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I have SennaLax-S in my notes but I don't remember where I found that to verify it for you NM

Posted By: sassee on 2007-09-06
In Reply to: What would you go by...book or internet....SM - as

Subject: I have SennaLax-S in my notes but I don't remember where I found that to verify it for you NM




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may I ask where you found it at because I cannot verify
Subject: may I ask where you found it at because I cannot verify

x
Nevermind, found it in my notes. Opus is correct. nm
Subject: Nevermind, found it in my notes. Opus is correct. nm

ss
Nurses' notes or nurse's notes or nurses notes?
Subject: Nurses' notes or nurse's notes or nurses notes?

I am so confused on this one.  I have typed it several different ways over the years.  Do I really need to put any apostrophe in there at all?  Thanks!
Nurse's notes reviewed or nurses notes reviewed? nm
Subject: Nurse's notes reviewed or nurses notes reviewed? nm

x
op notes

Here is a list from my favorites. Hope they are a little bit helpful. I think they are all still good sites.


 


Op note sites:


http://www.mt-stuff.com/ent.html


http://mtdesk.com/gen.shtml


http://www.medical-library.org/journals2a/tubal_ligation.htm


http://www.mtdaily.com/samples.html


http://www.nezhat.com/oplap_abst.htm


http://www-personal.umich.edu/~aalin/vitalsigns/contentappendix/cntappsamplenotes.html


 


 


op notes
Subject: op notes

I have never encountered such a rule. I don't generally listen to where the dictators want their paragraphs, though. They usually put in way too many. I start a new paragraph after the prep and drape description and a I start a new paragraph for the closing of the wounds. I add new paragraphs when the surgeon is addressing a new area. That's just my style of transcribing. I'm not saying it's the right way to do it. It just makes sense to me and I would think it is easier to read and comprehend that way.
take notes!
Subject: take notes!

Whenever I have to spend a lot of time looking something up, I make sure to write it down. It's worth it.
I don't do op notes! LOL
Subject: I don't do op notes! LOL


thanks - i usually do ER notes so not familiar with that!
Subject: thanks - i usually do ER notes so not familiar with that!


Resources for OP notes?
Subject: Resources for OP notes?

 


Is there anyone here who does operative notes and gynecology notes who could give me some websites to use for resources?  I am on an OB/GYN account and have operative notes.  I have trouble sometimes with the specific surgical instrument names and would greatly appreciate any help.  Thanks in advance.


Resources for OP notes?
Subject: Resources for OP notes?

My suggestion would be to purchase (if you do not already have)OB/GYN, equipment and surgical word books (Steadman's) my choice and you would be equipped to better perform your job.
OP notes resources
Subject: OP notes resources


I would do that but we are on a tight budget as we just bought a house and are getting in married in september.
Paragraphs in Op notes
Subject: Paragraphs in Op notes

I have noticed that when I transcribe an Op note as the dictator dictates it, starting a new paragraph as dictated...that QA always removes the spacing between the paragraphs.

Is there some rule in transcription that you don't break an op note into paragraphs? The client profile does not say anything about this.
SOAP notes
Subject: SOAP notes

Was wondering if there are any websites out there that gives sample reports for SOAP notes. Just trying to figure out which is the best way to do it with paragraphs between each heading or all scrunched together. Just want to see what is done more of. I realize it might depend on the clinic, dr, hospital, etc, but just want to get an idea.


Thanks Carla


Thanks so much! I'm taking notes!
Subject: Thanks so much! I'm taking notes!


SOAP notes
Subject: SOAP notes

transcribing for 7 1/2 week old child.  Dictator states fontanels are flat,  sound like "contrapendalence" are normal.
I have parascapular in my notes.
Subject: I have parascapular in my notes.


Think just nurses notes. IMO. nm
Subject: Think just nurses notes. IMO. nm


Nurse's notes..
Subject: Nurse's notes..

