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I would agree with that if there hadn't been a specific

Posted By: vn on 2009-05-24
In Reply to: yes, you are right, I know, but I think - .-

Subject: I would agree with that if there hadn't been a specific

dosage noted - that leads me to believe it's something the patient is taking.


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Could very well be...hadn't thought of that
Subject: Could very well be...hadn't thought of that

nm
Could be. Just hadn't heard of it
Subject: Could be. Just hadn't heard of it

with a child this young.
I hadn't thought of that sm
Subject: I hadn't thought of that sm

That would be one way to do it.  The doctors always seem to treat the phrases as a single entity, so I usually ponder it for a few minutes and then end up typing it the way they say it but wondered if it was correct or not. 
I hadn't heard of that before, but it seems to be
Subject: I hadn't heard of that before, but it seems to be

spelled Valleix and involves the tarsal tunnel.  Which is being examined, the foot/leg or the hand/wrist? 


 


 


Thanks. Hadn't heard that one before. nm
Subject: Thanks. Hadn't heard that one before. nm

nm
you're right - I hadn't seen the words....nm
Subject: you're right - I hadn't seen the words....nm


Thanks! I hadn't run spell check yet ;)
Subject: Thanks! I hadn't run spell check yet ;)


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.
My pleasure. I hadn't heard of that either. nm
Subject: My pleasure. I hadn't heard of that either. nm

:)
I wouldn't ask if I hadn't looked them up. sm
Subject: I wouldn't ask if I hadn't looked them up. sm

I found Ultracet in my drug book as an analgesic but I did not find Ultracef. However, on google it lists Ultracef as an antibiotic but I do not find it everywhere I look so I did not know if it was an approved medication.

That is why I asked.


ah, yes, thanks. Hadn't spell checked the document yet.
Subject: ah, yes, thanks. Hadn't spell checked the document yet.

nm
Thanks! Hadn't heard it before, threw me for a loop.
Subject: Thanks! Hadn't heard it before, threw me for a loop.


sorry, see you already have bowel, so ? bubble, hadn't heard of that one.
Subject: sorry, see you already have bowel, so ? bubble, hadn't heard of that one.


Yep...not an easy one. Would doubt it if he hadn't said it so many times. Thinking something lik
Subject: Yep...not an easy one. Would doubt it if he hadn't said it so many times. Thinking something like coronary obstruction artery "something" syndrome...? Just can't get it :( THanx though!


Oh, I hadn't heard of that kind of hernia. Interesting! Thanks for the info. sm
Subject: Oh, I hadn't heard of that kind of hernia. Interesting! Thanks for the info. sm

I *almost* changed it to pants, and now I'm thinking I should have, but I went ahead and put "pantalones" as she dictated it.  She definitely meant pants, not a type of hernia, as pt is a child having problems with soiling in his pants.  Many patients for this account speak Spanish, so maybe the pt or his parents used the word "pantalones" (which is pronouned like "panta-lone-ess" in Spanish). 


no specific ST-T changes
Subject: no specific ST-T changes


should have been more specific
Subject: should have been more specific

It was just in the middle of a list of meds. No doses at all.
If they are looking for something specific,
Subject: If they are looking for something specific,

they will run strips for various lengths of time.
I mean specific.
Subject: I mean specific.

nm
Specific gravity 1.015.
Subject: Specific gravity 1.015.


specific gravity.
Subject: specific gravity.

nm
I would think yes since it is a specific division. IMO. nm
Subject: I would think yes since it is a specific division. IMO. nm

nm
This could be a form specific to the
Subject: This could be a form specific to the

facility being called by the abbreviation.
Do not cap. Cap only if it is a specific clinic, name given....nm
Subject: Do not cap. Cap only if it is a specific clinic, name given....nm

nm
It may be account specific -- but
Subject: It may be account specific -- but

on my accounts, we are not to abbreviate any medications, including epi, so I expand it.
Yes, the suspicion is there for a specific
Subject: Yes, the suspicion is there for a specific

x
I don't know if it is state specific or not,
Subject: I don't know if it is state specific or not,

I transcribe for clinics in Oregon and transcribe it as Workers' Comp as this is the way the state refers to it (Oregon Workers' Compensation Division).
1,022 is specific gravity, 5 is pH - nm
Subject: 1,022 is specific gravity, 5 is pH - nm


sorry - 1.022 is specific gravity, 5 is pH - nm
Subject: sorry - 1.022 is specific gravity, 5 is pH - nm


Non-specific cervicitis ?
Subject: Non-specific cervicitis ?


