we have PACS for radiology on my accounts (nm)
Posted By: XanaX on 2009-01-16
In Reply to: Patient works at the hospital as a s/l PAX technician - Thanks - nm
Subject: we have PACS for radiology on my accounts (nm)
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PACS
Subject: PACS
This is the digital x-ray system most hospitals now use. I'm positive it's PACS and stands for something like Patient Archiving Communication System. You know, no more x-rays on film but digitized. You get to carry a CD to your next doc instead of big floppy copies of your films. Don't feel badly that you didn't know it. I asked THREE different radiology techs at 2 different local hospitals when I first heard it, and none of them knew it! Had to find a radiology department head to get it. Rosie
Is this on an EKG? Maybe 5 PACs or PVCs? nm
Subject: Is this on an EKG? Maybe 5 PACs or PVCs? nm
x
PACS system
Subject: PACS system
Many, many hospitals use the PACS system and well as imaging centers. It is the electronic digital system that allows the x-rays to be viewed on a computer screen as opposed to the old school view box. They usually have an PACS administrator that oversees all problems related with the system. It now has an added dictation/transcription portion that can be purchased to go along with the system. If you are doing Radiology transcription PACS is a word you will hear alot, not so much in dictation but in film storage, etc.
Our hospital uses a PACS system for
Subject: Our hospital uses a PACS system for
x
Ever heard of PACs being treated with tetro ablation? nm
Subject: Ever heard of PACs being treated with tetro ablation? nm
nm
I have two accounts..
Subject: I have two accounts..
One actually wants "same" as the post op dx and one wants the preop dx.
I also have two accounts that want it different.
Subject: I also have two accounts that want it different.
Characters would be less for 1-9 as opposed to one through nine. It also depends on client preference. It is hard to train your fingers to do one or the other. I am old-school and have always done one through nine, 10, 11, 12, and so on. I have to retrain my fingers. I also have an account that requires I type the 1st the time the patient came in, and the other requirest the first time the patient came in.
or I should say, some accounts want (sm)
Subject: or I should say, some accounts want (sm)
you to put the s on IF it is dictated. Style preference is now without s.
I have my own accounts and they want the symbol.
Subject: I have my own accounts and they want the symbol.
They could care less what BOS has to say.
Many accounts want this expanded
Subject: Many accounts want this expanded
now because it's on the dangerous abbrev. list
I have a few former accounts that insist on cc. nm
Subject: I have a few former accounts that insist on cc. nm
b
preference of most accounts is to
Subject: preference of most accounts is to
leave off the s, except when it would make an awkward construction, e.g. the patient has Alzheimer's (in that case leave the s). But some accounts still want the s.
on my accounts, it's Cerner
Subject: on my accounts, it's Cerner
don't know if it's the same nationwide, though.
Two of my "dozens" accounts (too many!)....sm
Subject: Two of my "dozens" accounts (too many!)....sm
are private surgical hospitals, and even with laparoscopies, cystoscopies, hysteroscopies, etc., there are small 1cm incisions, but you are very correct, with either upper OR lower endoscopies (colon or sigmoid) you would have the scope directly inserted..........does anyone else get hired on for "one or two" accounts and end up with a dozen??? just wondering after all this time....
Might add I didn't do BOS on my accounts. sm
Subject: Might add I didn't do BOS on my accounts. sm
We used that abbrev all the time but I don't know if it is allowerd on BOS. nm
I use disc myself for all accounts I transcribe for...nm
Subject: I use disc myself for all accounts I transcribe for...nm
.
not all accounts use BOS....mine don't, so don't misinform--nm
Subject: not all accounts use BOS....mine don't, so don't misinform--nm
nm
if all accounts were just that easy LOL. no such luck. xx
Subject: if all accounts were just that easy LOL. no such luck. xx
xx
The accounts that I ASR are verbatim, therefore, I put exactly what they say (within reason) and if
Subject: The accounts that I ASR are verbatim, therefore, I put exactly what they say (within reason) and if a serious question arises I stick in a QA mark with the appropriate question.
I have on my verbatim accounts without being told otherwise.
Subject: I have on my verbatim accounts without being told otherwise.
This can differ by accounts. I have been asked
Subject: This can differ by accounts. I have been asked
to use subcu, subq, and one account sub-Q (which looks really weird to me!).
Calling on anyone doing psych accounts
How can I write PEC able as a word?? PEC-able, PECable, or 2 separate words? I'm about to pull my hair out with this report. ESL whose dialect is unbelievable...on ASR. Uggg! Any help appreciated.
Some accounts want no personal info
Subject: Some accounts want no personal info
at all in the report, others want pertinent people listed. It depends on the facility/account.
Per client's wishes. I have accounts where
Subject: Per client's wishes. I have accounts where
we spell liters out - 2 liters and one we use the abbreviation 2 L.
my accounts use BOS as a baseline, dictators override it. sm
Subject: my accounts use BOS as a baseline, dictators override it. sm
in retrospect, every account I've ever had has done it that way.
