thanks - i usually do ER notes so not familiar with that!
Posted By: ER MT on 2006-04-18
In Reply to: Kochers - Another OP Lover
Subject: thanks - i usually do ER notes so not familiar with that!
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- help please ! - er mt
- Kochers - Another OP Lover
- thanks - i usually do ER notes so not familiar with that! - ER MT
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Nurses' notes or nurse's notes or nurses notes?
Subject: Nurses' notes or nurse's notes or nurses notes?
I am so confused on this one. I have typed it several different ways over the years. Do I really need to put any apostrophe in there at all? Thanks!
Nurse's notes reviewed or nurses notes reviewed? nm
Subject: Nurse's notes reviewed or nurses notes reviewed? nm
x
not familiar with this
Subject: not familiar with this
evidence of cortical insult involving the left frontal s/l pariculum or friculum of the left parietal occipital junction 
cannot find this word anywhere regarding the brain . . . 
Are you familiar with
Subject: Are you familiar with
the site OneLookDictionary?
http://www.onelook.com/?w=inference&ls=a
Psychiatrist and any MDs with PhDs tend to use huge vocabularies of regular English words, and with psych at least they repeat them a lot, so it's best to just bite the bullet and look them up.
That seems familiar.
Subject: That seems familiar.
It seems like I've typed it long ago and it's something like Trousseau, but not sure if it's what you're looking for. I'll see if I can find the correct spelling.
The more you do it the more familiar
Subject: The more you do it the more familiar
it will become. Don't give up. We have all been there.
not familiar
Subject: not familiar
could it be Accu-Pak? this is a unit dose blister pack.
I am not familiar
Subject: I am not familiar
but I only find DHE-45. What is the MF?
Anyone familiar
Subject: Anyone familiar
with toxicology? I have a patient who has insecticide inhalation with a diagnosis of organophosphate toxicity. They are intubating him and are using atropine to dry up secretions, but the doc states that if this does not work that "s/l two pan or tupan" would be the second medication of choice??? Any ideas, what "two pan" could be. I have googled to no avail. TIA
Not familiar - can someone help?
Subject: Not familiar - can someone help?
Patient is G2, P2. But then goes on with s/l 0-0-2. How is this typed? Thanks!
Thank you! I'm not familiar with that - I think I'm
Subject: Thank you! I'm not familiar with that - I think I'm
getting stupid as time goes by!
op notes
Here is a list from my favorites. Hope they are a little bit helpful. I think they are all still good sites.
Op note sites:
http://www.mt-stuff.com/ent.html
http://mtdesk.com/gen.shtml
http://www.medical-library.org/journals2a/tubal_ligation.htm
http://www.mtdaily.com/samples.html
http://www.nezhat.com/oplap_abst.htm
http://www-personal.umich.edu/~aalin/vitalsigns/contentappendix/cntappsamplenotes.html
op notes
Subject: op notes
I have never encountered such a rule. I don't generally listen to where the dictators want their paragraphs, though. They usually put in way too many. I start a new paragraph after the prep and drape description and a I start a new paragraph for the closing of the wounds. I add new paragraphs when the surgeon is addressing a new area. That's just my style of transcribing. I'm not saying it's the right way to do it. It just makes sense to me and I would think it is easier to read and comprehend that way.
take notes!
Subject: take notes!
Whenever I have to spend a lot of time looking something up, I make sure to write it down. It's worth it.
I don't do op notes! LOL
Subject: I don't do op notes! LOL
Thanks SO much..it sounded so familiar sm
Subject: Thanks SO much..it sounded so familiar sm
and that has to be it. She does have a history of depression among other things.
THANKS!
Not familiar with this phrase
Subject: Not familiar with this phrase
In surgery, surgeon said he
elevated the pectoralis major with the serratus anteriorly in one __________ swoop. The word in the blank S/L "fell" ... it a mastectomy... TIA!
Sontag seems familiar..
Subject: Sontag seems familiar..
Can anyone verify it?
U-R-N or saying "urn?" Not familiar at all. nm
Subject: U-R-N or saying "urn?" Not familiar at all. nm
s
Anyone familiar with the term
Subject: Anyone familiar with the term
"PVMs soft and supple" in reference to examination of a patient who is complaining of back pain? Could this be short for paravertebral muscles?
Thanks in advance.
Not familiar. Can we have this sentence and the one that
Subject: Not familiar. Can we have this sentence and the one that
s
Not familiar. Where in the abd is he when he's saying this, near what organ(s)? nm
Subject: Not familiar. Where in the abd is he when he's saying this, near what organ(s)? nm
s
not familiar with ENT problems?
Subject: not familiar with ENT problems?
I know first-hand that chronic sinus problems can cause cerumen impactions - I go through this several times a year myself and have typed ENT work for years.
This sounds familiar
Subject: This sounds familiar
Doc dictating s/l intrasuseption (? sp)repair of the abdomen. I remember something like this in school but have never had it since. Can anyone verify this? Thanks.
