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I believe all of the examples you have here are

Posted By: correct. It's the way I do it. on 2006-03-17
In Reply to: QA question ! - susieQ




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Examples
thanks sm.  Which other mt board are you talking about?  Thanks for the help!
ok..examples..sm
Ok, admittedly, my Expander was huge, containing many sample reports which I type over and over almost word for word such as in op notes, etc. Most of those are now gone; but, also gone are those such as prz for prednisone, ARMC for Auburn Regional Medical Center and others such as that, along with my capital I which i really depend on to be sure i get a capital I when I need a capital I....pd for per day, and I could go on and on, but you get the point. Just wondering if anybody else has lost parts of their expander?
Any examples?

Could you give me any examples of questions asked?  I am just curious.


Thanks!


more examples....
*j* would be used such as "precj" for precaution, or *prcj* for procedure.  *z* would be used such as *stabz* for stabilization.  I should have put these examples in my earlier post.  Also, I use *g* for words that end in *ing* such *bgg* for beginning. Have other words such as reviewed as *rvd*, reviewing is *rvg*.  But as stated, I have been using abbreviations for about 7years. Some of my abbreviations don't make any sense, but I remember them that way!! LOL.  Words that I don't like to type get abbreviated!!!  Hope this all helps!  Good luck!
some of my examples...
One thing I do is use a j in place of -ion. For example, hos = hospital
hosj = hospitalization

I also use a 2 to make everything all caps - for example hpi2 = HPI chf2 = CHF

If I have a PA dictating for a doctor I have their last name with a 4 to spell out the signature line; for example - brown4 is Joe Brown, P.A., dictating for Jane Doe, M.D.

I also use the first letter of each word for long phrases such as tpcit for the patient comes in today...

Hope some of these suggestions help!
examples?
what are some of the things horrid QA people do? I lucked out by getting a good one back when I had QA years and years ago... i'm just curious...
Examples of flyers

I am looking for examples of flyers to in the physican's boxes at the hospital for medical transcriptionist services.  Does anyone know where I could find some good examples....or does anyone have something they would like to share with me (from someone that is not very creative making flyers/resumes).  If you have something you wouldn't mind sharing you can email me at norma_OK@yahoo.com.  Thanks for the help.


some examples of errors

You did not specify how many examples you wanted, so I included quite a few, hope it helps.  All of these are from one group of radiologists, all american.  In answer to your question, unfortunately most of these I believe to be the result of laziness.


THREE-VIEW RIGHT HAND


There is decreased relative small of the distal aspect of the 4th metacarpal. (There is diminished size of the distal aspect of the 4th metacarpal.) Otherwise, the hand is unremarkable in appearance for a patient of this young age. 


MRI LUMBAR SPINE


 


This is best visualized from L3-4 through L5-S1 where there are actual images in addition to the sagittal imaging through the entire lumbar spine.( This is best visualized from L3-4 through L5-S1 where there are axial images in addition to the sagittal imaging through the entire lumbar spine.)


 


 


ABDOMEN, THREE VIEWS


 


The colon has lost his Hounsfield markings in the transverse portion and splenic flexure. (The colon has lost its haustral markings in the transverse portion and splenic flexure. )


 


CT ABDOMEN W/WO CONTRAST


There is a small left inguinal hernia with fat within the hernia sac but no bile (no bowel).  No inguinal lymphadenopathy.


 


NAME OF EXAMINATION:  Sinuses.


FINDINGS:  Paranasal sinuses demonstrate generally some metric pneumatization.( Paranasal sinuses demonstrate generally symmetric pneumatization)  No bony abnormality is seen.


 


MRI OF THE LUMBAR SPINE


 


Compared to December 23, 2003, there has been no objective change in the L5-S1 left posterolateral disk herniation. It causes narrowing at the left lateral recess. It doe snot produce central stenosis. ( It does not produce central stenosis.)


 


OB ULTRASOUND COMPLETE


 


There is no polyhydramnios. However, the fetal kidneys are abnormally hyperechoic. This has been associated with polycystic kidney disease and so I recommend a postnasal follow-up study.( This has been associated with polycystic kidney disease and so I recommend a postnatal follow-up study.)


 


MRI OF THE HIPS WITHOUT IV CONTRAST


 


The muscles about the shoulder show normal signal on all sequences.( The muscles about the hips show normal signal on all sequences. ) There are no soft tissue masses.


