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not dictating mg with dose...what to do? - southpaw

Posted: Nov 25, 2009

The doctor is not including the word mg with doses of medication. Do I just transcribe what I hear or insert it?

IE- simvastatin 10, vitamin E 400 b.i.d., metformin 850 b.i.d., ibuprofen 400 p.r.n

mg or not - nm

[ In Reply To ..]
No don't assume that it's mg. Vitamin E could be IU, international units.

Agree, if you are goign to add to add mg, mcg, units, etc., you - kl

[ In Reply To ..]
need to know what the correct one is to use.

What does your employer/client say?? They are the - ht

[ In Reply To ..]
ones you need to ask. Where I work, we add them, but not all are like that, especially if typing verbatim. Ask them.

Consider patient safety! - still learning

[ In Reply To ..]
Supposing you transcribe verbatim:

CURRENT MEDICATIONS
1. Aspirin 81.
2. Coumadin 3.
3. Ambien 10.

etc... Doctors need to be alerted this is a potential threat to patient safety. If this falls into inexperienced hands, it could be mistaken for instruction to give the patient that many actual pills instead of mg, mcg,IU, or whatever is actually intended. I'd flag to QA, or what ever is the kosher process for reporting dangerous mistakes to your superiors, if you are not allowed to verify and correct it yourself.

Doctors dictate all the time without giving that - klt

[ In Reply To ..]
information. I surely hope the nurse on duty does not give a patient 81 aspirin.

if your account is verbatim, type only what the doctor dictates, nothing else.....nm - no

[ In Reply To ..]
nm

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