refer to the admission agency?? for details
Posted By: Angela on 2008-10-09
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Subject: refer to the admission agency?? for details
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HOSPITAL COURSE: Fish?? admission history and physical for details
Subject: HOSPITAL COURSE: Fish?? admission history and physical for details
BVP was 8/8...on obstetrics admission...sm
Subject: BVP was 8/8...on obstetrics admission...sm
Is BVP correct, I can't find this abbreviation anywhere??? Thanks!
ER admission note help please
Subject: ER admission note help please
The patient had diminished sphincter tone. The patient did receive cow littix prior to the exam.
This patient had been in a car accident, she was intubated, combative, and had 2 broken legs. Any ideas?
s/l MOD was called for admission. sm
Subject: s/l MOD was called for admission. sm
the patient was hemodynamically stable, s/l MOD was called for admission secondary to GI bleed. the patient was transferred to the s/l MOD service ???
What does it refer to?
Subject: What does it refer to?
maybe admission H&P (history and physical). NM
Subject: maybe admission H&P (history and physical). NM
x
refer to my second posting
Subject: refer to my second posting
It's definitely in the PE - he's in the HEENT section - refers to the eyes. Thanks for the thought though.
If his is for a class, you need to refer
Subject: If his is for a class, you need to refer
to your reference and ask your instructor. Every company arranges their formats differently.
its in a list of meds on admission, no dosage
Subject: its in a list of meds on admission, no dosage
pt has diabetes, asthma, migraines, gastroparesis
Do admission orders need to be expanded? eg. C&S, CBC, STAT
Subject: Do admission orders need to be expanded? eg. C&S, CBC, STAT
Thanks for your help.
more details?
Subject: more details?
SM for details.
Subject: SM for details.
I searched on eneel.com for words starting with "v" and ending with "age" by giving the search string v*age. I think the result could be
Vantage
but you can also check for other options by visiting the link.
more details?
Subject: more details?
!
He might. Need more details on the other.
Subject: He might. Need more details on the other.
IF OS like he's spelling it or saying it? and could you use in context?
no details
Subject: no details
Sorry about that. She is having leg pain problems (sciatica, maybe) and has taken some injections. Perhaps it could be Formadrol? I’ll relisten. Thanks.
The stocking part would refer to
Subject: The stocking part would refer to
the lower extremities, so if they are just talking about upper extremities they might just stay glove distribution. Some books show "stocking glove distribution," but I always type it "stocking-glove distribution," because it seems more logical. Otherwise it seems like the word "and" is missing to me. Then again, hyphens are being dropped all over the place, LOL.
apparently patients sometimes refer to it as H1c. sm
Subject: apparently patients sometimes refer to it as H1c. sm
Try googling H1c, lots of hits from (apparently) patients. Also, wondered if slurring could make "an A1c" sound like your HUNC ? Also found at least one reference to histoplasmosis marker of H1C.
Outpatient hold admission versus inpatient
Subject: Outpatient hold admission versus inpatient
Please read this with a little grain of salt, since I don't have enough info to be sure in this case, but this has happened to me before. Most hospitals and most insurance companies have a "24 hour hold bed" policy of some sort. The patient is considered an outpatient, (and charged the lesser "hold bed" charge) even though admitted to the hospital, for the first 24 hours, or 23 hours and 59 minutes. Maybe this doc is saying that the EKG was done at that time in the admission - hour #23, minute #____. Again, use caution, and if this is the case, the doctor sure SHOULD have said "at 23 hours X minutes after" admission or clarified it somehow. But this is just food for thought, since I have had docs dictate using the number of hours since the patient was admitted, though I'm happy to say they the docs always made it known that that's the way they were counting down the hold bed time.
just guessing, could it be admission and disch (A&D)so pt can get hospice care afterwards?
Subject: just guessing, could it be admission and disch (A&D)so pt can get hospice care afterwards?
I refer to original Tessier book. Does the new one still have sm
Subject: I refer to original Tessier book. Does the new one still have sm
Buckwalter retractor and Buchwalter retractor (rather than the correct Bookwalter?). There were several others, but I can't recall them now. I gave my book away about 15 years ago, and strictly use Stedman's Med/Surg Equipment words, Stedman's Surgery words, and Vera Pyle's latest. I think what you're seeing is an entry before Hasson was verified. The same thing happened with Steffee/Steffe and Veress/Verress. If there were two spellings for Hasson/Hassan, I would think Vera's book would clarify. Time will tell, though. Ya never know in this business.
Will add s/l moric atherene to her regimen and refer her to GI. thank u
Subject: Will add s/l moric atherene to her regimen and refer her to GI. thank u
if you have BOS2, refer to the 'editing' section sm
Subject: if you have BOS2, refer to the 'editing' section sm
It mentions editing of slang words and phrases in verbatim dictation.
I have to refer to this site practically everytime
Subject: I have to refer to this site practically everytime
http://www.writersblock.ca/tips/monthtip/tipsep99a.htm
I just bookmarked it and click on it when I need it. This site was given to me by somone on this board quite a while ago.
re: Just says for heel, no details
Subject: re: Just says for heel, no details
fistula-in-ano (SM for details)
Subject: fistula-in-ano (SM for details)
According to http://www.emedicine.com/ped/byname/Fistula-in-Ano.htm as well as other references.
meant to add details...
Subject: meant to add details...
Patient has anemia, hypertension, mrsa, diabetes, abdominal abscess. Recently underwent total colectomy, laparotomy, tracheotomy.
tisbar injection? located in a list of meds on admission
Subject: tisbar injection? located in a list of meds on admission
oncologists refer to FISH and JAK (usually JAK2) status
Subject: oncologists refer to FISH and JAK (usually JAK2) status
Hi, Amy, PORT score is for pneumonia severity on admission, predicted outcome.....nm
Subject: Hi, Amy, PORT score is for pneumonia severity on admission, predicted outcome.....nm
nm
This would be incorrect. The 'L' levels of spine refer to the lumbar area,
Subject: This would be incorrect. The 'L' levels of spine refer to the lumbar area,
x
cold could refer to the "cold weld" with the screw fixation...sm
Subject: cold could refer to the "cold weld" with the screw fixation...sm
this is all I could find. Hope this helps.
More details would help, but maybe a factor V Leiden effect? nm
,
no details known -- just listed as a medication of patient nm
Subject: no details known -- just listed as a medication of patient nm
well you didn't give any details....until now, smart***, LOL, j/k - nm
Subject: well you didn't give any details....until now, smart***, LOL, j/k - nm
Without more details, I'd transcribe: double documented.
Subject: Without more details, I'd transcribe: double documented.
.
butchiery type physiology ?? See mg for details. Thanks
Subject: butchiery type physiology ?? See mg for details. Thanks
The remainder of the liver was heterogenous on the portal phase study, which maybe due to contrast bolus. However, extension of the tumor into the right lobe cannot be excluded. Possibility of butchiery type physiology should be considered since the IVC was slit-like. Splenomegaly was noted along with ascites consistent with portal hypertension. There was evidence of focal chronic pancreatitis.
If he is going to suction out disk material, it could refer to a retractor with a side port on it.
Subject: If he is going to suction out disk material, it could refer to a retractor with a side port on it.
I know I got that one before, I just cannot specifics.
Don't you all get tired of cross-examining these people for details? NM
NM
completely *outeristic/alteristic* procedure - sm for details
Subject: completely *outeristic/alteristic* procedure - sm for details
Doc has a bit of an accent, so not sure what he is saying...
Donating a kidney should be a completely *outeristic/alteristic* procedure and that one should never feel obligated or coerced to donate.
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