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Very unclear, but could be. I think I will send it to QA. Thanks anyways! nm

Posted By: ataloss on 2007-10-02
In Reply to: Could be methoxsalen used with T-cell lymphomas - MT50

Subject: Very unclear, but could be. I think I will send it to QA. Thanks anyways! nm




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Thanks for your help. It was so unclear so sent to QA. nm
Subject: Thanks for your help. It was so unclear so sent to QA. nm


unclear dictation
Subject: unclear dictation

The sentence reads:  One bottle out of four bottles of blood culture came back Staph coag negative positive.  Does that make sense? 
unclear on sentence
Subject: unclear on sentence

No increased dated degrudge, plus 2 without bruits, and clear to auscultation.

I am pretty sure I need to change the plus 2 to 2+, but does this sentence make sense? It doesn't to me, but I am new! Thanks!
perhaps "etiology unclear"
Subject: perhaps "etiology unclear"


Unclear word(s)
Subject: Unclear word(s)

What I am hearing is HEENT: Mild conjectile o-pal or mild conjectile or pallor.  What makes sense?
Unclear of word
Subject: Unclear of word

Typing a Urology/Nephrology report - unsure of a sentence


On digital rectal exam, the prostate is "flat" without firmness or nodularity.  The word also sounds like flass. What could it be?


 


Unclear sentence
Subject: Unclear sentence

I don't really like the way this is written but it's what is dictated. 


He is positive for a smoker 1/2 pack per day with a smoker's cough.  I'm hearing it exactly as is.  Does that sound right?


Thanks - it is so unclear, I will leave it blank
Subject: Thanks - it is so unclear, I will leave it blank


Maybe celebratory?? if 1st part unclear
Subject: Maybe celebratory?? if 1st part unclear


I believe it was Diprosone cream, but was very unclear. nm
Subject: I believe it was Diprosone cream, but was very unclear. nm

nm
I think I will just flag it. Too unclear and it is meds. Thanks anyways! nm
Subject: I think I will just flag it. Too unclear and it is meds. Thanks anyways! nm


That's a good guess, it was very unclear . . . sm
Subject: That's a good guess, it was very unclear . . . sm

so, I blanked it in the report, ""_____ dialysis"", and QA filled it in with ""Q-dialysis"", so I was just wondering where they got their information from.  This is not the first time I have found a questionable QA fill-in.
This is ESL, so unclear - He may be referring to range of motion pain but doesn't say.
Subject: This is ESL, so unclear - He may be referring to range of motion pain but doesn't say.

nm
Could be - I had to let it go and send it...
Subject: Could be - I had to let it go and send it...

but thanks. I had enough of her - now I have her again on another report. She says one sentence and then a pause of anywhere from about 18 to more than 80 seconds. She has aborted 3 reports now. I don't even know who she is because she doesn't give her name for the dictated for field. Grrr....
Thanks but had to send in.
Subject: Thanks but had to send in.

Do not like neurosurgery. Have done 4 craniotomies in the last 2 days and I think I need some brain surgery to think and hear better. LOL.
"romare" - trying again to send this!
Subject: "romare" - trying again to send this!

It's pulse oximetry "on room air" is 98%
I would blank both and send it in. SM
Subject: I would blank both and send it in. SM

This is no area to be guessing in, and why take chances? :)
It could be but had to send the report
Subject: It could be but had to send the report

through so I cannot listen to it again. Thanks for your help.
Thanks for the help...I had to send it, so flagged it.
Subject: Thanks for the help...I had to send it, so flagged it.

WAG!  Funny!  
I had to send report, thank you tho. nm
Subject: I had to send report, thank you tho. nm

x
Thanks. Had to send it in with blank.
Subject: Thanks. Had to send it in with blank.

I will see what my QA person comes up with.
Nevermind. Had to send in. Thanks
Subject: Nevermind. Had to send in. Thanks

....
do you have a QA dept? If so, send it to them
Subject: do you have a QA dept? If so, send it to them

that's a poor, poor dictator FOR SURE.....I feel for ya....


