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drug help/ S/l ace-tren-am 1 g IV q 12 hours (gangrene BKA)

Posted By: Please help. Thank you. on 2005-12-13
In Reply to:

Subject: drug help/ S/l ace-tren-am 1 g IV q 12 hours (gangrene BKA)




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Drug s/l biteral 14 mg patch changed every 24 hours. TIA
Subject: Drug s/l biteral 14 mg patch changed every 24 hours. TIA


We will do neurochecks q 1 hour for 8 hours and then 2 q hours X 4.
Subject: We will do neurochecks q 1 hour for 8 hours and then 2 q hours X 4.


So, 1 1/2 hours of dictation should only take 3-4 hours to transcribe. sm
Subject: So, 1 1/2 hours of dictation should only take 3-4 hours to transcribe. sm

then what in the H**l am I doing wrong. I just did 1 1/2 hours of dictation with 1350 line count and it took me like 12 hours. I did 4 hours last night uninterrupted. the rest this morning with little interruptions from my child (dh was home) and a couple breaks and lunch.

I thought 1350 lines were supposed to be full time work. That is what I have been hearing from so many people.

Now I am confused and really feeling like a failure as an MT. Maybe this is not my profession!
gangrene
Subject: gangrene

s/l pornease gangrene -- any suggestions? It is a diagnosis.
Fournier gangrene
Subject: Fournier gangrene

x
"ferniated" gangrene?
Subject: "ferniated" gangrene?

Necrotizing soft tissue infection. Second finding on incision and debridement operative note sounds like "ferniated" gangrene.


Patient with gangrene of foot. On exam, the entire foot is ulcerated with s/l us-i-nest debris.
Subject: Patient with gangrene of foot. On exam, the entire foot is ulcerated with s/l us-i-nest debris.

:-)
q.4 hours
Subject: q.4 hours

You should ask your employer about account specifics, but the way I was taught was that if "hours" is dictated, then you should put "hours" and not "h."
8 20 hours ?
Subject: 8 20 hours ?

How do you type that? 0820?
Standard would be 24-48 hours from what
Subject: Standard would be 24-48 hours from what

I have done all of these years, but some physicians will allow you more time as long as you are reliable.  It also depends upon whether they use it for billing purposes. 
Just saw your post (hours later) - thanks so much.
Subject: Just saw your post (hours later) - thanks so much.

I will make a note of this site.
0710 hours - the zero goes in.
Subject: 0710 hours - the zero goes in.


0820 hours
Subject: 0820 hours

Military time
0618 hours
Subject: 0618 hours

Military time is based on a 24-hour clock. "06" is 6 a.m. 6 p.m would be 1800 hours. You just add or subtract 12 to the time on the clock after noon to get the p.m. times.

I hope this clarifies. If you have any other questions, plase feel free to ask and I'll try to explain better.
q as in q 4 hours, period or no?
Subject: q as in q 4 hours, period or no?


how to write..Lovenox 1 mg/kg sub q 2 12 hours.thanks
Subject: how to write..Lovenox 1 mg/kg sub q 2 12 hours.thanks


OH MY GOD JUST SHOOT ME NOW... can you tell I have been typing for 12 hours. Thanks so very much!
Subject: OH MY GOD JUST SHOOT ME NOW... can you tell I have been typing for 12 hours. Thanks so very much!


med s/l pentinil patch 25 mcg q. 72 hours. sm
Subject: med s/l pentinil patch 25 mcg q. 72 hours. sm

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I don't use either anymore - "every 6 hours..."
Subject: I don't use either anymore - "every 6 hours..."


Oh my God. Been typing too many hours and I must be brain dead to not see that. Thanks.
Subject: Oh my God. Been typing too many hours and I must be brain dead to not see that. Thanks.


time to type 1.5 hours of dictation..
Subject: time to type 1.5 hours of dictation..

It usually takes me twice the time to transcribe the work.  If the doc is easy and you can go right from one template/document to the next, it should only take you like 4 hours at the most.  10-12 hours is an awful long time.  What kind of interruptions are you getting.
What is the correct way to type "q 4 hours?" I have never typed
Subject: What is the correct way to type "q 4 hours?" I have never typed

 on a verbatim account before and have always typed "every" when I heard "q" unless it was "qhs" and then I typed "at bedtime." Thanks in advance.


I've always written out the word hours
Subject: I've always written out the word hours

if it's dictated.  If it's not dictated as part of the time, I don't add it.  Some dictators will just say *0-8-hundred* and I just transcribe it 0800. 
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Subject: mph is the correct way to abbreviate miles per hours, however,

if that is what he dictates, then I would use mph, or you can also spell it out miles per hour, both are acceptable, sometimes also depends on the client preference.  If you spell it out though, you can get more characters for your line count!
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Subject: It is q.4 h. - I have to type q.4 hours, client's specific...nm

nm
Ordered for albuterol inhaler "H F A" 2 puffs q.4 hours prn. nm
Subject: Ordered for albuterol inhaler "H F A" 2 puffs q.4 hours prn. nm


You're welcome, I am actually shocked that my brain is still working after 11 hours!
Subject: You're welcome, I am actually shocked that my brain is still working after 11 hours!


Med s/l hydrocodon 1-1/2 teaspoon every 6 hours as needed for cough.
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Subject: Pt with asthma on s/l Buta vent 1 to 2 puffs every four hours. nm


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I have seen this in hospital; means the urine values 3 hours after time of collection....nm
Subject: I have seen this in hospital; means the urine values 3 hours after time of collection....nm

nm
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Subject: with time are you supposed to put the word hour after the time, i.e. 1600 hours

nm
American Drug Index has sinografin. Buy a drug book or use rxlist.com
Subject: American Drug Index has sinografin. Buy a drug book or use rxlist.com

:
drug help..she has been on s/l Pro-max-in and Cipro I.V. therapy. Dr. recommended 2 drug I.V. sm
Subject: drug help..she has been on s/l Pro-max-in and Cipro I.V. therapy. Dr. recommended 2 drug I.V. sm

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You look it up in a DRUG BOOK. The BOS is not a drug index. nm
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nm
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Subject: Do you hear ??-eluting stent, like drug-eluting, or maybe name of drug? (NM)

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drug help

s/l atilad    this one is under pt's current med list, so I do not know what it treats.


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Subject: One more a drug

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drug help
Subject: drug help

Drug in med list that sounds like 'taxilate' or 'paxilate.'  TIA


RE: Drug Help
Subject: RE: Drug Help

Could it be Kayexalate (potassium supplement)?
drug help
Subject: drug help

 


   sounds like "albuterol unit dose HA-10 b.i.d."  HA-10??  Any ideas?  TIA.


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Subject: Drug that s/l die-klo-fen-all...

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drug help SM TIA
Subject: drug help SM TIA

med list: px is on Celebrex, carisoprodol, and *milne - kayceon" for double-blind study twice a day. TIA!
drug help please
Subject: drug help please

The nurse spells out s/l "fluorescit" or could be "sluorescit".  She does not pronounce it or give any other information.  All I know is that this is the patient's allergy.  TIA. 
drug help SM TIA
Subject: drug help SM TIA

px uses albuterol and Xopenex. when he flares he uses Pulmicort, Rhinocort, and *tammaz (spells it t-a-m-m-a-z)*.