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Blank all HEENT/HENT!!! - MTinMB

Posted: Jan 06, 2015

From now on, I am blanking HEENT/HENT any time I am not 100%, absolutely, positively sure of what the doctor says. Especially if they don't say anything at all (which is the usual).

This is utter ridiculousness and I am not going to risk a QA (or QC or whatever it is!)'s subjective opinion about whether a dictator said (or meant) one E or two!

What's next? If they only dictate a finding on the right lung, do we have to label it as "RIGHT LUNG:" instead of "LUNGS:"? *Maybe the doctor didn't listen to the left lung? Maybe the patient doesn't have a left lung?*

So fed up!

The thing about this kind of stuff is... - sm

[ In Reply To ..]
.. these doctors do NOT give a crap about that damn extra E!! Good Lord, this whole thing is so ridiculous. Those doctors do not care about that kind of stuff.

I do all straight typing still, and I have quite a few templates that the clients make themselves. They are really bad and full of incorrect punctuation, run-on sentences, and whatnot. My TSM puts it into the reports or the template database EXACTLY as it is sent from the client. I have to restrain myself from correcting some of the worst ones, but we aren't supposed to mess with it. If they don't mind that mess in their reports, they certainly don't care about HEENT vs HENT or "very well" vs "really well" <--- another one that I saw on here earlier that cost someone a whole point deduction! It's ridiculous! I thought they weren't supposed to be so nitpicky anymore. Psh! Yea right.

I can see the future ... - amy

[ In Reply To ..]
Future reports will look like this:

PHYSICAL EXAMINATION
GENERAL PSYCHIATRIC STATE:
GENERAL PHYSICAL STATE:
GENERAL PHYSIOLOGIC STATE:
GENERAL PHILOSOPHICAL STATE:
LEFT SIDE OF THE HEAD:
RIGHT EYE:
RIGHT EAR:
UPPER LIP:
MANDIBLE:
BASE OF EPIGLOTTIS:
RIGHT SCAPULA:
LEFT PECTORAL:
RIGHT AND LEFT ELBOWS:
LEFT LITTLE FINGER:
LEFT INDEX FINGER:
UPPER LEFT LUNG:
CARDIOVASCULAR:
RIGHT UPPER QUADRANT ABDOMEN:
BILATERAL HIPS:
LEFT TESTICLE:
RIGHT THIGH:
RIGHT KNEE:
BILATERAL CALVES (LEFT MORE THAN RIGHT):
RIGHT ANKLE/FOREFOOT AREA:
BILATERAL GREAT TOES:
LEFT LITTLE TOE:

What I was told - Sm

[ In Reply To ..]
If they say nothing, HEENT is the acceptable heading. If they mention eyes, it's HEENT because that 1st "E" is "eyes." Hope this helps.

I was told something completely different - amy

[ In Reply To ..]
I wasn't told anything about if they say nothing, but I was told that they have to specifically say two E's AND mention eyes AND ears in order for it to be HEENT.

So what happens if they do not mention the head, or the throat or--sm - anon

[ In Reply To ..]
what if instead of the throat they just say mouth? Who has time for that?

HEENT/HENT is ridiculous scoring game - E E said fast blends together - sigh

[ In Reply To ..]
Seriously? HEENT versus HENT should never be scored as there is no impact to a report either way. This has truly turned into a "who can score off the most" game that must stop as it serves no meaningful purpose. QA should focus on true patient care and client specific items that impact accurate report delivery and leave the rest alone.

From my TSM... always use HEENT - sm

[ In Reply To ..]
From an email last week:

"For HEENT, please make sure both Eâ��s are there. Some people have put just HENT, because they think they are hearing only 1 E being dictated. This is incorrect and also a CPSE error."

What?!? That is the opposite of what QA/QC is telling us! - nm

[ In Reply To ..]
.

that is also the opposite of what my TSM - emailed us!

[ In Reply To ..]
inconsistency whichever way you turn!!

I saved the email just in case - sm

[ In Reply To ..]
If I'm ever brought up on charges, I can use that email as exhibit A.

Similar Messages:

Jan 18, 2015

I think my problem with this issue is that once you are "caught" by QA/QC and given a 1.0 deduction (by which I mean I had the universally accepted HEENT and they heard HENT, thus I was docked 1.0 for that), I now must either listen carefully to determine if they are saying HENT or HEENT, then put one or the other, then still have a chance that my reviewer will give me the error because they hear something different. If there is obviously ears and eyes that one is easy, but oftentimes it DOES s ...

Jan 08, 2015

When I requested reversal over getting gigged on this I spelled my thoughts out pretty thoroughly but don't know how far up the chain of holiness that goes. Has anyone else shot off their opinions on this? Hoping if we get enough of us to make an issue they might reverse this idiotic ruling. ...

