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Is it Mersa or MRSA? he dictates

Posted By: what sounds like 'mersa' is this correct? on 2007-09-23
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Subject: Is it Mersa or MRSA? he dictates




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It's MRSA
Subject: It's MRSA

As in methicillin resistant Staph aureus.
MRSA
Subject: MRSA

Methicillin resistant Staphylococcus aureus (MRSA) 
it is MRSA sm
Subject: it is MRSA sm

methicillin-resistant Staphylococcus aureus
It's MRSA.
Subject: It's MRSA.

Methicillin-resistant Staphylococcus aureus (MRSA)
MRSA
Subject: MRSA

Stands for methicillin resistant staphlococcus aureus - the new bug giving big trouble in school children and infected sores, etc.
MRSA
Subject: MRSA


for MRSA
Subject: for MRSA

Sounds like "quvesine, cuvisine" antibiotic.  thanks!
? regarding MRSA sm
Subject: ? regarding MRSA sm

This doc is dictating as if he is sitting near a sleeping infant and is afraid of waking it up. He's almost whispering - very hard to understand anything at all.

Context:
A 7-year-old with a pmh of s/l CMRSA boils.

Don't know if it is as I have it, or if it is cMRSA (both are found with google). He may be saying CA-MRSA boils, which I also found with google, although


MRSA infection
Subject: MRSA infection

Thank you! Thank you! Thank you! I have been doing MT for almost 3 years and I have never heard that before. (hugs)
MRSA or MRSE.....
Subject: MRSA or MRSE.....

methacillin-resistant Staphylococcus aureus or


methacillin-resistant Staphylococcus epidermis



MRSA is correct. They often
Subject: MRSA is correct. They often

do pronounce it mersa.
s/l MRSA cellulopsis S/M
Subject: s/l MRSA cellulopsis S/M

Very heavy ESL says MRSA "cellulopsis??  Clearly not saying cellulitis.  Thanks!
MRSA "cellulopsis"
Subject: MRSA "cellulopsis"

I can't imagine anything else, but you know what happens if we type the wrong word.  Any other ideas from anyone?


Frankly, he can't pronounce very many other words, either, so he may well mean cellulitis.


Many thanks, though!


new MRSA drug
Subject: new MRSA drug

There is a new named televancin - any change that could be it?
Got it...MRSA bacteremia. THanks.
Subject: Got it...MRSA bacteremia. THanks.


How to write this one out? TMPSMX for possible MRSA?
Subject: How to write this one out? TMPSMX for possible MRSA?

Is it TMP/SMX or TMPSMX?  I'm finding it both ways and need to clarify.


 


THANKS!


Word help - MRSA infection
Subject: Word help - MRSA infection

He had incision on an elbow inclusion cyst that ended up having a MRSA infection.  He is still getting his _____ and his vancomycin.


s/l pic-lou


Thanks.


Try: 'trimethoprim', this is against MRSA infedcion
Subject: Try: 'trimethoprim', this is against MRSA infedcion


MRSA treatment s/l gresepulbin ???
Subject: MRSA treatment s/l gresepulbin ???

Sorry, but she sounds like she's dictating in a tin can. The pt is a 3 y/o with eczema who's been treated with topical hydrocortisone for eczema and has tried "greseapulbin" and antibiotics for MRSA positive culture.


 


thanks for your help!


Recurrent ***losis secondary to MRSA.
Subject: Recurrent ***losis secondary to MRSA.

The patient takes tetracycline to treat these areas on her buttocks. TIA!!!
MRSA sensitive to "linacid" or linasyd??

s/l lay vile MRSA drop with precautions.
Subject: s/l lay vile MRSA drop with precautions.

Under comorbid conditions, dictator says s/l lay vile??  MRSA drop with precautions.
level (1,2 or 3?) MRSA droplet precautions
Subject: level (1,2 or 3?) MRSA droplet precautions

Patients with known MRSA colonization/infection who are not able to comply with infection control measures (i.e., not able to perform hand hygiene, cover their mouth if he/she has a cough, etc.) are to be placed on Level 3 MRSA Precautions.
Discharge note for patient with MRSA-prescription?
Subject: Discharge note for patient with MRSA-prescription?

Physician says what sounds like: "Tigafil?".  He is dictating on phone line from hospital.  Poor quality.  Please help! Thanks!
MRSA...Methicillin-resistant Staphylococcus aureus ..nm
Subject: MRSA...Methicillin-resistant Staphylococcus aureus ..nm

s
Med for MRSE (not MRSA) s/l *ogenomycin* and then treated with vancomycin. thanks!
Subject: Med for MRSE (not MRSA) s/l *ogenomycin* and then treated with vancomycin. thanks!


