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My QA likes KCl if specific poss chloride is not

Posted By: mentioned when "KCl" is dictated NM on 2006-12-03
In Reply to: On the account I'm on they want us to - Me

Subject: My QA likes KCl if specific poss chloride is not

x


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ON POSS
Subject: ON POSS

American Orthopaedic Foot and Ankle Society ( AOFAS )

implying AOFAS foot score consistent with hallux abductovalgus ???
Re H&P...poss. HNP..sm
Subject: Re H&P...poss. HNP..sm

HNP - herniated nucleus pulposis. (ortho-spine).  Hope this helps.
a few poss
Subject: a few poss



































Brand Name Generic Name
Platinol® Cisplatin
VP-16; VePesid® Etoposide
Paraplatin® Carboplatin
Taxol® Paclitaxel
Taxotere® Docetaxel
Navelbine® Vinorelbine tartrate
Adriamycin® Doxorubicin
Oncovin® Vincristine sulfate
Ifex® Ifosfamide
Gemzar® Gemcitabine hydrochloride

poss = pes; not sure about 2nd one
Subject: poss = pes; not sure about 2nd one


"ON POSS"/?EMPHASIS
Subject: "ON POSS"/?EMPHASIS

Maybe this is a mush-mouth 'emphasis'? (It would make [weird] sense...)
poss sulfanilamide cream
Subject: poss sulfanilamide cream

topical sulfanilamide cream that was used to lubricate the gauze vaginal packing surrounding the intracavitary treatment
poss. otc med "consol" for constipation-thanks-nm
Subject: poss. otc med "consol" for constipation-thanks-nm


WAG here but could be saying K chloride for sm
Subject: WAG here but could be saying K chloride for sm

potassium chloride?  K-Dur etc? Just a guess here.


How about "K-Lor", potassium chloride nm
Subject: How about "K-Lor", potassium chloride nm


The spellchecker likes it . . .
Subject: The spellchecker likes it . . .

because combed is a word . . . don't know about the drug name though.
ethyl chloride?
Subject: ethyl chloride?


ethylene chloride
Subject: ethylene chloride

I think it is ethylene chloride - a "freezing spray" used to numb up areas for treatment.
Your sound likes are probably
Subject: Your sound likes are probably


? KCL (potassium chloride)
Subject: ? KCL (potassium chloride)


Is it potassium chloride
Subject: Is it potassium chloride


Need sound likes.
Subject: Need sound likes.

x
Thanks for trying. This is one of those docs that likes to make up his own.
Subject: Thanks for trying. This is one of those docs that likes to make up his own.

I know there are malleable stays or retractors, but it gets flagged. Hopefully, the next time he will learn to enunciate (wishful thinking LOL).
my stedman's spellchecker likes it !
Subject: my stedman's spellchecker likes it !


transdermal? (any "sound likes"?)
Subject: transdermal? (any "sound likes"?)


which Stedman's..?? spellcheck likes either
Subject: which Stedman's..?? spellcheck likes either


BOS likes to make up their own thing just to be superior and..
Subject: BOS likes to make up their own thing just to be superior and..

I refuse to do EVERY SINGLE THING by BOS.
nope not it, s/l kinda like choleplasma chloride
Subject: nope not it, s/l kinda like choleplasma chloride

thank you!!
Is is Kay Ciel or KCl when referring to potassium chloride?
Subject: Is is Kay Ciel or KCl when referring to potassium chloride?


BOS II likes 7th and 8th, but if account lets you, writing out gives more characters. nm
Subject: BOS II likes 7th and 8th, but if account lets you, writing out gives more characters. nm

s
Definitely "sk" and not "tw". Doc likes to make up words but also very particular, so w
Subject: Definitely "sk" and not "tw". Doc likes to make up words but also very particular, so wanted a

second opinion.  Thanks so much guys. 
Got a dx? All the sounds-likes I find are the wrong dose. nm
Subject: Got a dx? All the sounds-likes I find are the wrong dose. nm

s
Thanks for the info my company likes FABER...QA giged me on it the other way.
Subject: Thanks for the info my company likes FABER...QA giged me on it the other way.

Sometimes this job is so draining. People have no idea how stressful it is. I had less stress as a cop...
s/l Increasing intermetatarsal "ON POSS" consistent with hallux abductovalgus deformity left
Subject: s/l Increasing intermetatarsal "ON POSS" consistent with hallux abductovalgus deformity left foo


electrolytes (Carbon dioxide; chloride; potassium; sodium) levels? nm
Subject: electrolytes (Carbon dioxide; chloride; potassium; sodium) levels? nm


Could be Combivent, Combivir, etc. Blank it. Speller likes "combed" as in 'you combed your
Subject: Could be Combivent, Combivir, etc. Blank it. Speller likes "combed" as in 'you combed your hair."

/
I found calcium chloride give for extremely high potassium levels.
Subject: I found calcium chloride give for extremely high potassium levels.


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.
FWIW, our nurses call Gebauer's ethyl chloride spray Freezy Spray
Subject: FWIW, our nurses call Gebauer's ethyl chloride spray Freezy Spray

it's a spray-on topical anesthetic - maybe you could google ethyl chloride and see if any brand name pops out.  Good luck!
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.