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Not just ILPs - Mountainwoman

Posted: Nov 7th, 2016 - 8:01 am In Reply to: As a QA person, I believe it's probably mostly ILPs, sad to say. - nm

I would estimate about 80% of the reports I get to QA from our BoB do not have appropriate headings. There is HPI information under a medication heading, social history information under Family History, etc., if there are headings at all. The physical exams are the ones that kill me. There is always extremity information under an abdomen subheading, etc. Also, the exams are supposed to be cap headings, justified left. This is what I see on just about every report:

Pleasant female in no acute distress.
HEENT: PERRL.
No rales or rhonchi.
EXTREMITIES: No edema. No organomegaly.

I know our group gets a lot of people who are new to the MT field, but these are not just new graduates and none are ILPs. I'm not sure if they don't know better or don't care. Either way, it's just sad.

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Complete Discussion Below: (

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Does no one understand headings anymore? - Dying breed (Views: 923, 2016-11-06, 9:06 pm)
- I agree with you - anon (Views: 543, 2016-11-06, 11:06 pm)
- As a QA person, I believe it's probably mostly ILPs, sad to say. - nm (Views: 591, 2016-11-07, 5:40 am)
  - Not just ILPs - Mountainwoman
    - This is exactly what I see every single time - Dying breed (Views: 540, 2016-11-07, 8:21 am)
- I'm not paid for headings so I'm no longer very - concerned about them. (Views: 544, 2016-11-07, 5:52 am)
  - Not true. You are paid for headings. You're not paid for headers and footers. Good grief! - nm (Views: 475, 2016-11-07, 6:10 am)
  - OMG. Read your Rewards Plan in Inner Circle. You are even paid - sm (Views: 768, 2016-11-07, 6:35 am)
    - Yeah that makes us feel SO special. - mm slave (Views: 619, 2016-11-07, 7:04 am)
- I was marked off on audit for adding heading - sm (Views: 715, 2016-11-07, 7:59 am)
  - Shame on that auditor - Dying breed (Views: 667, 2016-11-07, 8:37 am)
    - We don't get paid to fight audits - sm (Views: 491, 2016-11-07, 9:21 am)
    - "includes" - sm (Views: 392, 2016-11-07, 1:20 pm)
      - Makes sense - Dying breed (Views: 494, 2016-11-07, 1:46 pm)
  - And therein lies the problem - sm (Views: 562, 2016-11-07, 9:20 am)
  - I've had the same problem - MT2002 (Views: 317, 2016-11-08, 11:42 am)
    - Apologies - Dying Breed (Views: 497, 2016-11-08, 7:26 pm)
- You get what you pay for - pretty simple...nm (Views: 481, 2016-11-07, 9:17 am)
  - If that is our attitude - They may as well (Views: 767, 2016-11-07, 9:31 am)
    - they know they suck - sm (Views: 499, 2016-11-07, 10:02 am)