An apostrophe shows ownership. :-)
it was said clearly, could not verify, TX
Subject: it was said clearly, could not verify, TX

x
Does anyone know a good website for op-notes...
Hi, does anyone have any websites that are good for surgical words? I have limited books, try to use Int. for most everything. I use surg. instrument sites to look up tools, but not always successful or spend too much time looking through their quite extensive catalog. Thanks for your help...Suzy
Does anyone know a good website for op-notes...
Does anyone now a good website or two for surgical notes? I at times use a surgical instrument site but if I don't know how to spell something, I have to look through extensive catalog listings...or if I get a foreign accent and can't make out what he is saying, then I have big problems, so a site that has sample notes would be a big help too. Thanks for your help. Suzyq
Can you look at the doc's other notes and see how he words his/her followups? ...maybe something
Subject: Can you look at the doc's other notes and see how he words his/her followups? ...maybe something

s
thank you very much, I will write that in my future notes
Subject: thank you very much, I will write that in my future notes


Good luck to you then!! Op notes are a sm
Subject: Good luck to you then!! Op notes are a sm

whole nother mess!! Do you have these sites for equipment, latest things etc?


 


http://www.medcompare.com/


 


======================


 


Another good site:


http://www.surgical911.com/


 


 


No, I cannot confirm. I have some personal notes
Subject: No, I cannot confirm. I have some personal notes

that I make and had Segund in them.
LOL And I'm a nurses' notes kinda gal. N/M
Subject: LOL And I'm a nurses' notes kinda gal. N/M


Is there a site to verify?
Subject: Is there a site to verify?

I had searched for that word as well.  It's not in my Stedman's surgery or cardio book and couldn't find it online.
thx-but not able to verify in Google
Subject: thx-but not able to verify in Google


Please verify spelling sm
Subject: Please verify spelling sm

Furlow Z-plasty repair


Not sure how to write it correctly and can't find a reputable website to confirm.


Thx


Quote - cannot verify med
Subject: Quote - cannot verify med

"Prescriptions for Lyrica 50 mg and Kachar 20 mg" (he spells this)


Can anyone verify s/l AGD colonoscopy
Subject: Can anyone verify s/l AGD colonoscopy


thanks, just wanted to verify
Subject: thanks, just wanted to verify

nt
Lactonase..cannot verify this sm
Subject: Lactonase..cannot verify this sm

Patient takes Lactonase 2 tablets daily.  Just need some clarification if this is right.  Just in a list of meds.
It sounds like that might be it. Have you used that before? I just want to verify it.
Subject: It sounds like that might be it. Have you used that before? I just want to verify it.


med s/l ocella - cannot verify anywhere
Subject: med s/l ocella - cannot verify anywhere

Thanks!
Just so you (or anyone taking notes) know, it's Le Fort fracture, no e on the end. nm
Subject: Just so you (or anyone taking notes) know, it's Le Fort fracture, no e on the end. nm

x
always typed skeletonized in op notes over the years. sm
Subject: always typed skeletonized in op notes over the years. sm


Laparoscopically assisted vaginal hysterectomy versus abdominal ...





The infundibulopelvic ligament was skeletonized by fenestrating the posterior broad ligament over the avascular window above the ureter, then tied with a ...
www.blackwell-synergy.com/links/doi/10.1046/j.1525-1438.2002.01038.x/full/ - Similar pages


American Journal of Obstetrics & Gynecology - Fulltext: Volume 182 ...