 


RIGHT HIP TWO VIEWS


 


DISCUSSION: There has been destruction of the right femoral headache and femoral neck.( There has been destruction of the right femoral head and femoral neck. )


 


AP PORTABLE CHEST


 


EXAM DATE: January 22, 2005 at January 12, 2005 hours(January 22, 2005 )


 


 


MRI ANGIO ABDOMEN BEFORE AND AFTER IV CONTRAST


 


TECHNIQUE: 3-D time of flight MRA of the abdominal aorta and renal arteries was obtained following contrast administration. In addition, evidence of the kidneys was also obtained before and after IV contrast.( In addition, imaging of the kidneys was also obtained before and after IV contrast.)


 


TWO-VIEW CHEST


 


FINDINGS: Left apical pneumothorax measuring 1-2% is stable. Left lower lobe maxillary sinus is again demonstrated.( Left lower lobe mass is again demonstrated. )There are no other findings.


GALLBLADDER ULTRASOUND


 In the porta hepatis, there is a consistent with echogenic lesion measuring 1.1 cm.( In the porta hepatis, there is an echogenic lesion measuring 1.1 cm) This could represent a lymph node in the porta but also could represent an exophytic hepatic meningioma. (This could represent a lymph node in the porta but also could represent an exophytic hepatic hemangioma. )


OB ULTRASOUND COMPLETE


 


 


DISCUSSION: There is moderate dilatation of the left renal pelvis. There is mild dilatation on the right. However, neither uterus is abnormally dilated. (However, neither ureter is abnormally dilated. )


 


 ULTRASOUND OF RIGHT BREAST


There is heterogeneous echo texture in that region compatible with typical combination of breast parenchyma and fatty/femoral tissue, but a discrete mass lesion is not identified. (There is heterogeneous echo texture in that region compatible with typical combination of breast parenchyma and fatty/normal tissue, but a discrete mass lesion is not identified.)


AP PORTABLE CHEST


Underlying fusion is suggested, again worse on the left than the right.  (Underlying effusion is suggested, again worse on the left than the right.)


LEFT SECOND TOE


 


There is an old, healed fracture of the proximal phalanx of th cleft third toe.( There is an old, healed fracture of the proximal phalanx of the left third toe.)


 


TWO-VIEW CHEST


 


There are remote compression fractures involving the right 5th and 6th ribs.( There are remote fractures involving the right 5th and 6th ribs. ) The lungs are otherwise clear.


 


THYROID ULTRASOUND


 


DISCUSSION: In the left lobe of the thyroid, there is a moderately large maxillary sinus that measures 2.2 cm in greatest diameter and is mostly sold and have a cystic center. (In the left lobe of the thyroid, there is a moderately large complex mass that measures 2.2 cm in greatest diameter and is mostly solid and has a cystic center.) The remainder of the left lobe is normal.


 


There is a small 6 mm nodule in the inferior aspect of the right lobe. The gland itself is not overall enlargement. (The gland itself is not overall enlarged.) The gland is heterogeneous overall in echogenicity.


 


 


TWO-VIEW ABDOMEN


 


No convincing evidence of small bowel obstruction, although developing shortness of breath could theoretically give this appearance and follow-up is recommended. (No convincing evidence of small bowel obstruction, although developing small bowel obstruction could theoretically give this appearance and follow-up is recommended.)


 


 


OB ULTRASOUND


 


DISCUSSION: There is an intrauterine gestation with a large yolk sac. However, the crown-rump length measures 7 mm and this corresponds to an estimated gestational age of about 6 weeks 4 days. However, there is no detectable cardiac activity. The amniotic fluid volume is probably normal of ra fetus of this age.( The amniotic fluid volume is probably normal for a fetus of this age. )    The placenta is closed. (The cervix is closed.)


 


 


EXAM OF LEFT FOREARM


 


 


FINDINGS: No fracture. There is prominence of the anterior fat patient which suggests effusion. (There is prominence of the anterior fat pad which suggests effusion) No other findings.


 


MRI LUMBAR SPINE WITHOUT CONTRAST


 


Tip desiccation of L4-5. (Disk desiccation of L4-5.)


