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do you have a QA dept? If so, send it to them

Posted By: if not, clean it up as best you can...sm on 2007-08-30
In Reply to: I have a psychiatrist who dictates like that. sm - Bella

Subject: do you have a QA dept? If so, send it to them

that's a poor, poor dictator FOR SURE.....I feel for ya....




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It is probably a dept name specific to
Subject: It is probably a dept name specific to

x
Maybe for your own accts, but not if you have a QA dept. that's going to pick you apart for any
Subject: Maybe for your own accts, but not if you have a QA dept. that's going to pick you apart for any

s
April - I was the exact same but worked a dept....
Subject: April - I was the exact same but worked a dept....

I worked in radiation oncology and then helped develop surgical oncology for a local hospital all during the 80s and got very familiar with all the terminology (but admit that I have trouble with all the new combo drugs that are always coming out).


It gets easier the longer you do it!!! 


seen "in" the clnic and dept "at" the hospital.
Subject: seen "in" the clnic and dept "at" the hospital.

x
should dept. (neurology, neurosurgery) be capped in the body of a report?
Subject: should dept. (neurology, neurosurgery) be capped in the body of a report?

TIA
Probably talking about report physicians file with Motor Vehicle Dept - sm
Subject: Probably talking about report physicians file with Motor Vehicle Dept - sm

When patient's have seizure disorder or passing out episodes, etc. most states want physicians to fill out a "Confidential Morbidity Report" (or name similar to that) and send to the DMV letting them know the patient has been diagnosed with condition that can cause loss of control of the vehicle -- did doctor say he counseled patient on not driving until seizures under control for x-amount of months or something like that?


Could be - I had to let it go and send it...
Subject: Could be - I had to let it go and send it...

but thanks. I had enough of her - now I have her again on another report. She says one sentence and then a pause of anywhere from about 18 to more than 80 seconds. She has aborted 3 reports now. I don't even know who she is because she doesn't give her name for the dictated for field. Grrr....
Thanks but had to send in.
Subject: Thanks but had to send in.

Do not like neurosurgery. Have done 4 craniotomies in the last 2 days and I think I need some brain surgery to think and hear better. LOL.
"romare" - trying again to send this!
Subject: "romare" - trying again to send this!

It's pulse oximetry "on room air" is 98%
I would blank both and send it in. SM
Subject: I would blank both and send it in. SM

This is no area to be guessing in, and why take chances? :)
It could be but had to send the report
Subject: It could be but had to send the report

through so I cannot listen to it again. Thanks for your help.
Thanks for the help...I had to send it, so flagged it.
Subject: Thanks for the help...I had to send it, so flagged it.

WAG!  Funny!  
I had to send report, thank you tho. nm
Subject: I had to send report, thank you tho. nm

x
Thanks. Had to send it in with blank.
Subject: Thanks. Had to send it in with blank.

I will see what my QA person comes up with.
Nevermind. Had to send in. Thanks
Subject: Nevermind. Had to send in. Thanks

....
Very unclear, but could be. I think I will send it to QA. Thanks anyways! nm
Subject: Very unclear, but could be. I think I will send it to QA. Thanks anyways! nm


I am going to send to QA. Cannot wait
Subject: I am going to send to QA. Cannot wait

to see what this could be.

Thanks for the help.
...and also send this for cytology? nm
Subject: ...and also send this for cytology? nm

nm
Had to send with blank, but thanks anyway! nm
Subject: Had to send with blank, but thanks anyway! nm

nm
Thanks for trying to help. I will just send a blank.
Subject: Thanks for trying to help. I will just send a blank.


Thanks. I had to send in with a blank, but
Subject: Thanks. I had to send in with a blank, but

I will check to see what it is. Sounds like it could probably be Cerner, but I have never come across this word before.
TY - had to send with a blank. nm
Subject: TY - had to send with a blank. nm

x
Still not sure - TY. Will have to flag and send. nm
Subject: Still not sure - TY. Will have to flag and send. nm

x
I had to flag and send. TY. nm
Subject: I had to flag and send. TY. nm

x
Thank you for that, but I had to send it to QA to check.
Subject: Thank you for that, but I had to send it to QA to check.


