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Drug s/l biteral 14 mg patch changed every 24 hours. TIA

Posted By: mh on 2007-07-12
In Reply to:

Subject: Drug s/l biteral 14 mg patch changed every 24 hours. TIA




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med s/l pentinil patch 25 mcg q. 72 hours. sm
Subject: med s/l pentinil patch 25 mcg q. 72 hours. sm

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Duragesic patch dose is 12 mcg per hour, changed every 3 days: 12 mcg/hr every 3 days, #10
Subject: Duragesic patch dose is 12 mcg per hour, changed every 3 days: 12 mcg/hr every 3 days, #10

x
drug help/ S/l ace-tren-am 1 g IV q 12 hours (gangrene BKA)
Subject: drug help/ S/l ace-tren-am 1 g IV q 12 hours (gangrene BKA)


We will do neurochecks q 1 hour for 8 hours and then 2 q hours X 4.
Subject: We will do neurochecks q 1 hour for 8 hours and then 2 q hours X 4.


So, 1 1/2 hours of dictation should only take 3-4 hours to transcribe. sm
Subject: So, 1 1/2 hours of dictation should only take 3-4 hours to transcribe. sm

then what in the H**l am I doing wrong. I just did 1 1/2 hours of dictation with 1350 line count and it took me like 12 hours. I did 4 hours last night uninterrupted. the rest this morning with little interruptions from my child (dh was home) and a couple breaks and lunch.

I thought 1350 lines were supposed to be full time work. That is what I have been hearing from so many people.

Now I am confused and really feeling like a failure as an MT. Maybe this is not my profession!
drug: s/l quimera or kwimera patch twice weekly *nm*
Subject: drug: s/l quimera or kwimera patch twice weekly *nm*

*nt*
Might be cloth patch. I was thinking of post op patch. Sorry. nm
Subject: Might be cloth patch. I was thinking of post op patch. Sorry. nm


Type of (med) patch s/l literem patch
Subject: Type of (med) patch s/l literem patch


q.4 hours
Subject: q.4 hours

You should ask your employer about account specifics, but the way I was taught was that if "hours" is dictated, then you should put "hours" and not "h."
8 20 hours ?
Subject: 8 20 hours ?

How do you type that? 0820?
Standard would be 24-48 hours from what
Subject: Standard would be 24-48 hours from what

I have done all of these years, but some physicians will allow you more time as long as you are reliable.  It also depends upon whether they use it for billing purposes. 
Just saw your post (hours later) - thanks so much.
Subject: Just saw your post (hours later) - thanks so much.

I will make a note of this site.
0710 hours - the zero goes in.
Subject: 0710 hours - the zero goes in.


0820 hours
Subject: 0820 hours

Military time
0618 hours
Subject: 0618 hours

Military time is based on a 24-hour clock. "06" is 6 a.m. 6 p.m would be 1800 hours. You just add or subtract 12 to the time on the clock after noon to get the p.m. times.

I hope this clarifies. If you have any other questions, plase feel free to ask and I'll try to explain better.
q as in q 4 hours, period or no?
Subject: q as in q 4 hours, period or no?


how to write..Lovenox 1 mg/kg sub q 2 12 hours.thanks
Subject: how to write..Lovenox 1 mg/kg sub q 2 12 hours.thanks


OH MY GOD JUST SHOOT ME NOW... can you tell I have been typing for 12 hours. Thanks so very much!
Subject: OH MY GOD JUST SHOOT ME NOW... can you tell I have been typing for 12 hours. Thanks so very much!


I don't use either anymore - "every 6 hours..."
Subject: I don't use either anymore - "every 6 hours..."


Oh my God. Been typing too many hours and I must be brain dead to not see that. Thanks.
Subject: Oh my God. Been typing too many hours and I must be brain dead to not see that. Thanks.


time to type 1.5 hours of dictation..
Subject: time to type 1.5 hours of dictation..

It usually takes me twice the time to transcribe the work.  If the doc is easy and you can go right from one template/document to the next, it should only take you like 4 hours at the most.  10-12 hours is an awful long time.  What kind of interruptions are you getting.
What is the correct way to type "q 4 hours?" I have never typed
Subject: What is the correct way to type "q 4 hours?" I have never typed

 on a verbatim account before and have always typed "every" when I heard "q" unless it was "qhs" and then I typed "at bedtime." Thanks in advance.