MRSA/MRSE-methacillin resistant Staphylococcus
Subject: MRSA/MRSE-methacillin resistant Staphylococcus


MRSA (Methicillin resistant Staphylococcus aureus)?
Subject: MRSA (Methicillin resistant Staphylococcus aureus)?


Methicillin Resistant Staphylococcus aureus (MRSA) ? nm
Subject: Methicillin Resistant Staphylococcus aureus (MRSA) ? nm


Patient has boil from MRSA infection, med, s/l tremathrin sulfamethoxazole
Subject: Patient has boil from MRSA infection, med, s/l tremathrin sulfamethoxazole


she has been exposed to MRSA, but no current s/l cisions.. dont sound like lesions.
Subject: she has been exposed to MRSA, but no current s/l cisions.. dont sound like lesions.


Under PMH. MD dictates: sm
Subject: Under PMH. MD dictates: sm

 Status post trauma/repair to patient’s eye.


 


Would you leave this as is with the slash or change it?  I am permitted to change things when necessary.  Thanks.


What do you do when the doc dictates sm
Subject: What do you do when the doc dictates sm

... and I gave the patient 50 "mikes" of whatever medication.  One said to spell it m-i-q-u-e-s, one said to use m-i-k-e-s, and one hospital said not to use it at all. So, does it stand for micrograms?  Should we use slang?  Aghh!  Help, please.
I would put as doc dictates..sm
Subject: I would put as doc dictates..sm

if he says "calcium one every day" I would not input the q.d., but I would expand it as "calcium, one tablet every day." jmo and how I have been doing it with no complaints.
Exactly the way MD dictates it
Subject: Exactly the way MD dictates it

If the patient could see anything at all (I had one today where the patient could see 20/1760), then the MD would have given the value, but when there is nothing there, you just type nothing. I have a verbatim account, but even if I didn't, I still would not change it to 20/0 as that lone "0" could be mistaken as something else.
If a Dr. dictates
Subject: If a Dr. dictates

"posterior tib", meaning posterior tibial artery, do you type the abbreviation or go ahead and type out tibial?
if that's the way he/she dictates it...then yes I would. nm
Subject: if that's the way he/she dictates it...then yes I would. nm

xxx
The doctor dictates
Subject: The doctor dictates

His aortic valve appeared well-(s/l seated).  I found some examples like that, but am unsure of certainty and spelling accuracy?  Thank you in advance for any help.
Think that one is bad? my md dictates things like this...sm
Subject: Think that one is bad? my md dictates things like this...sm

I used a small, tiny, little Q-tip .... and he doesn't want me to change it.   Bizarre!!!
I have a doc that dictates same thing
Subject: I have a doc that dictates same thing

mine means adenosine thallium
I leave it as whatever the doc dictates.
Subject: I leave it as whatever the doc dictates.

It's not my job to keep them politically correct.
Do I change it when he dictates cc? nm
Subject: Do I change it when he dictates cc? nm

!
I have a psychiatrist who dictates like that. sm
Subject: I have a psychiatrist who dictates like that. sm

I leave most of his stuff as is even though the account is not verbatim.  A lot of times I end up wondering WTH he is talking about.  When I first got his dictations I was going back to read and relisten because I thought I must have scrambled something.  Give them what they dictate, if they don't like what they read maybe they'll take the time to think before they dictate next time. 
when doc dictates L-thyroid sm
Subject: when doc dictates L-thyroid sm

Does he mean levothyroxine or Levothroid?
Dictates died s/l **min** CVA
Subject: Dictates died s/l **min** CVA

Dictates died from m-i-n CVA. I can't verify min CVA anywhere. Any suggestions?
dictates **phagiagram**
Subject: dictates **phagiagram**

He clearly dictates *phagiagram* or something that is VERY similar to that. I don't hear a *dys*. I tried google and am getting zero hits.

Do you think I should I QA it or would it be fine to just use *phagiagram*?

Thanks in advance.
You transcribe what he/she dictates.
Subject: You transcribe what he/she dictates.

You transcribe the values as dictated. If he says "Cholesterol profile" and then just lists the values, then I would put a colon after profile and just list them.
I have an ESL who dictates a lipid profile
Subject: I have an ESL who dictates a lipid profile

and then says "lipid profile comment NIHN." What in the world does that mean?
whatever doc dictates. Would not use beats/minute tho. nm
Subject: whatever doc dictates. Would not use beats/minute tho. nm


Yes. I transcribe for a cardiologist who always dictates
Subject: Yes. I transcribe for a cardiologist who always dictates


Could be, although he only dictates 1 syllable. I think I will flag. Thanks.
Subject: Could be, although he only dictates 1 syllable. I think I will flag. Thanks.