No. I am familiar with Sjogren's. That's not it but thanks.
Subject: No. I am familiar with Sjogren's. That's not it but thanks.
I'm not familiar with it, but I'm finding...
Subject: I'm not familiar with it, but I'm finding...
HBeAg for hepatitis B e-antigen, so I would probably type it as "hepatitis B-e" - but again I've never come across it myself.
Resources for OP notes?
Subject: Resources for OP notes?
Is there anyone here who does operative notes and gynecology notes who could give me some websites to use for resources? I am on an OB/GYN account and have operative notes. I have trouble sometimes with the specific surgical instrument names and would greatly appreciate any help. Thanks in advance.
Resources for OP notes?
Subject: Resources for OP notes?
My suggestion would be to purchase (if you do not already have)OB/GYN, equipment and surgical word books (Steadman's) my choice and you would be equipped to better perform your job.
OP notes resources
Subject: OP notes resources
I would do that but we are on a tight budget as we just bought a house and are getting in married in september.
Paragraphs in Op notes
Subject: Paragraphs in Op notes
I have noticed that when I transcribe an Op note as the dictator dictates it, starting a new paragraph as dictated...that QA always removes the spacing between the paragraphs.
Is there some rule in transcription that you don't break an op note into paragraphs? The client profile does not say anything about this.
SOAP notes
Subject: SOAP notes
Was wondering if there are any websites out there that gives sample reports for SOAP notes. Just trying to figure out which is the best way to do it with paragraphs between each heading or all scrunched together. Just want to see what is done more of. I realize it might depend on the clinic, dr, hospital, etc, but just want to get an idea.
Thanks Carla
Thanks so much! I'm taking notes!
Subject: Thanks so much! I'm taking notes!
SOAP notes
Subject: SOAP notes
transcribing for 7 1/2 week old child. Dictator states fontanels are flat, sound like "contrapendalence" are normal.
I have parascapular in my notes.
Subject: I have parascapular in my notes.
Think just nurses notes. IMO. nm
Subject: Think just nurses notes. IMO. nm
Nurse's notes..
Subject: Nurse's notes..
An apostrophe shows ownership. :-)
I am familiar with it, but hadn't heard...
Subject: I am familiar with it, but hadn't heard...
of it on tonsil balls. Thanks, though.
Anyone familiar with a medication named
Subject: Anyone familiar with a medication named
Don't suppose you could get pituitary out of that?:) All I'm familiar with! nm
Subject: Don't suppose you could get pituitary out of that?:) All I'm familiar with! nm
.
Do you have any samples of this doc? Not sounding familiar. nm
Subject: Do you have any samples of this doc? Not sounding familiar. nm
s
Not familiar with form, but could it be raw score?
Subject: Not familiar with form, but could it be raw score?
x
That's what I did. Was hoping it looked familiar to someone -
Subject: That's what I did. Was hoping it looked familiar to someone -
I bet that was it. Not familiar at all, I gave up and blanked it.
Subject: I bet that was it. Not familiar at all, I gave up and blanked it.
Not familiar with cardio - question
Subject: Not familiar with cardio - question
EKG showed sinus tachycardia with a heart rate of 108. Normal intervals. She did have some T-wave inversions in V3 through V6 as well as lead III.
Question: Roman numerals regarding lead?
I have come across both III and 3 when doing a search but seems like it should be III. Thank you.
No, that doesn't sound familiar..BUT..
Subject: No, that doesn't sound familiar..BUT..
Here is a link to an awesome website it contains almost every piece of surgical equipment known to mankind. I couldn't find gyrus cautery, though, so maybe he is saying something else. Can you give the whole sentence?
P.S. This website also has links to operative reports that you can use for samples. Good luck!
http://www.mtdesk.com/glossary/
Does anyone know a good website for op-notes...
Hi, does anyone have any websites that are good for surgical words? I have limited books, try to use Int. for most everything. I use surg. instrument sites to look up tools, but not always successful or spend too much time looking through their quite extensive catalog. Thanks for your help...Suzy
Does anyone know a good website for op-notes...
Does anyone now a good website or two for surgical notes? I at times use a surgical instrument site but if I don't know how to spell something, I have to look through extensive catalog listings...or if I get a foreign accent and can't make out what he is saying, then I have big problems, so a site that has sample notes would be a big help too. Thanks for your help. Suzyq
Can you look at the doc's other notes and see how he words his/her followups? ...maybe something
Subject: Can you look at the doc's other notes and see how he words his/her followups? ...maybe something
s
thank you very much, I will write that in my future notes
Subject: thank you very much, I will write that in my future notes
Good luck to you then!! Op notes are a sm
Subject: Good luck to you then!! Op notes are a sm
whole nother mess!! Do you have these sites for equipment, latest things etc?
http://www.medcompare.com/
======================
Another good site:
http://www.surgical911.com/
No, I cannot confirm. I have some personal notes
Subject: No, I cannot confirm. I have some personal notes
that I make and had Segund in them.
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