Thanks! Today I'm getting jobs on unfamiliar accounts
Subject: Thanks! Today I'm getting jobs on unfamiliar accounts
and specialties. Appreciate your help.
Ask your QA person. Accounts term their labs differently. nm
x
I use tib-fib, but I would say it depends on the account. Some verbatim accounts do not like abbrevi
Subject: I use tib-fib, but I would say it depends on the account. Some verbatim accounts do not like abbreviations, others want it strictly verbatim. The rest seems appropriate to me, but I would say it is dorsiflex the ankle.
If you are allowed to type superscripts (I cannot use that kind of symbols on my accounts) then you
Subject: If you are allowed to type superscripts (I cannot use that kind of symbols on my accounts) then you can put it also as 10 (superscript 5)
Personally, I would put incised and drained (unless one of those really strict verbatim accounts)
Subject: Personally, I would put incised and drained (unless one of those really strict verbatim accounts)
most accounts don't care (not as fussy as BOS authors). I have a shortcut that expands out. NM
Subject: most accounts don't care (not as fussy as BOS authors). I have a shortcut that expands out. NM
.
Please give the entire sentence/context of the word, have lost of Ortho/Surgical/Rad accounts...nm
Subject: Please give the entire sentence/context of the word, have lost of Ortho/Surgical/Rad accounts...nm
nm
Radiology help
Subject: Radiology help
Patient is status post right lobectomy and doc says (s/l) "plumbing of the costophrenic margin, clear x-ray." ------ plumbing?
Radiology
Subject: Radiology
Have a question I need help with. I work in a family practice clinic. Our x-rays are read by a hospital radiologist and transcribed at the hospital. Perhaps I am a bit anal about this but there is a term that the hospital transcriptionist uses over and over on head CT, cervical spine x-rays - the term is: Scobi structures?? I cannot find scobi anywhere in my reference material. Is anyone familiar with that term? I am thinking more along the lines of skull base structures are normal. I appreciate your input. Deb
radiology
Subject: radiology
Thanks everyone for replying. I had x-ray tech talk to the radiologist and he is saying skull base structures. Now how to tactfully tell the hospital MT. She is not always open to any corrections. I think I will let the x-ray dept take care of it. Not everyone likes corrections. I definitely want someone to correct me if I am making a mistake so I do not continue to make the same mistakes over and over!
radiology help
Subject: radiology help
I am helping out with radiology and am stuck. doing CT of abdomen/pelvis with multiple parapelvic/peripelvic cysts on both kidneys. Do I use peri or para? Thanks
Radiology help please.
Subject: Radiology help please.
Does the doctor usually say---the uterus and adnexa is unremarkable? thanks!
radiology
Subject: radiology
Should be uterus and adnexa ARE .....
radiology help
Subject: radiology help
s/l reghitti There is a reghitti high signal involved in the anterior lateral,
is that correct, can't verify.
radiology help
Subject: radiology help
Urinary bladder is distended and ***** S/L SPO-ZEN CON-SULA any ideas? thanks
radiology help please!!!
Subject: radiology help please!!!
The axial images show the thickness of the * and some articular cartilage and popliteal spaces are normal. (MRI of the right knee) S/L polse. any help is appreciated!!!
Another radiology ugh !!!
Subject: Another radiology ugh !!!
The s/l guadlowbulb fills an empty swell without evident ulceration or deformity
Radiology HELP
Subject: Radiology HELP
s/l stranding or strandy. Doctor said diagnosis is...? (Stranding or Strandy?) fibrotic scarring in the lungs.
radiology help
Subject: radiology help
Breast imaging----Doc dictates "ultrasound demonstrated a 10 mm circumskine mass"
this is how is sounds, but I can't find this word. Any ideas?
Thank you.
radiology help..
Subject: radiology help..
serpentine??
RADIOLOGY
Subject: RADIOLOGY
64-SLICE DETECTOR CT
Radiology
Subject: Radiology
Technique:
s/l cidector CT was performed through abdomen and pelvis.
Any idea?
Radiology help please . . .
Subject: Radiology help please . . .
Radiology
Subject: Radiology
Good morning! Doc is dictating:
Her path report comes back with a high grade papillary transitional cell carcinoma invasive into thick muscle bundles suspicious for lymphatic involvement. Based on a s/l pan son x-ray with the bladder essentially pushed towards the right side of the pelvis, I believe a good amount of this tumor is already extra vesicle.
Any idea for the x-ray he may be dictating? 
radiology help
Subject: radiology help
A 5 mm s/l collimated slices through the thorax performed without intravenous contrast.
Is this a correct sentence?
Radiology s/l can someone help?
Subject: Radiology s/l can someone help?
Will await radiology s/l over-read on films.
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