAN and type what is dictated.
I have had that happen to me before, and I was told by QA to not move things around in the report, maybe that is the same for you, but if I were typing this report, I would type it in the order as is dictated, even if that means typing it under the heading PLAN. Also, his vitals were probably taken at the end of the exam as they were repeated, so it would make sense to type them again under that heading. Hope that helps!
A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
Subject: A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
nm
Type II diabetes vs. Type 2....sm
Still running into confusion about this....which is it? If Type 2, was this a medical community change accepted by all?
Could it be pincer-type and cam-type?
Subject: Could it be pincer-type and cam-type?
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Type 2 DM or type II DM, which is correct? nm
Subject: Type 2 DM or type II DM, which is correct? nm
what type of dictation do you type?
Subject: what type of dictation do you type?
It might help to know the specialty. I am finding a lithiasis, but I don't think it would relate to gonorrhea, are you sure it is gonorrhea?
how to type a blood type
Subject: how to type a blood type
simple question but how is a blood type transcribed .. such as 0+ .. is there a space between the 0 and + or is the word positive typed out? Thanks for your help.
ONCOtype, ONCO type, ONCO Type, found all three...
Subject: ONCOtype, ONCO type, ONCO Type, found all three...
nm
MRI of the C-spine - which is correct Modic type II changes or Modic type 2 changes.....nm
Subject: MRI of the C-spine - which is correct Modic type II changes or Modic type 2 changes.....nm
pincer-type nail or pincher-type nail? nm
Subject: pincer-type nail or pincher-type nail? nm
Patient given PPD - sm pls
Subject: Patient given PPD - sm pls
Patient given PPD S/L "agreed" or "read" within the next 72 hours.
Patient does have a UTI but would it
Subject: Patient does have a UTI but would it
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