Type whatever he dictated.
Posted By: (NM) on 2008-08-23
In Reply to: Would it be appropriate to say cervical paraspinal or cervical paraspinous? SM. TIA. - akhan
Subject: Type whatever he dictated.
x
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We type it as dictated, if dictated
Subject: We type it as dictated, if dictated
c spine we transcribe C-spine, if cervical then cervical spine.
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!
I always type it the way you have it if that's the way it's dictated. sm
Subject: I always type it the way you have it if that's the way it's dictated. sm
Of course, go by your account specifics. If you can change it, some do. I always just type what they say and it keeps me out of trouble. :)
I would just type as dictated. nm
Subject: I would just type as dictated. nm
i would type as dictated.
Subject: i would type as dictated.
x
I'm with you, I type what is dictated. sm
Subject: I'm with you, I type what is dictated. sm
It is not my place to decide what the doctor means. I am not in any way offended by what he/she dictates.
You are correct, pus-like is not the same as pussy.
If they say the F word, I type the word, not asterisks in place of letters, because it's a direct quote from the patient. I do not change direct quotes.
Anybody who is offended by typing a word is putting way too much of their personal life into their work.
No, you type it as dictated.
Subject: No, you type it as dictated.
I type it as dictated.
Subject: I type it as dictated.
x
Just type it as dictated as it can mean more
Subject: Just type it as dictated as it can mean more
x
that is correct; type as dictated.
Subject: that is correct; type as dictated.
x
Same meaning - I would type as dictated
Subject: Same meaning - I would type as dictated
nm
If it is dictated clearly, I would type mid otitis.
Subject: If it is dictated clearly, I would type mid otitis.
Another way to say otitis media, albeit an uncommon one.
If dictated as C3/4/5 I would type it like that. Found you some examples. sm
Subject: If dictated as C3/4/5 I would type it like that. Found you some examples. sm
PDF] NON-OPERATIVE INTERVENTIONS
File Format: PDF/Adobe Acrobat - View as HTML
Cervical or Thoracic -- Transforaminal (Selective Nerve Root Block / Selective Epidural) ... bilateral, single level [C3-4 joint] [T4-5 joint] ...
www.theassr.org/pdf/codes_interventions.pdf - Similar pages |
[PDF] Techniques of epidural cannulation
File Format: PDF/Adobe Acrobat
epidural block is determined by the concentration and type of local ... the phrenic nerve outflow is blocked (C3/4/5) by local anaesthetic drugs, ...
www.extenza-eps.com/MPC/ doi/abs/10.1383/anes.5.5.152.34000 - Similar pages |
Cervical spondylotic myelopathy in elderly people: a high ...
CONCLUSIONS: A high incidence (95%) of focal conduction block at C3-4 or C4-5 with normal conduction at C5-6 and C6-7 characterises cervical spondylotic ...
www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve& db=PubMed&list_uids=10201416&dopt=Abstract - Similar pages |
[PDF] I nterventional Neuroradioliogy
File Format: PDF/Adobe Acrobat - View as HTML
vieHSvertebroplasty atT8 with epidural cement. F19.3, 4. Workstation reconstruction 01 the 3D CT ... mass nerve block is illustrated, and a C3/4 facet ...
www.visions-journal.com/GB-2003-V04/ S-16-20.pdf?PHPSESSID=12cfdacbc7ed1637eae12f702b51b6ed - Similar pages |
If you are on a verbatim account, type exactly what is dictated.
Subject: If you are on a verbatim account, type exactly what is dictated.
If you sense a discrepancy, you can flag it for your QA department.
I am on a verbatim account so I have to type it either way it is dictated L4-L5 or L4-5. As far OB/G
Subject: I am on a verbatim account so I have to type it either way it is dictated L4-L5 or L4-5. As far OB/GYN, G2, P3 or gravida 2, para 3 means with the 3-0-0-2: 3 live births, 0 preterm births, 0 miscarriages, 2 living children
I personally always type as dictated, unless told otherwise. nm
Subject: I personally always type as dictated, unless told otherwise. nm
Just as you have it if that's what was dictated. If "one fourth" was dictated, sm
Subject: Just as you have it if that's what was dictated. If "one fourth" was dictated, sm
it would be 1/4 pill or one fourth of a pill.
