nurse practitioner dictating for physician

I am not allowed to think for you! Sincerely, The Typing Zombie I have done three extremely long H&Ps dictated by the same nurse practitioner and OMG. She has dictated the entire physical exam and in the middle of dictating the extremities, she says, "He has been wearing O2 2 liters nasal cannula during the daytime hours." No, go back up and put this in under vitals or respiratory. Just, "There is peripheral edema. Pedal pules are normal. Skin is ...

Just wanted to dedicate this post to the nurse practitioner who coughed very LOUDLY throughout two 10-minute reports I just did. Just to let you know, there is such a thing called the MUTE BUTTON. Thank you so much for just about blowing my ear drums out. I literally had to pull my ear plugs out so you wouldn't render me deaf. I feel sorry for whoever uses that dirty, germ-filled phone after you hacked a lung into it. Oh, and BTW, the phrase "carotid bruits" is not pronounced carotid brew- ...

That was such a clever idea to multitask and eat your lunch while dictating, killing two birds with one stone, as they say. It's so cute and funny hearing muffled words through your chomps and swallows. I wish I could return the gesture and make your day more pleasant too. Merry Christmas. ...

How and where do you designate the dictating nurse practitioner's (NP) name when she is not the attending physician (psych discharge summary)? ...

What is the difference between referring physician and requesting physician? ...

A PICC line was placed in the ICU by the _____ nurse. Sounds like IFE nurse or ivy nurse, but I haven't found any references to either. ...

I just heard tonight from a lady who has been in school studying to become a nurse. She told me basically her schooling is now over. She made a 74.? in pharmacology and you have to have at least 75. She says she has spent so much money, really applied herself and now all that is over. There is only the 1 time, she tells me and she missed it. ...

I am looking into MT programs and wondering about one which advertises that it is geared to nurses: MT@Home Medical Transcription. It costs significantly less than the three programs which I see referenced quite a bit -Andrews, M-Tec and Career Step, but it seems like these programs involve so much material that I already know. Years ago I did transcription for nurses, I've worked in hopitals/home and office environments as a nurse (also years ago) and I worked in pharmaceutical sales ...

I came across an ad recently catering to unemployed new registered nurses who need jobs badly. I am understanding that the market for RNs and healthcare in general is saturated and then some; however, this article specifically stated "Nurse Medical Transcriptionists." I saw it on All Nurses forum; I don't remember the company . . . BUT a lot of nurses were responding with interest because they can't get jobs. The only thing that was running through my mind was "you have no idea people ...

Just wondering what the majority thinks about these career paths. It seems as though a lot of MTs are moving or considering a move to the RHIT/RHIA world of especially medical coding. I am assuming that the lure of 'work at home' is pulling many in this direction, and I have actually seen where many are questioning whether medical coders are 'paid per code' or 'paid per case' or what? I asked myself what are these people thinking? Has anyone experienced this, ...

and she knew someone who is almost retirement age, having trouble making ends meet, no husband -- now she didn't know if she could spell, but she could probably type -- and figured maybe she could do what I am doing. She didn't get along well with people, so it would have to be an at-home position. ARRRRRGGGGG!!!! and could I help her... now I have had numerous calls such as these over the years, but from a NURSE!? You'd think at least she ...

I need to find a real job with benefits and insurance so I am thinking about going to school to be a LPN or radiology tech. Anyone done either of these? Did you feel like your MT background helped in the courses? I am 40 so I will have to take all that math and english before I can do anything. Any advice.....? Thanks ...

I have been working in this field for many, many years. When I started, it was a little easier to break into this field. It was in an era when everyone didn't work at home and every company didn't require 2 years experience. I figured the newbies on this board would know the answer to my question. I have a friend who has been an RN for years and would like to break into the MT field. Being that she has terminology/medical experience, is there any way ...

And other types of medical records jobs as well. Explain to me what makes a nurse qualified to do these jobs? ...

Is it always correct to use nurses' notes in dictation? My reasoning is that it is yes because there could be more than one nurse charting on the case. ...

