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When to send to QA?! - Cheesey

Posted: Sep 21, 2011

After getting mixed messages as to how many blanks in a report are needed in order to be automatically sent to QA, I finally have the final number of needing a minimum of 5 blanks.

But because I am new at this field, I find myself with reports of 1 or 2 blanks that are of something that someone with more experience would know. Operative reports have all sorts of instrumentation that I just do not know and trying to look them up from what I hear just doesn't yield any reliable results....so because I can't confirm it, I put a blank.

If I don't send to QA, the report goes directly to the client. I can't help but be embarrassed at not "knowing" these instruments/procedures/diseases etc. To send that drectly to the client with those blanks on things that are easily known to those with more experience is just driving me nuts.

I can't find the answers on my own. I just can't. Or I just can't seem to find enough reliable information on something to feel comfortable leaving it in.

I've been pending a lot of reports to QA because of just me being embarrassed. I don't want to send those blanks to the client. But now I can't help but feel like I'm being a burden to the QA team.

How much does QA care about getting these reports? Is it a burden? These reports that I send to them to help fill in these 2 or 3 or 4 blanks of something that they easily know and can fill in, but my newbish mind just can't verify or find. And the client? How much do they care about getting these reports with blanks like this?

I'm frustrated. I'm doing as much research on my own, but I'm just caught in the middle. How am I supposed to learn this stuff by just leaving blanks and sending it through to the client?

I'm so afraid of losing my job right now too. I still can not manage to make minimum wage. Add that with the numerous blanks that I just can't seem to find that are sent to QA and I can't help but feel like I have a target on my back.

Can't really answer your QA question but - Maybe these references will help you?

[ In Reply To ..]
From my experience, QA will let you know if you are sending too many reports to them. Have you asked them for feedback on the blanks? Maybe if they can send you the edited reports, you can make not of the instruments you aren't sure of. Here are a few sites that are very helpful references for surgical terminology:

www.surgical911.com

http://www.scribd.com/doc/52972439/45/SUTURE-SELECTION-PROCEDURE

On Scribd's site, you can print the index to the manual (Chapter 9) for quick reference, then refer to the actual manual if you need additional info.

Also, mtdesk.com has sample op reports that you may find useful. Top right corner of their page, you will see a red box labeled sample reports, then click on sample op reports.

Hope this helps you some! :)

What I would do - sm

[ In Reply To ..]
I think you should send the reports to QA. That's the only way to learn and that is why QA is there. I don't think it is a burden to them unless someone is repeatedly sending reports to them with the same questions. Be sure to take notes on the feedback you get from them. If either one were to be upset by a lot of blanks, I think it would be the customer. Sometimes, it can't be avoided but if it's something QA can get, you will learn things that you are going to need for as long as you work in this field. I don't understand why some of these companies penalize their employees for sending to QA. Back in the day, we had someone sitting right next to us that we could ask for help. Good luck to you.

Sending reports to QA - lka

[ In Reply To ..]
By all means, send anything you don't know to QA. It is then their responsibility to find the word and fill in the blank. Can you write down the job # and look at them later to see what those blanks are for future reference?

Also, do you have a good medical dictionary like Dorland's or Steadmans, and especially the latest Surgical word book? If not, I would invest in those. I have been OP notes for quite a few years and can almost do them in my sleep. Try to also look in google doing a search. Type what you think it is and some suggestions should come up, i.e. DuPuy (which sounds like depew).

If looking for name of a rongeur or clamp for example, type in google names of rongeurs, clamps, etc. I find google to be the best for searching, but if you are new at this, it will just take time and practice. I also like the other links someone posted above. It sounds like you are very conscientious in your work and that is a plus sign. Just slow down and breathe, ask for feedback and make notes maybe on index cards or create a document in wordpad for names of instruments. Good luck!

I agree with the above responses. I also find - that surgeons will SM

[ In Reply To ..]
tend to dictate (sometimes verbatim) the same thing for different operations, i.e. total knee replacement, medial meniscectomy, etc. They also tend to dictate the same opening paragraph and closing paragraph. If you are doing the same account, and you are access to samples and your corrected reports, you will eventually understand what they are saying. I hope you have the ability to save these things in an expander just for reference. I do this with difficult dictators, even though I am doing VR, and use it as a reference when I get stuck on a word or phrase that VR has butchered. I love doing OP notes as I find them very repetitive.

Thanks - Cheesey

[ In Reply To ..]
Thank you for the links and advice.

I have a stedman's dictionary but nothing surgical. I just started getting these operative notes about a month ago, but they are few and far between.

I like the gastric bypass operative notes as they are pretty standard, but some doctors go into so much detail on all of the instrumentation they are using, I just can't keep up....especially when they've got numbers in them.

Google is a great source. I love that I can type what I hear and it has suggestions of what it may be. So far, I found that Google is the best and fastest resource for a lot of things.

Thanks again for the responses.

When to send to QA. - DiggerMT

[ In Reply To ..]
I can remember when I first started doing OP notes, I was so stressed out and so frustrated every day because of all the terminology I didn't know. One of the things that helped me the most was my Stedman's Equipment Word Book. Now I have Stedman's Medical and Surgical Equipment Words, 5th addition, on CD-Rom, which is a HUGE help when doing operative notes. It really does take time to look things up and if you can't find it, then send to QA and hopefully they'll be able to fill in the blanks for you. Good luck.

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