Nov 09, 2009

HEENT: Unremarkable: there is sclimericterous or archis cinilis. Extraocular movement was within normal limits. ...

Jun 21, 2010

HEENT: A nasal s/l corium, right s/l pupea measuring 4 cm, the left 2 cm. ...

Oct 12, 2012

HEENT heading. Sound like the doc is saying, Eyes, pupils 2 and reactive. 2? Thanks! ...

Nov 06, 2009

Patient has pain in the right submandibular triangle. It is recommended that he have a "sialadenosubmandibular duct endoscopy." Is there such a term? Thanks. ...

Nov 22, 2013

HEENT: s/l paravoltema? Dr. is saying, no paravoltema any help would be appreciated, thanks ...

Jan 22, 2015

Patient with possible TIA. HEENT EXAM: "he did not have _____" sounds like "dove's eye" "dowsa" Thanks in advance for help ...

Nov 02, 2009

NM ...

Nov 26, 2010

Doc says Bilateral TMs s/l FOR or OR. Any ideas? ...

Feb 19, 2011

HEENT s/l gershin normal? ...

Mar 25, 2011

Any idea what this could be on a cardiac consult? HEENT: No _____ory findings. Thanks!!! ...

Aug 23, 2011

"HEENT: CCs are plethoric. Sclerae are anicteric." Anyone know what the "CC" might stand for? TIA! ...

Feb 19, 2013

HEENT: Unremarkable. (Coddle?) hole is intact. ...

Feb 19, 2010

doc states...HEENT is unremarkable. No proptosis. No S/l peri?? edema. I definetly hear the peri...just not sure what is next. ...

Mar 08, 2010

NM ...

Sep 12, 2010

Dictated: Eyes: Extraocular muscles intact. He has bilateral Marcus Aurelius. Tympanic membranes are okay. Transcribed: Eyes: Extraocular muscles intact. He has bilateral arcus senilis. Tympanic membranes are okay. first time a Roman empirer has made an appearance in my transcription! This was not even VR! ...

Sep 05, 2012

I've heard of palpable cords plenty of times when examining the extremities, but this time under HEENT, doc says "His mucous membranes are moist. His temples had no *s/l palpable cords* and nontender to palpation. Pupils equal, round, and reactive..." Is this correct? ...

Jan 05, 2011

Hi, I have been speaking with a company who will be hiring me for transcription. They pay good rates and I asked them about the possiblity of job progression and eventually working as QA. They said that QA pays by the blank... how is that even possible? Ive seen being paid by the report, by the hour, or by production (by the line)... but I have no idea how the QA staff make good money only getting paid for the blank. any ideas? Amy I missing something? ...

Feb 18, 2010

Under physical exam, HEENT, he says s/l conjack time normal. No JVD. ...

Oct 19, 2009

in this sentence is english capitalized? I am totally blank at the moment. The patient is an 81-year-old white female who does not speak english. tia. ...

Oct 29, 2009

The basilic subtercutaenous stairway was capillary protected and preserved... Thats the best I can hear...any ideas? ...

Sep 16, 2012

Medication s/l as Clobetatrol substance mixed with water, pl help. ...

Sep 26, 2012

Needle was removed slightly, redirected superiorly until the tip made bony contact at the eye of the _____ at L4 ...

Jan 05, 2013

EXTREMITIES: There is only mild warmth __________ in her joints. I do not see rheumatoid flare in her hands. Her large muscles all in the hand are tender. She hurts just about everywhere. ...

Jun 20, 2013

???? If I leave a blank in a report, send it to QA and even they can't figure it out, does that blank still count against me? ...

Jul 31, 2013

What platform do you use? Was your company absorbed by Nuance? I'm from Webmedx, work on the Enterprise platform. We have 2 blanks allowed and no 100% QA . ...

Mar 08, 2014

on a test and still got hired? Not sure if okay to leave a blank but have relistened so many times and can't make it out and don't want to guess. ...

Oct 13, 2014

So sick of the emails. I really do not care what number our "team" is in, I know no one on the team anyway. If they want to reduce blanks there are better ways - talk to the dictators like they promised years ago, improve the audio, improve ASR, yada yada yada. But no. Blame the MT instead. Silly contest. All it did was encourage folks to guess in order to win a pittance gift card. Hopefully they will keep the 99.5 expectation, the only good thing that came of this supposed fiasco. ...

Oct 17, 2014

I can pick out at least 3 in that list that I know for sure just guessed. I've QA'd their work and it's horrible. Way to promote accuracy MM! You know what would get those blanks down? Educating dicators, fixing sound quality, keeping MTs in their primaries. Nevermind, that won't work; it's the MTs that need to improve, obviously. MM is run by complete boneheads. ...