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Comfort?? x-rays were performed on nursing home pt after fall

Posted By: is there such a thing? on 2007-09-22
In Reply to:

Subject: Comfort?? x-rays were performed on nursing home pt after fall




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Hoyer is correct. I know, my Dad uses one in the nursing home. nm
Subject: Hoyer is correct. I know, my Dad uses one in the nursing home. nm

.
He will have Home Health Nursing. A s/l precaretender is following him. TIA!
Subject: He will have Home Health Nursing. A s/l precaretender is following him. TIA!


Nursing home patient on S/L NR with diuretic and Catapres patch sm
Subject: Nursing home patient on S/L NR with diuretic and Catapres patch sm

Make any sense, also receiving Norvasc for elevated BP.  Thanks
Pt with dementia in nursing home with s/l "fa (with the a being like in "at") score of 6 &#
Subject: Pt with dementia in nursing home with s/l "fa (with the a being like in "at") score of 6 "little e".


Pulse oximetry to be performed by "aprax air", because this can be done at home. nm
Subject: Pulse oximetry to be performed by "aprax air", because this can be done at home. nm


X-rays: X-rays of the left hip show cemented hip arthroplasty. sm
Subject: X-rays: X-rays of the left hip show cemented hip arthroplasty. sm

There appears to be a nonspecific lesion on the lateral s/l cord-i-se to the femoral component. Thanks!
Comfort One
Subject: Comfort One

Just like you have it.
Comfort One measures
Subject: Comfort One measures

How would that be written out please?
home 02 (on home oxygen)
Subject: home 02 (on home oxygen)

nm
alm is right, skilled nursing facility, as in a short stay in a skilled nursing facility
Subject: alm is right, skilled nursing facility, as in a short stay in a skilled nursing facility


why would you not go with 1......2....What does this fall under?
Subject: why would you not go with 1......2....What does this fall under?

1.


2.


......


Maybe post fall ? nm
Subject: Maybe post fall ? nm

nm
LOL!! It is a wonder our ears don't just fall off. nm
Subject: LOL!! It is a wonder our ears don't just fall off. nm


the pocket would fall under a solid
Subject: the pocket would fall under a solid

xx
Fall Foidtull? Carcinoma?
Subject: Fall Foidtull? Carcinoma?

Problem List the doctor says what sounds like


 


3. Status post thyroidectomy; fall foidtull carcinoma?


Any ideas??


 Thanks!


More info, the pt did fall down the steps earlier in the day. nm
Subject: More info, the pt did fall down the steps earlier in the day. nm


Did patient fall? scalp contusion? nm
Subject: Did patient fall? scalp contusion? nm


Anyone heard of this, MAR from the nursing SM
Subject: Anyone heard of this, MAR from the nursing SM

home, this is in the medication part of PE. Patient admitted from the nursing  home, and I assume this is a nickname for med sheet. thanks
s/l yard sale type fall while skiing? TIA, nm.
Subject: s/l yard sale type fall while skiing? TIA, nm.

nm
Patient is to stay on a low-__ diet. Not salt. S/l low-fall nm
Subject: Patient is to stay on a low-__ diet. Not salt. S/l low-fall nm

,,
Same applies to fall, winter, spring, summer.
Subject: Same applies to fall, winter, spring, summer.

.
It is probably SNF (skilled nursing facility).
Subject: It is probably SNF (skilled nursing facility).

nm
Nursing school teaches it as pus-like.
Subject: Nursing school teaches it as pus-like.

I am an LPN turned MT (did take classes).  In nursing school the very first thing we learned about charting, doing admission assessments, etc. was DO NOT use the word pussy.  In the medical profession it is not acceptable, even though doctors do dictate it.  Nurses are taught to use pus-like.  In addition to that and what the BOS says, as well as for the state of professionalism, I always use pus-like and have never had it corrected.
Inspection of chest is okay...Physicians watch the rise and fall of
Subject: Inspection of chest is okay...Physicians watch the rise and fall of


ellipitical excision was fashioned to fall within an upper lip *bear-eye-did* sm
Subject: ellipitical excision was fashioned to fall within an upper lip *bear-eye-did* sm

sounds like possibly a tool to keep the incision with the margins of the lip... it kind of sounds like *parotid* but this is upper lip, not lower. 
That's how we were told to remember it as nursing students
Subject: That's how we were told to remember it as nursing students

s
Nursing feel or feels? that the patient has been doing well. TIA
Subject: Nursing feel or feels? that the patient has been doing well. TIA


Nursing notes no problems and feels
Subject: Nursing notes no problems and feels


Patient will have a s/l *blow* tube for nursing light. Please sm..
Subject: Patient will have a s/l *blow* tube for nursing light. Please sm..

Also s/l *blue* tube.  Thinks.


Whoa! Flashback to my hospital nursing days. :) Thx for the
Subject: Whoa! Flashback to my hospital nursing days. :) Thx for the

s
He means "SNF" (skilled nursing facility) .nm
Subject: He means "SNF" (skilled nursing facility) .nm


SNIF - skilled nursing inpatient facility. =) NM
Subject: SNIF - skilled nursing inpatient facility. =) NM

x
I have always used "skilled nursing facility." I have never seen SNiF as an abbreviation nor
Subject: I have always used "skilled nursing facility." I have never seen SNiF as an abbreviation nor

have I ever typed "skilled nursing inpatient facility."  And I've been at this a long time.
I say "feels" because nursing is considered a single unit in this context. nm
Subject: I say "feels" because nursing is considered a single unit in this context. nm

x
home O2
Subject: home O2

you're looking for home O2
home O2
Subject: home O2

nm
could the doc be saying home...nm
Subject: could the doc be saying home...nm

c
home run screw

It's 2 words instead of one.


*oscopy was performed. ??
Subject: *oscopy was performed. ??

The beginning of this word is cut off.  All I can hear is "oscopy" was performed that showed internal hemorrhoids. 


Would this be "endoscopy"  ??  Any help appreciated!


perhaps it was "domiciliary" (for use at home)? nm
Subject: perhaps it was "domiciliary" (for use at home)? nm


Yes, like you would use at home for a baby. nm
Subject: Yes, like you would use at home for a baby. nm

s
Sure this is not the name of the facility performed at?
Subject: Sure this is not the name of the facility performed at?

MRI at Open Imaging of Redwood?
Procedures... would these be performed by MD or DDS?
Subject: Procedures... would these be performed by MD or DDS?

Cricopharyngeal myotomy and swallowing study.


s/l pan-cystoscopy was performed
Subject: s/l pan-cystoscopy was performed

I've never had a prefix added to cystoscopy.  Does this make sense?
sitting at home?
Subject: sitting at home?


Do you have the name of the procedure performed?
Subject: Do you have the name of the procedure performed?


He says it as the procedure performed
Subject: He says it as the procedure performed

"Port: Right IJ single-lumen power port."


Stuff like this makes me look bad and also paranoid.  The suits only look at QA scores, that type of thing, and never how crappy the report was. 


It's just one of those nights.


Thanks so much...


rib x-rays...........that's all.........NM
Subject: rib x-rays...........that's all.........NM

xx
x-rays help
Subject: x-rays help

X-rays today confirm that the wrists remain in a very good s/l- DZ position  (doc is British)
x-rays
Subject: x-rays

X-rays of the knee are taken including s/l graded patella views."
X-rays
Subject: X-rays

X-rays reviewed of the spine which are essentially negative.  There is early s/l "end plate" spondylosis throughout the cervical, thoracic and lumbar spine. 


Thanks for any help.