resident dictating

A new ESL dictating a DS. Can't speed him up because he's too "new" (to this country?). He is spelling every other word!!!!!! AND then spells it again - extubated, e-x-t-u-b-a-t-e-d, extubated e for elephant, x for crosses, t for tom, u for umbrella, b for .......... get the picture (sigh)? On top of that, the report is 28 minutes long!!! Should never have gotten out of bed this morning. LOL I do feel bad for him that he doesn't realize he doesn't have to spell every other ...

I have a female resident dictating radiology who tries to break the speed barrier, she sniffs before every sentence, and constantly makes these noises in her throat. She DRIVES ME CRAZY. My rant for the day. ...

Help please:) I work at a residency clinic and was wondering how to sign off a letter if you want to put the resident's initials (the one dictating), the precepting doctor and then your initials. Usually they tell us just to put our initials on a new line, i.e. /mt. For a doctor you would do: DR/mt, but what about the resident? Do you put both sets of initials? Thanks! ...

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. ...

At the end of his discharge summary, the resident says "thank you very much for your help and your time. I hope you have a nice evening and a nice weekend." Awe. That just made me smile. ...

Really, shouldn't he be more concerned about the content of the report rather than telling me where to put periods and commas and spaces. You know I just never would have figured that one out without him! ...

The doctor is not including the word mg with doses of medication. Do I just transcribe what I hear or insert it? IE- simvastatin 10, vitamin E 400 b.i.d., metformin 850 b.i.d., ibuprofen 400 p.r.n ...

This is driving me crazy! My main account has several docs that dictate their review of systems and PE out of body system order, like instead of the neck head down, they dictate the abdomen or extremities first. ...

I very seldom vent or complain, but it has just got to me today. This surgeon does such good dictation, EXCEPT when he yawns and continues to dictate. How in the world does he think we can understand him when he does this. It is not a little yawn either. It almost makes me shutter when he does it. I am sorry, I just had to finally vent after listening to him for 10 years. ...

He does this all the time...turns a 1.5-2 min dictation into a 15 minute dictation. I fast forward through it, but I still have to "listen" to the whole file before I can turn in the dictation. This is on top of being a horrible dictator; he whispers, shuffles papers, etc, and has extremely long pauses between words. Gah!!!! Okay, just had to get that out of my system. Thanks! ...

I have always thought the numbers less than 10 should be in numeral form if referring to medication. So I thought 1 tablet of Vicodin a day would be the appropraite way to type it or 2 tablets of Vicodin a day. However, I am not sure. Any ideas? ...

I'm going freaking nuts! I am trying to transcribe a resident's dictation (bad enough), but she's smacking and chewing gum throughout the whole thing. It's so loud that I can hardly make out what she's saying. I don't very often rant and rave, but ... I DON'T GET PAID TO HEAR SOMEONE CHEW GUM!!!! ...

Okay, if you're going to have an RN, FNP, or PA dictate for you, at least make sure they know the terminology! I just suffered through at 10 minute discharge summary on a patient post CVA, and this lady was reading the CT scan and MRI reports of the brain into the record with clearly no idea at all of what she was reading or what it meant or how to pronounce the parts of the brain. Thank goodness I've been around long enough to be able to get and idea and fill in so ...

SO SICK OF DICTATORS EATING HARD CANDY, CHEWING GUM AND EATING CRUNCHY FOOD WHILE DICTATING!!!!!!!!!! NERVE WRACKING AND TIME CONSUMING WHILE WAITING FOR THEM TO MOVE THEIR FOOD AROUND AND SWALLOW!!! NOT TO MENTION THE RATTLING OF CHIP BAGS....HOW UNPROFESSIONAL CAN YOU GET?????????? ...

The doc sneezes twice and I muttered to myself "God bless you." Apparently someone in the office did, too, because then the doc said "thank you." The timing was perfect and it made me laugh. ...

doofuses puts in the wrong work type, the report should be sent back to them to fix. How hard is to just put in the correct type? I guess that's too simple. ...

dictating lab values: albumin 2.7, low. s/l "HU" ratio low at 0.6. ?? Thank you!! ...

Note to all doctors who eat while dictating... STOP IT! Okay, you jerks swore to do no harm. You violate that oath every single time you pick up a phone and dictate. Eating while dictating is just one of the many things you do. How would you like it if someone came up to you and started chewing their food right in your ears? Oh, you wouldn't? Gee, could have fooled me! What's that you say? No one would show a doctor that kind of disrespect? You are nothing but an over-educated, self in ...

Anyone have thoughts on using program such as Dragon to "re-dictate" reports to save some transcription time and hopefully save further wear and tear? Not an expensive program start-up but willing to spend some time to set up a more basic program to work. My shoulder is nearly frozen, again. Us old-schoolers are wearing out. Thanks! ...

Dictating ultrasound findings and S/L "slavic" stones or "slatic" stones??? #&%& mumblemouths! ...

Doc is dictating s/l boc ta lict hernia...any ideas? ...

I've had enough. I'm outta here! Going for a walk... ...

he is dictating lab values, pc02, po2, ph, and something that sounds like BASE EXCESS, ...

and if there was any problem with the dictation to please feel free to call him on his cell phone......and he was clear to boot. At the end of the report he said, "thank you for your patience while I work on figuring out this dictation system." ...

a doc dictating on a teenager with new-onset seizures, numbness, slurred speech had ranted a little and made it clear he was angry in his report when an insurance company would not cover a brain MRI on this person. Family were worried enough to get one anyway and it found a glioma that the CT didn't pick up. I pay 750 a month for health insurance, I think I would make quite the stink if this happened to me. ...

Honestly, this Dr. is always listening to the radio when he is doing his reports and it is up LOUD. So of course, since I do VRE, I have to delete TONS of song lyrics from every report he does. Can he seriously not live without his terrible 80's soft rock for 10 minutes?! ...

resident dictating - sm

how about PULSE - meeps

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