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I would just type "we are going to discontinue the three staples"

Posted By: nm on 2008-10-16
In Reply to: sm - Tracey

Subject: I would just type "we are going to discontinue the three staples"

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dangerous abbreviation-should be discontinue
Subject: dangerous abbreviation-should be discontinue

DC can be discontinue or discharge; hence, JCAHO considers it a dangerous abbreviation.  If you have a verbatim account use d/c his stitches.........
DC, meaning discontinue. This abbreviation usually is typed out as "discontinue": nm
Subject: DC, meaning discontinue. This abbreviation usually is typed out as "discontinue": nm


dc deery = discontinue dairy (it creates mucus and pnt has sinusitis) -nm
Subject: dc deery = discontinue dairy (it creates mucus and pnt has sinusitis) -nm

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The next sentence was "We then elevated the mucosa." nm
Subject: The next sentence was "We then elevated the mucosa." nm

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"We gave him a s/l Man-2 test for his physical at work". ?? TIA
Subject: "We gave him a s/l Man-2 test for his physical at work". ?? TIA


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Subject: Staples

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Subject: Pt to undergo knee replacement - "we will plan on using the s/l **2 through 3" versus sm

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dictator says "We then performed several rounds of hemostasis. Again we used both fibrillar
Subject: dictator says "We then performed several rounds of hemostasis. Again we used both fibrillar

and s/l "new net" in the abdomen. 


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s/l de-seed the three staples? nm
Subject: s/l de-seed the three staples? nm

nm
Protec? staples SM
Subject: Protec? staples SM

Hernia surgery - s/l Protec or Protek staples?  Cannot document.  TIA.  :)


Pt is needing a hip revision. "We will plan to use a custom **Duralock 100-66 constraint liner**
Subject: Pt is needing a hip revision. "We will plan to use a custom **Duralock 100-66 constraint liner**.nm


spine fusion and staples
Subject: spine fusion and staples

Okay, he is talking about a spine fusion.. He says "there are some staples which have not moved since last year"  


 


Would they leave staples in that long? 


 


Thanks for any help!


stackered skin staples??
Subject: stackered skin staples??

Would this be correct? 


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Subject: Can someone confirm VersaTek staples?

TIA!
Probably refers to staples--white load, maybe? nm
Subject: Probably refers to staples--white load, maybe? nm

x
Billroth II: The stomach was transected just proximal to the gastric antrum with s/l P N I P staples
Subject: Billroth II: The stomach was transected just proximal to the gastric antrum with s/l P N I P staples

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Yes, you'll hear blue load and white load staples. nm
Subject: Yes, you'll hear blue load and white load staples. nm

x
same here. Type out numbers at beginning of sentences. Otherwise type numeral if in sentence itself.
Subject: same here. Type out numbers at beginning of sentences. Otherwise type numeral if in sentence itself.

nm
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Subject: Patient with type 2 diabetes prescribed a s/l glutisone type drug. nm


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Subject: which is preferred ~ diabetes mellitus type II or type 2?


I get confused, how do you type out grade, class, type SM
Subject: I get confused, how do you type out grade, class, type SM

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Subject: acromion process - type 2 or type II


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Subject: Could it be hollowing-type or hollow-end-type? - nm

xx
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I would type it under PLAN and type what is dictated.
Subject: I would type it under PLAN and type what is dictated.

I have had that happen to me before, and I was told by QA to not move things around in the report, maybe that is the same for you, but if I were typing this report, I would type it in the order as is dictated, even if that means typing it under the heading PLAN.  Also, his vitals were probably taken at the end of the exam as they were repeated, so it would make sense to type them again under that heading.  Hope that helps! 
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Subject: Type 2 DM or type II DM, which is correct? nm


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ONCOtype, ONCO type, ONCO Type, found all three...
Subject: ONCOtype, ONCO type, ONCO Type, found all three...

nm
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Subject: MRI of the C-spine - which is correct Modic type II changes or Modic type 2 changes.....nm


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Subject: pincer-type nail or pincher-type nail? nm


Of course you should type it. Why would you not type it? nm
Subject: Of course you should type it. Why would you not type it? nm

;
I would type it like this
Subject: I would type it like this

It sounds like a direct quote from the patient and not the doctor’s words. I would type it:


The patient reports, "When he tried to pee, he got weak, dizzy, hit the floor, did not feel right."


Would type exactly the way you have it.
Subject: Would type exactly the way you have it.

x
I just type re-x-ray as that is what they say. nm
Subject: I just type re-x-ray as that is what they say. nm


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Type 2
Subject: Type 2

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Subject: Ah, eye-type

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T1/2 is the way I type it....
Subject: T1/2 is the way I type it....

T1/2 is the way I've always seen it.  (I've been doing radiology transcription for 3+ years)  Hope this helps.


I type it just as you have it. nm
Subject: I type it just as you have it. nm

ss
yes, that's how I'd type it NM
Subject: yes, that's how I'd type it NM

x
How to type this?
Subject: How to type this?

What is the best way to type this:


She has diffusely diminished strength at "four plus to five minus over five" in the right upper extremity.


 


Thanks


 


I type 2/5 , 3/6, etc. nm
Subject: I type 2/5 , 3/6, etc. nm

nm
This is how I would type it. SM
Subject: This is how I would type it. SM

TECHNIQUE:  Coronal TR 500/TE 15, sagittal TR 500/TE 12, sagittal TR 3050/ TE 95, axial gradient TR 47/TE 15.


Would type it the way he wants it. sm
Subject: Would type it the way he wants it. sm

It has always been Merchant view, as far as I know.  All my Sted refs have Mechant view. Though I do not do BOS, I typed ortho for 4 years in a railroad hospital with lots and lots of injuries/surgeries etc.
would I type our tab though?
Subject: would I type our tab though?

if she is saing tab which I though was possible would I type out tab?