I've always written out the word hours
Subject: I've always written out the word hours

if it's dictated.  If it's not dictated as part of the time, I don't add it.  Some dictators will just say *0-8-hundred* and I just transcribe it 0800. 
mph is the correct way to abbreviate miles per hours, however,
Subject: mph is the correct way to abbreviate miles per hours, however,

if that is what he dictates, then I would use mph, or you can also spell it out miles per hour, both are acceptable, sometimes also depends on the client preference.  If you spell it out though, you can get more characters for your line count!
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
Ordered for albuterol inhaler "H F A" 2 puffs q.4 hours prn. nm
Subject: Ordered for albuterol inhaler "H F A" 2 puffs q.4 hours prn. nm


You're welcome, I am actually shocked that my brain is still working after 11 hours!
Subject: You're welcome, I am actually shocked that my brain is still working after 11 hours!


Med s/l hydrocodon 1-1/2 teaspoon every 6 hours as needed for cough.
Subject: Med s/l hydrocodon 1-1/2 teaspoon every 6 hours as needed for cough.


Pt with asthma on s/l Buta vent 1 to 2 puffs every four hours. nm
Subject: Pt with asthma on s/l Buta vent 1 to 2 puffs every four hours. nm


Sorry, but things have changed...
Subject: Sorry, but things have changed...

Just as people and the world have evolved, so has English. 'Were' would now be considered correct.

I do realize it's not the grammar rule we were taught back in our school days.

bye.
Should Roux-Y be changed to
Subject: Should Roux-Y be changed to

Roux-en-Y or are there actually two procedures?  or should it be left that way? Thanks!
Maybe he changed his mind? nm
Subject: Maybe he changed his mind? nm


changed about a year ago
Subject: changed about a year ago


never mind, she changed it
Subject: never mind, she changed it

Changed it to 34-5/7
Really? I always changed to every evening. Thanks!
Subject: Really? I always changed to every evening. Thanks!


sorry, he changed it to Orthoplast. nm
Subject: sorry, he changed it to Orthoplast. nm

s
The "powers that be" changed everything to "K"
Subject: The "powers that be" changed everything to "K"

x
This was changed in BOS2 so has been
Subject: This was changed in BOS2 so has been

this way for a very long time.
We have been told that it changed too, but
Subject: We have been told that it changed too, but

we are NOT changing over to it as of yet per the client.
My hands automatically changed it to
Subject: My hands automatically changed it to

electrocautery - handy of them.

That's why it wasn't under cautery - duh.
Only if your acct wants it changed. Not KS here, but our docs
Subject: Only if your acct wants it changed. Not KS here, but our docs

s
Pt with ADHD changed to s/l Vibance. nm
Subject: Pt with ADHD changed to s/l Vibance. nm


diet will be changed to cardiac and a s/l BMP will
Subject: diet will be changed to cardiac and a s/l BMP will

be followed
Is it still okay to type "C diff" or has that changed? tia
Subject: Is it still okay to type "C diff" or has that changed? tia


This was changed years ago to disK.
Subject: This was changed years ago to disK.

x
Thx ladies. Doesn't fit. I seem to be trapped in a 6 min dictation nightmare taking 1-1/2 hours :
Subject: Thx ladies. Doesn't fit. I seem to be trapped in a 6 min dictation nightmare taking 1-1/2 hours :(


I have seen this in hospital; means the urine values 3 hours after time of collection....nm
Subject: I have seen this in hospital; means the urine values 3 hours after time of collection....nm

nm
If you changed the wording to what you thought was correct, sm

it would imply that the colostomy bag was bleeding, not blood coming from the colostomy. 


Cool. Used to do neuro, times have changed. :)
Subject: Cool. Used to do neuro, times have changed. :)

Tooooooooooo long ago. :)


I'll have to remember that in case I ever have the need to go back to neuro.  Not one of my favorites, kinda sad, but okay at the time.


When I said "cool" I really meant it.  I like to pass through word help occasionally.  You never know what you're going to find.


Every little bit helps.


Sorry, my glasses need to be changed, read it as "exam." nm
Subject: Sorry, my glasses need to be changed, read it as "exam." nm

x
hope you changed follow up to followup -nm
Subject: hope you changed follow up to followup -nm