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I had a report early in my shift that ended rather abruptly. It was really close to the end...as in closure of the wound (OP note)...so I didn't check the box for QA to signal an incomplete report. Like I said, DP was almost done...maybe the only thing left to add was patient was transported to the recovery room, etc. At any rate, there was a lot of background noise and during the whole OP dictation the DP was talking back and forth between the personnel. (all of this captured on ASR of course. yeoww!) And, the very last thing the DP said was what are ya'll doing back there...which naturally was not part of the patient record.
Later on during the shift, I get the same DP doing the exact same report, indicating that he is redictating because the previous dictation was LOST. Hah! Like I've said before many times, I honestly do not see how doctors can dictate and think lucidly with all that background noise, but I also wonder how many LOST reports have been attributed to the company and/or the MT because of their own distractions?? Now, both of those reports are going to have my initials on them...but hey, I just transcribe what comes through the tubes.. I figure the hospital is going to get billed for both of them anyway..so didn't see a need to hold that report up in QA to mark for a redundant report. All that stuff he said at the beginning about it being a redictation is going to be in there anyway (under skipped)...isn't it? Just wondering if anybody else has ever run across this. |
