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If you have a verbatim account and the dictator does not dictate mg after a drug dosage would you ad - Sunny

Posted: Sep 19, 2010

would you add it or not?? - Sunny

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NO, I would not - not on verbatim

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Verbatim means verbatim! - Cloudy

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Based on my experience, you are not allowed to add or delete anything on a verbatim account.

no, I would not. But once the doctor dictated - what to do?

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mg instead of mcg, and I was blamed for not having it changed. It was a verbatim account.
So, whatever we do, it's our fault!

See Note by Old Worn-Out MT - Old-Worn-Out MT

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nm

No, Definitely Not - Old, Worn-Out MT

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No, I don't even add this on an account that has leeway with editing. It's up to them to say it. HOWEVER, if he or she says mg on a drug that is mcg, that's another issue. On a really strict verbatim account would probably flag it per appropriate protocol. On an acct with more leeway, I would correct the mg to mcg.

So, if I am not familiar with the drug and the unit for it - units

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I have to check every drug for the correct unit? Isn't this the doctor's duty?
We are here to check for spelling and grammar, what else? The drug units? Do we also have to point out a surgeon's mistakes during an operation?

Yes, that is what you should have been trained to do. - Cloudy

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If you are not interested in producing an accurate medical report, find some other profession. Spelling and grammar is certainly less important than drug dosage and surgical errors.

It is the duty of an MT to correct "surgical" errors?" - haha!

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Can YOU do this? I certainly cannot do this!
Where are the limits set for the duties of an MT?

Also for a secretary. Those are so "stretchable!"
According to what you are saying a secretary would also be responsible for taking her boss's clothes to the dry cleaners and washing his underwear?!

Good luck with that!

There is a clinician on my account who does this - RubySoho

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For example, "Norvasc 5 at bedtime." Never gives mg/mcg/etc. I leave it just as he dictated it since it's a verbatim account.

Along with the other poster here, I do flag things that are obviously incorrect. I was once editing a report where the physician dictated, "OxyContin 500 mg p.o. p.r.n. pain." I left the dosage blank and flagged it for QA, pointing out that this dosage would be lethal and thus was obviously a dictation error. I've also caught where the physician dictates the patient has an allergy to a medication then turns around and dictates the patient is on this medication in the medication list; these I also flag for QA.

At the end of the day, it's my initials on the bottom of those reports and I wouldn't be able to live with my conscience if I knowingly sent through something to the client that I knew darned good and well contained a glaring (and potentially deadly) medication error.

Thanks everyone. Much appreciated!!! - Sunny

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? ...

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