I am going to send to QA. Cannot wait
Subject: I am going to send to QA. Cannot wait

to see what this could be.

Thanks for the help.
...and also send this for cytology? nm
Subject: ...and also send this for cytology? nm

nm
Had to send with blank, but thanks anyway! nm
Subject: Had to send with blank, but thanks anyway! nm

nm
Thanks for trying to help. I will just send a blank.
Subject: Thanks for trying to help. I will just send a blank.


Thanks. I had to send in with a blank, but
Subject: Thanks. I had to send in with a blank, but

I will check to see what it is. Sounds like it could probably be Cerner, but I have never come across this word before.
TY - had to send with a blank. nm
Subject: TY - had to send with a blank. nm

x
Still not sure - TY. Will have to flag and send. nm
Subject: Still not sure - TY. Will have to flag and send. nm

x
I had to flag and send. TY. nm
Subject: I had to flag and send. TY. nm

x
Thank you for that, but I had to send it to QA to check.
Subject: Thank you for that, but I had to send it to QA to check.


Here is what I meant to send..
Subject: Here is what I meant to send..

Epley Maneuvers (EM). This procedure for canalith repositioning is a painless, low-risk treatment which usually has an immediate, positive effect. By a series of gentle changes in the position of the head, the canaliths are moved to an area in the labyrinth where the balance system won't be upset.


That's a possibility, but I'm not sure. I had to go ahead and send. Thanks!
Subject: That's a possibility, but I'm not sure. I had to go ahead and send. Thanks!


Blank and send to QA - hard to tell when we can't
Subject: Blank and send to QA - hard to tell when we can't

NM
Nevermind. Had to send report in
Subject: Nevermind. Had to send report in

Thanks anyway.
mildly "injected. Do you want me to send you some
Subject: mildly "injected. Do you want me to send you some

samples of typical SOAP IM/GM notes?
Here are a couple of links for you to send them....
Subject: Here are a couple of links for you to send them....

http://72.14.253.104/search?q=cache:_yrLOF4eEkIJ:emcrit.org/pdf/Wound%2520Care%2520Syllabi.pdf+XAP+topical+pediatric&hl=en&ct=clnk&cd=13&gl=us (at bottom of page 8)  Hope this helps...When the doc spelled it for me, it was for a laceration repair on a kid.  But, if it's a dental block in the ER, they might be using ZAP for topical in the mouth.  Was something that was really confusing for me at the time, which is why I tried to get some info on it.
I feel sure that is it but I had to send it in. I flagged it. Thanks nm
Subject: I feel sure that is it but I had to send it in. I flagged it. Thanks nm

!
Thanks! Was just getting ready to send in with blank.
Subject: Thanks! Was just getting ready to send in with blank.


Hi Tx...I attempted to send you an email and
Subject: Hi Tx...I attempted to send you an email and

it was returned as undeliverable.  How may I reach you privately?
Aldomet--If it is an allergy though, better to send
Subject: Aldomet--If it is an allergy though, better to send

through with a blank, the wrong "guess" could have a direct effect on patient.
nevermind - had to send this mess nm
Subject: nevermind - had to send this mess nm

x
Nevermind -had to send it with a flag. nm
Subject: Nevermind -had to send it with a flag. nm


TY. I'll have to flag and send. :o)
Subject: TY. I'll have to flag and send. :o)


Thanks very much! Had to send in, but left a note on it. Thx again!
Subject: Thanks very much! Had to send in, but left a note on it. Thx again!


Thanks so much... Saved me from having to send this to report to QA with four blanks...

send the picture of Steri-Strips to QA....nm
nm
Have no idea. Either send to QA, flag report or sm
Subject: Have no idea. Either send to QA, flag report or sm

if you are clear on the letters being given, I would just put what is dicated.  Can't be expected to know all abbrev, a lot are just plain "coinded".
I'd send your QA person the word definitions LOL nm
Subject: I'd send your QA person the word definitions LOL nm

x
am going to send him for a s/l 3-portal arthrogram of his wrist
Subject: am going to send him for a s/l 3-portal arthrogram of his wrist

Thanks :-)