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

Posted By: Deborah on 2007-09-05
In Reply to:

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




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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!
Lovenox nm
Subject: Lovenox nm

x
Lovenox b.i.d.?
Subject: Lovenox b.i.d.?


Lovenox
Subject: Lovenox

Lovenox is usually given q.12-24 h.  Are you sure you are hearing it right? I'm thinking it's probably:


Lovenox 1 mg/kg subcutaneously q.21 h.


Lovenox is a thrombolytic?
Subject: Lovenox is a thrombolytic?


Yes there is a Lovenox 40 mg injection
Subject: Yes there is a Lovenox 40 mg injection


it IS Lovenox 40 mg subcutaneously.....
Subject: it IS Lovenox 40 mg subcutaneously.....


Could be "enoxaparin (Lovenox)" and Coumadin
Subject: Could be "enoxaparin (Lovenox)" and Coumadin


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?


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

DX: Osteoarthritis, left knee septic arthritis, morbid obesity, hypertension, type 2 diabetes mellitus – uncontrolled, mild hyponatremia, hypokalemia, anemia of chronic disease, gastritis, hypomagnesemia, constipation, migraine headache, hypothyroidism, chronic obstructive pulmonary disease/asthma – oxygen dependent, coronary artery disease, status post coronary artery bypass graft October, 2007, prior GI bleed, appendectomy, cholecystectomy, hysterectomy, and new diagnosis of dementia with delirium and generalized anxiety disorder.
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.


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


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. 
mph is the correct way to abbreviate miles per hours, however,
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!
It is q.4 h. - I have to type q.4 hours, client's specific...nm
Subject: It is q.4 h. - I have to type q.4 hours, client's specific...nm

nm
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


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.
Subject: Med s/l hydrocodon 1-1/2 teaspoon every 6 hours as needed for cough.


Pt with asthma on s/l Buta vent 1 to 2 puffs every four hours. nm
Subject: Pt with asthma on s/l Buta vent 1 to 2 puffs every four hours. nm


Thx ladies. Doesn't fit. I seem to be trapped in a 6 min dictation nightmare taking 1-1/2 hours :
Subject: Thx ladies. Doesn't fit. I seem to be trapped in a 6 min dictation nightmare taking 1-1/2 hours :(


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

nm
Thank you, I will also write this down.
Subject: Thank you, I will also write this down.

x

How do you write this....
Subject: How do you write this....

When the dictator says, "enclosure and copy cc to"...


Thanks!


how to write this.....
Subject: how to write this.....

one more question for today.........


How do I correctly write the 1-to-100,000 in this sentence?.........


2% Xylocaine with 1-to-100,000 epinephrine was injected subcutaneously


how to write something please....
Subject: how to write something please....

MRA: Abdominal aorta.  No evidence for renal artery stenosis.  OR


MRA abdominal aorta.  No evidence for renal artery stenosis.


The doctor started out with the ECG findings then went to this.  Or would this go under the ECG heading?  Thanks


 


How to write it:
Subject: How to write it:

1:1,000 as a ratio
How to write Q.o.d.
Subject: How to write Q.o.d.

q. o.d. or Q.o.d. or qod?


I cannot find that one in BOS.


Thanks!


How would you write this? sm
Subject: How would you write this? sm

"When he Valsalvas I can appreciate the hernia..."  Would it be Valsalva's or valsalvas, or what?  TIA
Not sure how to write this
Subject: Not sure how to write this

generally a one-on-one student-faculty rotation. Should I have the hyphens between all of these or just one on one? Not sure which would be correct. This is a letter of recommendation and need to be correct with it.


Thanks


Write it out per BOS II. nm
Subject: Write it out per BOS II. nm

s
Thank you. I will write that one down!! nm
Subject: Thank you. I will write that one down!! nm


Don't know how to write this...
Subject: Don't know how to write this...

Patient has had recent diagnosis of diabetes with recent hemoglobin A1c over 12. 


 


Thanks in advance!


how to write JVP
Subject: how to write JVP

JVP is estimated at 8-10 cm of water at 90 degrees?  Is this correct?  I have never heard this type of description before.
how would you write this?
Subject: how would you write this?

The final diagnosis was a "grade 2 of 3" mixed glioma

Would you write "2 of 3" or would you write 2/3?

I wasn't sure...thanks!
How do you write....
Subject: How do you write....

an expression of solution such as if dictated like one to one thousand, would I write is like this 1:1000?
how do I write this?
Subject: how do I write this?

How do I write the "eight two fraction" part???



The patient does have a hypochromic microcytic anemia and her hemoglobin electrophoresis does show a reduced hemoglobin A with an increased "8, 2 fraction" and increased hemoglobin F, all compatible with her history of beta thalassemia


How to write this . . . SM
Subject: How to write this . . . SM

Platelets are elevated at "twelve sixty eight"

12.68 ?