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Wow, PAs dictating make me crazy - One short trip away from the funny farm

Posted: Mar 26, 2012

As dictated: "She does have occasional nausea, mostly associated with her chemotherapy regimen; however, she denies any nausea."

this same PA just dictated a creatinine of 92 - One short trip away from the funny farm

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Ahhh!!!!!!!!!!

dictation - fedup

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I just had a DOCTOR dictate Allergies: penicillin. then further down, Allergies: No known allergies. How scary is that?
I didn't even report it to QA, just sent it back to him. Tired of this crap.

Just had a doctor a little while ago. - sm

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Dictated: The patient complains of occasional headaches. Then, the VERY NEXT sentence: No headaches. Say what?

I just had one - patient smokes a pk and a half a day.

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then in the same sentence "no tobacco or alcohol." Sometimes I think they don't even listen to what they are saying.

One last night. - Same kind of error.

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SOCIAL HISTORY: The patient does not drink alcohol. She does not smoke, and she drinks wine occasionally.

(This was *not* dictated with the usual vocal mannerisms that would indicate he was making a correction.)

What gets me about PAs, RNs and other ancillary HC dictators is:

1. They have no idea what's important or what's not, so they just start reading entire sections, MRI reports, etc.

2. They like to make up their own formats, which often make no structural sense. I know that they must see loads of discharge summaries, H&Ps and all of that, but they seem oblivious to the typical formats these documents follow.

3. They don't know how to pronounce many medical terms or drugs, and often mangle them so badly that you really don't like to stick your neck out and make the correction, so *BINGO!* - that's another blank.

Just a bit too ad hoc, as far as I'm concerned.

I know, right!! The pronounciations kill me - One short trip away from the funny farm

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I have ARNP who is so concerned with whipping through her stuff in 2 minutes flat that she sometimes stumbles and stutters over her words. If she'd slow down just a hair she woulnd't have that problem and the way she pronounces words sometimes just kills me. I'll be yelling at the computer "there's no R in that word!!"

had an OB doc dictate... - tmt

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"patient with G3, P2, premature birth with POSSIBLE death 1"

I guess the baby vanished immediately upon exiting the vault and was never seen again, so they don't know if the baby lived or died.

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