Here is what I meant to send..
Subject: Here is what I meant to send..

Epley Maneuvers (EM). This procedure for canalith repositioning is a painless, low-risk treatment which usually has an immediate, positive effect. By a series of gentle changes in the position of the head, the canaliths are moved to an area in the labyrinth where the balance system won't be upset.


That's a possibility, but I'm not sure. I had to go ahead and send. Thanks!
Subject: That's a possibility, but I'm not sure. I had to go ahead and send. Thanks!


Blank and send to QA - hard to tell when we can't
Subject: Blank and send to QA - hard to tell when we can't

NM
Nevermind. Had to send report in
Subject: Nevermind. Had to send report in

Thanks anyway.
mildly "injected. Do you want me to send you some
Subject: mildly "injected. Do you want me to send you some

samples of typical SOAP IM/GM notes?
Here are a couple of links for you to send them....
Subject: Here are a couple of links for you to send them....

http://72.14.253.104/search?q=cache:_yrLOF4eEkIJ:emcrit.org/pdf/Wound%2520Care%2520Syllabi.pdf+XAP+topical+pediatric&hl=en&ct=clnk&cd=13&gl=us (at bottom of page 8)  Hope this helps...When the doc spelled it for me, it was for a laceration repair on a kid.  But, if it's a dental block in the ER, they might be using ZAP for topical in the mouth.  Was something that was really confusing for me at the time, which is why I tried to get some info on it.
I feel sure that is it but I had to send it in. I flagged it. Thanks nm
Subject: I feel sure that is it but I had to send it in. I flagged it. Thanks nm

!
Thanks! Was just getting ready to send in with blank.
Subject: Thanks! Was just getting ready to send in with blank.


Hi Tx...I attempted to send you an email and
Subject: Hi Tx...I attempted to send you an email and

it was returned as undeliverable.  How may I reach you privately?
Aldomet--If it is an allergy though, better to send
Subject: Aldomet--If it is an allergy though, better to send

through with a blank, the wrong "guess" could have a direct effect on patient.
nevermind - had to send this mess nm
Subject: nevermind - had to send this mess nm

x
Nevermind -had to send it with a flag. nm
Subject: Nevermind -had to send it with a flag. nm


TY. I'll have to flag and send. :o)
Subject: TY. I'll have to flag and send. :o)


Thanks very much! Had to send in, but left a note on it. Thx again!
Subject: Thanks very much! Had to send in, but left a note on it. Thx again!


Thanks so much... Saved me from having to send this to report to QA with four blanks...

send the picture of Steri-Strips to QA....nm
nm
Have no idea. Either send to QA, flag report or sm
Subject: Have no idea. Either send to QA, flag report or sm

if you are clear on the letters being given, I would just put what is dicated.  Can't be expected to know all abbrev, a lot are just plain "coinded".
I'd send your QA person the word definitions LOL nm
Subject: I'd send your QA person the word definitions LOL nm

x
am going to send him for a s/l 3-portal arthrogram of his wrist
Subject: am going to send him for a s/l 3-portal arthrogram of his wrist

Thanks :-)
no..REMP or RAMP. I give up. Will send for QA
Subject: no..REMP or RAMP. I give up. Will send for QA


Thank you - I had to send it on, but I'll remember for next time.
Subject: Thank you - I had to send it on, but I'll remember for next time.


In North Florida we are hot hot hot and dry dry dry. Send rain. nm
Subject: In North Florida we are hot hot hot and dry dry dry. Send rain. nm


Include your email, and I'll send you the page. sm
Subject: Include your email, and I'll send you the page. sm

It's too long to put here.
I have looked at all of these but I can hear him so clearly. I'll just send it blank and have th
Subject: I have looked at all of these but I can hear him so clearly. I'll just send it blank and have them let me know what it should be.


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

s
I'll listen for that. I was just about ready to send with blank. nm
Subject: I'll listen for that. I was just about ready to send with blank. nm

nm