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Emergency room note ...

Posted By: T on 2006-05-27
In Reply to:

Subject: Emergency room note ...

Emergency room note:  "The patient received an IV sandwich en route ..."  ????  Can't find anything like this ... help! 


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..for example, or Mercy Hospital Emergency Room. Totally
Subject: ..for example, or Mercy Hospital Emergency Room. Totally

s
ALS Emergency Services
Subject: ALS Emergency Services

Advanced Life Support Emergency Services?
isn't it redundant to say emergency stat
Subject: isn't it redundant to say emergency stat

x
Emergency air transport term
Subject: Emergency air transport term

s/l air-macked.

How dumb, I don't know how to spell this slang term.
admitted on an emergency basis??
Subject: admitted on an emergency basis??

Can you hear that?
Patient given GI cocktail s/l "Green frog" in the Emergency Department. TIA. nm
Subject: Patient given GI cocktail s/l "Green frog" in the Emergency Department. TIA. nm

nm
"Ortho RICE" -- from an emergency department nurse practitioner
Subject: "Ortho RICE" -- from an emergency department nurse practitioner

very annoying young woman who says in her "Plan": ortho RICE ... I've googled but I can't find this as an "entity" -- I know was RICE is -- but usually she has not mentioned any form of "compression", so in my irritation I've just been leaving it at RICE ... would you spell it out or leave abbreviated? Ditto BRAT diet which can be banana, rice, apple sauce/apple juice + tea/toast so I leave it at BRAT. 


A Baker Act is a means of providing individuals with emergency services and temporary detention...
Subject: A Baker Act is a means of providing individuals with emergency services and temporary detention...


Psych note Axis III s/l VPS and neuropathy. No health history in the note. Only meds listed psych
Subject: Psych note Axis III s/l VPS and neuropathy. No health history in the note. Only meds listed psych


on room air
Subject: on room air


98% on room air :) nm
Subject: 98% on room air :) nm

x
on/in room air
Subject: on/in room air

I'm typing neonatology notes and the docs say "in room air" but I was always taught to type it as "on room air." Is there a difference?
O2 stat is 91% on room air
Subject: O2 stat is 91% on room air


was the patient taken to the MRI room?
Subject: was the patient taken to the MRI room?

If so do a google search on Gamma Knife surgery.  It sounds like what you are looking for.


d~


Should be "on room air"
Subject: Should be "on room air"


Oops - ran out of room - Trying to say
Subject: Oops - ran out of room - Trying to say

nm
ARP room for detention
Subject: ARP room for detention

Patient is an 8-year-old boy with an IEP in place.  He is currently having numerous episodes of timeout and spending time in s/l *APR* room in a form of inhouse detention.  Thanks.
o2 stats 92% on room air??
Subject: o2 stats 92% on room air??


Probably the room number.
Subject: Probably the room number.


Not "romare"..."in room air".
Subject: Not "romare"..."in room air".

You'll hear it this time!


This room is awesome, and i just wanted to say thanks!!!
Subject: This room is awesome, and i just wanted to say thanks!!!

I've been an MT for 20  years, but recently re-entered the field of radiology after a few years of being gone.  I have been helped out by some very bright MT's on this page, and just wanted to say thanks!!!
"sats" or "saturations" on room air, maybe?
Subject: "sats" or "saturations" on room air, maybe?

.
Too much room to guess without knowing
Subject: Too much room to guess without knowing

x
He says "I did a bi ox today in the office and was 99-100% on room air.
Subject: He says "I did a bi ox today in the office and was 99-100% on room air.


s/l a "dua" in the room with the midwife. nm
Subject: s/l a "dua" in the room with the midwife. nm


Like commercial says, always room for "gellish"! :-)
Subject: Like commercial says, always room for "gellish"! :-)

nm
thanks for the support . . don't think there's any room for sarcasm in the comments, but there
Subject: thanks for the support . . don't think there's any room for sarcasm in the comments, but there will

always be some ! We're only trying to help (and taking time away from producing ks), so it's just as easy to not bother to help.
Usually hear sterile or room temperature in there. nm
Subject: Usually hear sterile or room temperature in there. nm

s
giving more context would help but could it be some room air mattress?
Subject: giving more context would help but could it be some room air mattress?

?
yes. They warm the room with infrared lights etc. nm
Subject: yes. They warm the room with infrared lights etc. nm


Her saturation is 100% on room air with a good "pleth and way form"
Subject: Her saturation is 100% on room air with a good "pleth and way form"


after reviewing the s/l Ř%", the patient was brought to the operating room
Subject: after reviewing the s/l Ř%", the patient was brought to the operating room

after reviewing the s/l "4%", the patient was brought to the operating room
Sats 95% on room air with good s/l wave form? nm....tia
Subject: Sats 95% on room air with good s/l wave form? nm....tia

nm
room warmed for gunshot surgery? Need ASAP please!
Subject: room warmed for gunshot surgery? Need ASAP please!

Has anyone heard a surgeon say "the room was warmed, the patient was prepped and draped" - this is for a patient with hemorrhagic shock and about to undergo thoracic surgery-


Ever hear of oxygen saturation on room air being dictated as s/l satting? TIA
Subject: Ever hear of oxygen saturation on room air being dictated as s/l satting? TIA


noteworthy; note worthy; note-worthy
Subject: noteworthy; note worthy; note-worthy

Just wondering if there is any general rule about transcribing noteworthy.


Also, status post; status-post.


 


Thank you.


 


Pulse ox or pulse oximetry is 98% on room air
Subject: Pulse ox or pulse oximetry is 98% on room air


Op note ref. SM
Subject: Op note ref. SM

http://www.mtdesk.com/frame.php?frame=resources
ER note
Subject: ER note

? pulse ox 99% on room air which is normal per ______ interpretation.


 


ER note thanks
Subject: ER note thanks

Thanks, practically sure it was per the ER physician reading. So, will be ready for next time!

At the end of OP note, he says
Subject: At the end of OP note, he says

what sounds like "mick" instrument and needle count. 


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OP note help please sm...
Subject: OP note help please sm...

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Of note..... I want
Subject: Of note..... I want

to thank everyone so much for all the help I have received on this website since I have become an MT.  Bless everyone of you.  I hope one day to help those also asking questions as you all have me.


Op note
Subject: Op note

Dictator says: Local Xylocaine 1% anesthesia 'arfate' cannulated.

What is the 'a' word?
me again - same op note :(
Subject: me again - same op note :(

The wound was irrigated and rough edges were S/L RASSED. 
op note help
Subject: op note help

Using an up-biting basket and a S/L 405 shaver a medial meniscectomy was performed.


 


TIA!


OP NOTE HELP
Subject: OP NOTE HELP

The iliotibial band was then split inline with the incision and retracted anteriorly and posteriorly with a _____ bow.  s/l charming.....


 


The procedure is a cemented bipolar hemiarthroplasty left hip. 


OP NOTE STILL
Subject: OP NOTE STILL

Should have went further in the note...sorry...another blank is


Attention was directed to the proximal femur, which was prepared with a box-cutting chisel, _____ canal finder and a trochanteric router  this sounds like "chauney"


 


ESL help with op note
Subject: ESL help with op note

She says:  With forceps and a S/L barpotta knife the lesion was excised.  (This is excision of a lid nodule). 
have another on this same note - sm
Subject: have another on this same note - sm

Bilateral elbow rheumatoid arthritis. The left side is more advanced with (s/l)'spectus articulusdamage than appears on the right side
op note help
Subject: op note help

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