It is probably a dept name specific to
Subject: It is probably a dept name specific to

x
It's probably facility specific
Subject: It's probably facility specific

It's possible this is the name of a facility or something that is specific to the account you're typing. You might see if the hospital has a web page and go there and look under services/programs, and see if there is a TLC listed there.

It really could be anything. My first thought was transitional long-term care, but given that they're on pressors, that's usually not the kind of drug they send you to a SNF with.
can you be more specific? what part of exam?--sm
Subject: can you be more specific? what part of exam?--sm

what part of body is being examined? give the sentence it is in, please. Help us so we can help you.

thanks.
Sounds like he was caught not being specific enough.
Subject: Sounds like he was caught not being specific enough.

You should have been given account specific pages that explain what is expected. Nobody really knows what verbatim means until account specifics are spelled out. He needs to take a chill pill and put his expectations in writing, get approval from his supervisor, then run those specifics by the contact for the account. Otherwise all the MTs will change what they are doing and somebody at the hospital will object and then you'll have to change the way you do things AGAIN! JMO.
Not unless it is the specific name of an institution for care.
Subject: Not unless it is the specific name of an institution for care.


Specific gravity question
Subject: Specific gravity question

Been out of commission for a year or so, so have a question about how the number would be typed. If a doctor says "specific gravity 1015" how would that number be typed out. Just a little confused on where to put the decimal.
Found out it was client specific. Thanks anyway.
Subject: Found out it was client specific. Thanks anyway.

nm
Yep, in certain cases and specific activities.
Subject: Yep, in certain cases and specific activities.

x
Perhaps you have a client specific instruction there.
Subject: Perhaps you have a client specific instruction there.

Per the ISMP, JCAHO, and the BOS, "nightly" should transcribed when qhs is dictated.

http://www.usp.org/pdf/EN/patientSafety/ismpAbbreviations.pdf
prostate specific antigen?
Subject: prostate specific antigen?


It's likely hospital specific or the name of a local SNF. n/m
Subject: It's likely hospital specific or the name of a local SNF. n/m



If your account doesn't have specific rules about it, sm

the correct way would be to write it out in full (Escherichia coli) whether or not it was dictated in full.  Then, if the dictator says E. coli after that, then it is correct to transcribe it that way.  If the dictator says it in full the next time, then transcribe it in full.  Check your account's guidelines for their preference. 


urine specific gravity is ten thirty?
Subject: urine specific gravity is ten thirty?

How do I type this value? Thanks!
My QA likes KCl if specific poss chloride is not
Subject: My QA likes KCl if specific poss chloride is not

x
Ask your QA for this probable client-specific information. nm
Subject: Ask your QA for this probable client-specific information. nm

x
Can find other Bechert eye tools, but not your specific one. nm
Subject: Can find other Bechert eye tools, but not your specific one. nm

s
It's probably something specific to that hospital/facility. Ask your QA or Google the
Subject: It's probably something specific to that hospital/facility. Ask your QA or Google the

s
sounds like he could be referring to a specific date....
Subject: sounds like he could be referring to a specific date....

As in, last *episode of this headache* Maybe he meant last headache was on March 6, 2007 (3/6/07) ???
Thanks for the help:) Sorry I could not be more specific I only had pt. hist. of sinus problems.
Subject: Thanks for the help:) Sorry I could not be more specific I only had pt. hist. of sinus problems.

No ear exam was specified. But you found the answer I needed and I appreicate it, thanks again. 


I don't get all the drama anyways?!! Don't the ear,nose  and throat go together?


It is q.4 h. - I have to type q.4 hours, client's specific...nm
Subject: It is q.4 h. - I have to type q.4 hours, client's specific...nm

nm
Sorry, should have been more specific - should pain free be hyphenated?
Subject: Sorry, should have been more specific - should pain free be hyphenated?