Def an 'N' dictated - Diabetes unsure of - no PMH dictated
Subject: Def an 'N' dictated - Diabetes unsure of - no PMH dictated
for PA- DICTATED BY PA's name...nm
Subject: for PA- DICTATED BY PA's name...nm
x
Dictated 427 rbc's and 58 rbc's
Subject: Dictated 427 rbc's and 58 rbc's
what was dictated; if not, do it your way...NM
Subject: what was dictated; if not, do it your way...NM
x
what was actually dictated?
Subject: what was actually dictated?
This was just also dictated under sm
Subject: This was just also dictated under sm
past surgical history, but STILL sounds like dragon pack. This is going to drive me nuts!!!!
exactly as dictated.
Subject: exactly as dictated.
x
L4-5 if that is what is dictated NM
Subject: L4-5 if that is what is dictated NM
xxx
Thanks! He only dictated one N
Subject: Thanks! He only dictated one N
Thank you!
If that is what he dictated, then that is
Subject: If that is what he dictated, then that is
what you use, even though it is usually esophagogastroduodenostomy; however, maybe duodenum has been removed so therefore could be.
Just like he dictated it.
Subject: Just like he dictated it.
x
Yes, as dictated. (nm)
Subject: Yes, as dictated. (nm)
.
I'm not sure if this is one or two drugs being dictated. SM
Subject: I'm not sure if this is one or two drugs being dictated. SM
I will refill her Armour Thyroid and her s/l modratic and estrace
or maybe it s/l modratic in estrace??? any clue what this is ???
do it, regardless if dictated differently...nm
Subject: do it, regardless if dictated differently...nm
x
Whichever way it was dictated. nm
Subject: Whichever way it was dictated. nm
x
it depends on how it is dictated...sm
Subject: it depends on how it is dictated...sm
6600 (no comma) or 6.6 if they say it that way; if they say 6.6 thousand then you give them *6.6 thousand*
give them what was dictated as the pt probably...nm
Subject: give them what was dictated as the pt probably...nm
It's okay. I'd transcribe it as dictated. nm
Subject: It's okay. I'd transcribe it as dictated. nm
/
You don't add in mg or mcg, etc. unless it's dictated. The docs know
Subject: You don't add in mg or mcg, etc. unless it's dictated. The docs know
s
lasered, as dictated
Subject: lasered, as dictated
.
SGOT dictated: 4-2-6 T: 426 or 4.26
Subject: SGOT dictated: 4-2-6 T: 426 or 4.26
SGOT dictated: 4-2-6 T: 426 or 4.26. same with SGPT dictated 1-1-9 T: 119 or 1.19
I have only used galactorrhea as dictated. nm
Subject: I have only used galactorrhea as dictated. nm
I don't think that would be it because the dr who dictated it is a urologist.
Subject: I don't think that would be it because the dr who dictated it is a urologist.
Earlier in the note, the dr said he did not get an s/l osbot or ozbot appt.
Complete hx not dictated
Subject: Complete hx not dictated
Thanks! Kept your info for future reference. Endo doc just dictated as part of hx; did not elaborate, so not sure.
Never heard it dictated but (sm)
Subject: Never heard it dictated but (sm)
I have heard of some hollistic remedies that include a clorox soak of the feet for yellow nails however normally the docs order Lamisil (terbafine hydrochloride). Just my two cents sorry I couldn't be more help.
five-way CABG if that is what he dictated. nm
Subject: five-way CABG if that is what he dictated. nm
xx
I use rule of 2-3 min. per dictated min. (nm)
Subject: I use rule of 2-3 min. per dictated min. (nm)
x
That's all I can think of too, but the labs were not dictated.
Subject: That's all I can think of too, but the labs were not dictated.
It was most always dictated to me under abdomen.
Subject: It was most always dictated to me under abdomen.
Leave as dictated...sm
Subject: Leave as dictated...sm
I've seen them that high before. You might see transaminitis in the diagnosis or something like that.
No dosage dictated
Subject: No dosage dictated
He doesn't dictate a dosage. Only problems he had dictated were:
hematuria
benign positional vertigo
pancreatitis
Idiopathic thrombocytopenia purpura
I appreciate your help!
I would leave it as dictated,
Subject: I would leave it as dictated,
x
What was dictated just prior to that?
Subject: What was dictated just prior to that?
.
No - most likely means what he dictated. nm
Subject: No - most likely means what he dictated. nm
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