Through a window in the mesosalpinx the infundibulopelvic ligament is skeletonized and clipped. The anastomotic artery near the cornu is clipped, ...
pt.wkhealth.com/pt/re/ajog/fulltext.00000447-200003000-00002.htm - Similar pages

[PDF]

IN THIS ISSUE





File Format: PDF/Adobe Acrobat
skeletonized the anterior leaf of the broad ligament, the. posterior leaf is then skeletonized, ... angle to get to the infundibulopelvic ligament and a ...
www.ligasure.com/pdf/gyn/Linnovbisalp.pdf - Similar pages

Glad you like the link. Very helpful in WC notes. nm
Subject: Glad you like the link. Very helpful in WC notes. nm


I have sticky notes everywhere with different stages, grades, etc. sm
Subject: I have sticky notes everywhere with different stages, grades, etc. sm

I think I used to think most stages were roman numerals and most grades were arabic but there are way too many exceptions so I try to figure out which one it is for each specific instance and then write it on my growing list.  BOS says types are arabic, roman numerals, or capital letters depending on type referred to. I WISH there was a website with all of the different stages, grades, types, etc. listed.  Does anyone know of such a thing?? 
Nursing notes no problems and feels
Subject: Nursing notes no problems and feels


I cheat and change it to 'nursing notes.' sm
Subject: I cheat and change it to 'nursing notes.' sm

I could never figure out which one was correct and asking anybody at the company would surely give 2 different answers. I've never once been dinged for changing it to nursing notes, probably because the editors can't agree which of the others is correct.
Here is my working list for HIV drugs most often dictated in notes
Subject: Here is my working list for HIV drugs most often dictated in notes

Abacavir
Amprenavir
Atovaquone
AZT
Combivir
Delaviridone
Didanosine
3TD
3TC
d4T
Efavirenz
Indinavir
Kaletra
Lamivudine
Nelfinavir
Nevirapine
Ritonavir
Stavudine
Sustiva
Tipranavir
Trizivir
Viread
Zalcitabine
Zidovudine

This is blanked in his past notes, too. Gotta send it. Thx anyway. nm
Subject: This is blanked in his past notes, too. Gotta send it. Thx anyway. nm

s
NEW to OP notes--inguinal hernia repair--4 questions
Subject: NEW to OP notes--inguinal hernia repair--4 questions

1. Local was infiltrated under the external oblique and then the external oblique was opened and the (?trex-i-vus?) fibers through the external ring.


 


2. This was brought to lie with the mesh overlying the pubic tubercle a good 2cm. This was anchored in the pubic tubercle with a (?sounds like no no-ah-fill or Novafill?)


 


3. verbatim: The patient was placed in supine position on the operating table (?sounds like minute?) given IV sedation his groin was prepped with Betadine and (? sounds like eye-sid--doesn't sound like iced?) with sterile towels and a transfer sheet.


 


4. (?En-er-up-tids?) were placed in the Scarpa's fascia and the skin was closed with staples.


 


Thanks to those who helped me this morning!


 


 


Maybe 'rage'? Can you check other notes to see what's commonly evaluated by this doc? nm
Subject: Maybe 'rage'? Can you check other notes to see what's commonly evaluated by this doc? nm

s
In the olden days at the hospital the for said nurses notes. nm
Subject: In the olden days at the hospital the for said nurses notes. nm


Mycoplasma "consensi." I cannot verify this. Is it right? tia..nm
Subject: Mycoplasma "consensi." I cannot verify this. Is it right? tia..nm

/
verify statement if correct
Subject: verify statement if correct

The loop, approximately 1.5 cm, was used at 35 power setting and cutting.
Thinking echopacity but can't verify, NM
Subject: Thinking echopacity but can't verify, NM

x


Could not verify flatmouth malleable--sm
Subject: Could not verify flatmouth malleable--sm

but here is this:

CTS Relief Kit®


Provides the surgeon with a set of simple to use, disposable instruments for endoscopic release of the transverse carpal ligament through a single portal.
Endoscopic technque reduces post-operative pain and recovery time for the patient.
Allows the surgeon to resect the ligament under direct visualization through a standard 4mm arthroscope.
"D"-shaped, slotted cannula helps to shield adjacent neurovascular structures from potential damage.
Pen-like knife handle improves the surgeon’s tactile feel and control of the instrument while cutting.


so perhaps a *cannula*? just a thought.