 


 


TWO-VIEW ABDOMEN


 


FINDINGS: Findings of right chest, cardiac size is normal, no infiltrates or effusion. (FINDINGS: Upright chest, cardiac size is normal, no infiltrates or effusion.


 


 


TWO-VIEW CHEST


 


Stable right breast opacity, likely represents


fibrosis.( Stable right basilar opacity, likely represents


fibrosis.)


 


AP CHEST


 


 


Picture of congestive heart failure/volume


overload not significantly changed from


exam 4-hours earlier.( Features of congestive heart failure/volume


overload not significantly changed from


exam 4-hours earlier.)


 


 


RIGHT SHOULDER


 


FINDINGS: The patient has history of a right humeral fracture, plus surgical fixation noted.( The patient has history of a right humeral fracture, postsurgical fixation noted. ) Alignment is intact.


 


IMPRESSION


1. Postsurgical change involving the right


proximal femur.( Postsurgical change involving the right


proximal humeral.)  Alignment is anatomic.


 


 


 


OB SONOGRAM


 


FINDINGS: Transabdominal and transvaginal evaluation of the pelvis was performed. An intrauterine collection and yoke sac is identified. (An intrauterine collection and yolk sac is identified. )


 


 LEFT HIP


 


 


FINDINGS/IMPRESSION: Two-view left hip demonstrate a fracture of the neck of the left humerus in varus angulation.(  Two-view left hip demonstrate a fracture of the neck of the left femur with varus angulation.) No additional fractures identified.


 


 


THREE-VIEW ABDOMEN


 


In this since, bowel gas pattern slightly improved since the 14th, but otherwise there has been no significant change. (In this sense, bowel gas pattern slightly improved since the 14th, but otherwise there has been no significant change. )


 


NUCLEAR MEDICINE CHOLESCINTIGRAM WITH GALLBLADDER EJECTION FRACTION


 


.After initial accumulation of tracer within the gallbladder, the patient was given solid bolus intravenous injection of CCK and additional anterior sequential imaging was obtained.( After initial accumulation of tracer within the gallbladder, the patient was given slow bolus intravenous injection of CCK and additional anterior sequential imaging was obtained. )


 


MRI BRAIN BEFORE AND AFTER IV CONTRAST -


 


 


There is confluent periventricular signal abnormality in the lungs bilaterally consistent with chronic small-vessel ischemic change.( There is confluent periventricular signal abnormality in the pons bilaterally consistent with chronic small-vessel ischemic change.) Probable remote lacunar infarcts noted in the left posterior frontal subcortical white matter.


 


THREE-VIEW ABDOMEN -


There is gas within the large and small-bowel. No distension. There is a round calcification in the pelvis which probably represents calcification in the wall of a cyst. There are no suspicious calcifications. No pathologic skin or nipple alterations(this sentence does not belong in this report). Mild hypertrophic change in the lumbar spine.


 


 


TWO-VIEW CHEST


 


 


REPORT: Bones free of consolidative infiltrate.( Lungs free of consolidative infiltrate.) No pneumothorax or pleural effusion identified.


 


LUMBAR SPINE SERIES


 


 


REPORT: There is very mild levocurvature of the cervicalium spine. (There is very mild levocurvature of the thoracolumbar spine.)


 


THREE-VIEW ABDOMEN


 


No evidence of bowel destruction. (No evidence of bowel obstruction.)


 


 


CERVICAL SPINE SERIES


 


FINDINGS: There is a fracture of the CT vertebral body inferior to the junction of the dens with the body.( There is a fracture of the C2 vertebral body inferior to the junction of the dens with the body.)There is retrolisthesis of the dens in relation to the CT vertebral body. (There is retrolisthesis of the dens in relation to the C2 vertebral body. )


 


What are some examples of deductions you use?
nm
I was just giving examples.
I didn't see the posts in question where people were complaining about only making $20/hr. I was just trying to point out that all of us have various issues, and there is no way to know why someone can't make it on $20/hr. It isn't always pure greed. Sometimes I think it is just to easy to judge someone on a forum when we don't have the full story, especially this one where everyone is completely anonymous. We don't know the posters issues and why they are having trouble. Most people don't share their whole life stories on an open forum. Some just want to vent somewhere where others are facing the same issue.

If you want to hear complaining though, you should hear to the millionaires around here complaining that they had to sell their jet or their 3rd vacation home because of the money they are losing in this economy. Poor things! LOL.