Of course we start talking about everything. Well my local hospital surgeons no longer dictate. Their medical students follow them around and are in charge of keeping track of everything and then later going in and entering it in the computer. This is a HUGE group of hospitals and I am sure impacts a lot of us. Also, my local doctors have begun bringing their computers into the room when your in for whatever, and doing the paperwork right there, on your dime or the insurance companies dime, ...

Not sure if they are saying VSE, PSE or BSE? It's a protocol if a nurse or healthcare worker accidentially sticks themselves with a needle and I tried googling, but I can't find anything definitive. TIA ...

Does anyone have any good websites for looking up physician names? Started a new job and I am all over the country on some of these physicians. Sometimes i have a full name, other times just a last name and no clue as to what the speciality is. Thanks in advance for your help. ...

So, I'm editing this report and it comes to the end and the physician states, "Transcriptionist, thank you so very, very much. I appreciate you and your work." Totally made my day! Since this physican doesn't know it was me doing the report, I wanted to pass it on so hopefully it'll make someone else's day too. Please no negative comments. I have enough negative (as we all do). Let me just enjoy the thank-you, and even more the appreciatio ...

I have alway been told when in doubt, leave a blank. Resident did not give attending physician's name. There was a doctor's name in the hearder as attending, but I was not sure so I left the attending line blank at the bottom of the report. My boss calls me and tell s me to go on a limb and guess in the future. I do not like those ethics because it leaves me up for problems in the future. Comments welcomed. ...

What's a good website to use to get current addresses of physicians? Thanks ...

I have been approached by a physician to do his transcription. This is to be done at home. What equipment will I need for transcribing --- also, what equipment will the physician need for dictating? I appreciate all your suggestions. I have done transcription for this doc at a hospital. The hospital went voice recognition -- using a company 100+ miles away. He wants me to do the transcription for surgeries he does in a different location other than ...

The doctor I transcribe for sometimes says "Associated Physician" and sometimes says "Associative Physician" and then lists the doctor's name. Sometimes he will also list a "Primary Physician." Just curious to see if there is a difference between associated vs associative and if one would be better than the other in this situation. Any thoughts? Thanks! ...

Below is a link to a NY Times editorial. "The advent of electronic medical records has been a boon to patient safety and physician efficiency in many ways. But it has also brought with it a slew of “timesaving” tricks that have had some unintended consequences. These tricks make it so easy for doctors to document the results of standard exams and conversations with patients that it appears more and more of them are being documented without ever having happened in the first pla ...

Physician scribe jobs have just come to my attention. Been browsing the Internet and heard about it locally, too. Can't find a really detailed description of what these scribes actually do in a day's work. Anyone know? Thanks! ...

I admit, this is a huge pet peeve of mine. The consulting physician is the one who goes to see the patient at the request of the REFERRING physician. I wish I could get some docs to read this and state the difference. If I was typing, I could just correct it right away but I have to correct it on the VR. ...

Hello everyone and sorry to intrude. I just wanted to say thank you. I'm a hospitalist physician and I dictate daily. I would say about 10% of my dictations contain a "_______" that needs to be corrected, maybe less...and I am someone who mutters a LOT. So I'm surprised it's not a much higher percentage. And when I hear some of my fellow internationally-born docs dictate, I'm amazed that ANYONE, let alone someone over the phone, would be able to understand what this person i ...

Since we have a (lengthy) Do Not Use list, I think the doctors should be versed in proper dictating form with a Do Not Dictate list to include "next", "next number", "new line", "skip line", "and", and "uh, uh, uh" and all those other little irritating words that ASR loves! Charge them 3 cents MORE per line of dictation if they can't maintain 98% with no blanks sent back to them!!!!!!!! ...

Most vena cava clips these days can be MRIed - MRId ........ Would it be ed behind MRI or just the d? Both look very odd. TIA ...

Just got an E-mail from our QA person stating that a physician is complaining that we are not sending CC's to the PCP that he gives at the beginning of the report. Now, I do realize that this information has been placed into the Client Profile under specific instructions for this physician, but sometimes when you are working on the same facility and feel comfortable you stop looking at the CP for every single MD. This is not a facility I type on often, and apparently it is not j ...

nurse practitioner dictating for physician - Shannon

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