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Inconsistent Referral To Patient - Ready To Scream
Posted: Nov 02, 2012
Couldn't find a definitive answer to this question but it comes up a lot: One of the PA's I transcribe for is not consistent when they refer to the patient. They use the patient's first name and then last name throughout the report. I've been following how they dictate, but think it makes it look disrespectful to the patient to use their first name. What would you suggest? Also when the dictator says "patient" instead of "the patient" do you generally put in the the word "the" or do you generally just say "patient"? I feel that's disrespectful too.
Thanks! :(
Here's What I do - If names are allowed in report
[ In Reply To ..]...then I transcribe first name as dictated. If they ONLY use the last name, then I put Mr. if it's a male and Ms. if it's a female unless it all fits that she's a Mrs. I've hated that stupid Ms thing from when it first came out in the 1970s, but Miss or Mrs isn't appropriate if you're not sure.
I change "patient" to "the patient" unless... - sm
[ In Reply To ..]...account specs/employer say otherwise, or if it's not a complete sentence and just "patient" would make more sense:
Patient with hypertension.
versus
The patient with hypertension.
I don't care if a report is what I deem - respectful
[ In Reply To ..]If the dictator calls patient/the patient John, then Mr. Smith, then John again*, that's what I type. That's my job.
It is not my place to decide what is or is not respectful or to change dictation based on my personal opinion of terms used.
To answer your question - I would suggest you type what the dictator dictates. First name, last name, patient, the patient. Don't drive yourself nuts with this kind of trivial junk.
*Mr. Smith may very well have told the dictator to call him John.
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