Which ones, give some examples.....
We are NOT talking about TYPOS here, there is a difference between TYPOS and not knowing the right spelling.

You should know the DIFFERENCE !

Give some examples of posts with wrong SPELLING, IF YOU CAN!
Which ones, give some examples.....
We are NOT talking about TYPOS here, there is a difference between TYPOS and not knowing the right spelling.

You should know the DIFFERENCE !

Give some examples of posts with OH, SOOO TERRIBLE SPELLING. These are mostly just typos.

I noticed that there are a lot of matron-MTs who have NO, absolutely no idea where to put commas, so that I was pondering if they have a keyboard without a comma key.

Example: MT way tooooo long and others too.
I'd be interested in some examples. There are absolutes, and then there are
nm
I would use hyphens in the examples you provided. sm

I would put 32-year-old male, but no hyphen if it's something like *Patient is 32 years old.*  (Same with 11-pound weight loss vs pt has lost 11 pounds.)  I can't quote the rule on this offhand, but whatever the rule is, I personally I think the hyphens make it easier to read/understand. 


Can you give us some examples of the contradictions?
It's pretty normal to be really freaking stressed out when starting a new MT job, let alone being a newbie with a new MT job. However, I'd like to know specific examples of what they are doing to help with advice. Good luck!
We try to set good examples for our kids. We rarely

drink, don't have alcohol in the house except for cooking wine/sherry, don't smoke, don't do drugs, are honest, hard working people.  My oldest son has "friends" who smoke, who put vodka in their Coke cans, cuss, steal, etc.  My son is a good kid and no I'm not naive and he isn't doing this stuff behind my back because we spend lots of time together.   My son is a health freak and won't allow anyone to smoke around him.  We've also tried to explain to him that even if he isn't drinking if someone he is with is caught drinking then he is guilty by association and he knows he needs to avoid these kids.  He has come home before upset that kids were using seriously foul language.  The "F" word at our house is spelled f-a-r-t. 


We live in a country club community.  The kids around here get new cars when they turn 16.  The parents don't keep up with their kids, just give them money.   My son has to earn his car with saving $$, keeping out of trouble, and good grades.  I don't keep tabs on him 24/7, but I know where he is at ALL times so that if I need to find him I can.  He even asks me if he can get on-line so I know he isn't using the computer for porn.  He is concerned that he doesn't have enough testosterone because he isn't wanting to sleep with anything that stays still long enough.  Don't know that his friends are, but they talk a good talk anyway.  


I think you are wise to be concerned and just need to keep open communication with your kids and hope that he makes good choices.  My son was a follower when he was younger and I had serious concerns about how he would be growing up, but now he has become a leader and I'm very proud of him because so far he is making good choices. 


Regarding the Advance article, here's how I would have handled the examples

I'm curious how other MTs would have handled them?


1. Hemoglobin 9, hematocrit 39. (I would have flagged this with a blank for the hemoglobin and sent to QA).


2. The nose and mouth were suctioned on the perineum (during a C-section dictation).  (I would have changed "perineum" to "abdomen" and sent it on).


3. SKIN: Without lesions, rashes or scars (Patient has HIV and kaposi sacroma).  (I'm not the doctor.  I did not examine the patient.  Therefore, I would have transcribed as dictated and sent it as usual).


4. Left atrium is normal, measuring 4.6 cm.  (I don't get paid enough to second guess the doctor on whether the LA is "normal" or not.  You get what you pay for.)


5. VITAL SIGNS: Heart rate 70, respirations 18, BP 120/70 (in an 18-year-old with a comminuted ankle fracture).  (Again, the patient may have gotten pain medication by the time the doctor saw him, so perhaps he/she didn't have pain at the time of examination and so the vitals were normalized.  I wasn't there, I don't know.  Type verbatim and send it on!)


We need actual examples of patients harmed by outsourcing
to take to the media. Then we could probably get enough interest for someone to do an expose on it.
quality as in ethics/morals/education/parenting/will to do one's best and set examples for others
qualities as to working hard to make your life better and not settling for second best so you can drink your six-pack and rent videos while your kids run wild. you know what i'm talking about. quality as to have no grasp of consequences of one's behavior.
Google contract samples, basic contract examples, etc.
:+