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

Posted By: Jan on 2008-01-15
In Reply to:

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.


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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!
Might be cloth patch. I was thinking of post op patch. Sorry. nm
Subject: Might be cloth patch. I was thinking of post op patch. Sorry. nm


Type of (med) patch s/l literem patch
Subject: Type of (med) patch s/l literem patch


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!


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
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
Kugel Mesh Patch or Composix Kugel Mesh patch..nm
Subject: Kugel Mesh Patch or Composix Kugel Mesh patch..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
? patch
Subject: ? patch

The only patch I can think of is a blood patch (I had 3 that didn't work), but that's in the L/S.  It was after a myelogram, which I would NEVER have again. 
Kugel patch
Subject: Kugel patch


type of patch
Subject: type of patch

Used during angioplasty, sounds like "ki-doe-seal"
s/l blood patch ? sm
Subject: s/l blood patch ? sm

 States "She had post myelogram headaches and CSF leak.  She ultimately underwent _____ and her current headaches have resolved."  


 


 


s/l Wittenan patch
Subject: s/l Wittenan patch

Female patient status post MVA with "multiple abdominal washouts, s/l Wittnan patch or Whitnan patch closure "  googled it and cannot find
Wittman patch ? sm
Subject: Wittman patch ? sm

Found some hits but not 100% sure of the spelling.  Here's one of the websites


 


http://www.emedicine.com/med/topic2737.htm


Sorry, but Lyderm is not a patch
Subject: Sorry, but Lyderm is not a patch

yes it is a topical corticosteroid but the poster mentioned the word PATCHES and Lidoderm is a patch.
Lyderm patch
Subject: Lyderm patch

a corticosteroid for local irritation
It would be Lidoderm patch but
Subject: It would be Lidoderm patch but

not sure on the alcohol topian? I will keep on thinking about that one for you. May be someone else can get that.
Vivelle patch?
Subject: Vivelle patch?

Estradiol is a form of estrogen, a female sex hormone the regulates many processes in the body.


Estradiol transdermal skin patches are used to treat certain symptoms of menopause such as dryness, burning, and itching of the vaginal area. Estradiol transdermal also reduces urgency or irritation of urination. Estradiol skin patches are also used to treat ovarian disorders, infertility, and abnormal vaginal bleeding. Some estradiol skin patches are used to prevent postmenopausal osteoporosis. Transdermal skin patches release the drug slowly, and it is absorbed through your skin.


Estradiol transdermal may also be used for purposes other than those listed in this medication guide.


elvevel patch
Subject: elvevel patch

does anyone know what the correct spelling is.  Elvevel patch.  I don't know what it's for.


thanks!


try "Carrel" patch .nm
Subject: try "Carrel" patch .nm

.
Carrel patch.
Subject: Carrel patch.


vival patch?
Subject: vival patch?

vival patch for hormone replacement therapy?  has anyone come across this?  Thanks!!


a surgical patch
Subject: a surgical patch

This sounds like grand or gran or something along that line.


perforation of the duodenal ulcer which was closed using a ___ patch


THX in advance!


kcl and hormone patch
Subject: kcl and hormone patch

is it separate ie KCL, hormone patch?
durotesy patch?
Subject: durotesy patch?


a history of lumbosacral spinal stenosis for which she is on durotesy patch


sounds like Dur-o-tea-see patch


Vivelle-Dot is a patch
Subject: Vivelle-Dot is a patch

Might want to google for more info
Vivelle-Dot patch
Subject: Vivelle-Dot patch

x
fentanyl patch
Subject: fentanyl patch

nm