A few weeks ago I posted a blog about interesting and humorous things dictated by medical professionals. Following that blog, Raquel Siles, a medical transcriptionist at GVMH provided me with a list of a few “funny” things she’s collected over the past 18 years she’s worked as a medical transcriptionist. You’ll see those “bloopers” below and it’s sure to make you smile. Raquel also suggested that I do a series of blogs detailing lesser known jobs in a hospital setting.
I loved Raquel’s idea of highlighting jobs that you wouldn’t necessarily think of in terms of what makes a hospital work. We all know the role doctors and nurses play at a hospital but there are many other jobs that are important for the successful operation of a hospital and successful patient care. Over the next few weeks I will provide insight about some of those jobs.
I met with Raquel to learn more about what a transcriptionist does and what it takes to be a transcriptionist. A medical transcriptionist listens to dictation and then transcribes the dictation into a note that makes its way to the medical record. In some ways the medical transcriptionist is the key to efficient patient care, a patient can not have surgery until a transcribed H & P is on the chart, a patient may need their discharge instructions transcribed to get the appropriate medications upon discharge and one physician may need to read the transcribed note of another physician to provide appropriate care to a patient. You might not have thought it before now but a positive patient outcome is reliant upon the medical transcriptionist!
Obviously a transcriptionist has to be a good listener but Raquel tells me that listening for a living has its downsides. Raquel hates to talk on the phone and she has a hard time sitting still and listening to people talk when she’s not working. I guess it’s a lot like a person who plays golf for a living – if you play golf for a living you probably don’t enjoy golf as a hobby.
If you are placing bets on who’s going to win a spelling bee, bet on the transcriptionist. Raquel tells me that a transcriptionist must be a great speller. A medical transcriptionist is also a person who likes to learn new things. When Raquel told me this I was initially confused but her explanation made it clear – Raquel enjoys learning about new medical procedures and diseases and she gets to listen to a physician describe them every day.
Here are a few stats that I found interesting: Raquel can type 150 words per minute. She is required to type 950 lines per day and on a good day she can type 1500 lines and 1 minute equals 10 lines. She has typed notes that are up to 450 lines – think about that, that’s a long note! Every day GVMH produces 12,000 lines of transcription. Dr. Clouse’s dictation is the best and easiest to transcribe of all GVMH physicians. The thing that has evolved the most during Raquel’s 18 years of transcription is the ear piece she wears to listen to the dictation. Raquel told me that when she started 18 years ago, the ear pieces she wore at the time resembled the bell of a stethoscope and now her ear pieces are made by BOSE out of silicone and they fit comfortably in her ear.
Just for kicks (and laughs) here are some of the “funny” dictations Raquel has collected from GVMH over the past few years… *Disclaimer – none of what you’ll read below made it into the medical record there is a process in place for editing and correction (I learned that from Raquel too, to be honest, I didn’t know what I didn’t know about transcription until I met with Raquel)!
The patient has a poor appetite but is overeating.
The patient does present with a temperature of 95/52.
Exam of the right leg shows a contusion of the elbow and shoulder.
This is a 79 year old white female patient who saw Dr. Hospital in the ER yesterday.
This is Dr. ___________ – dictating on…..somebody.
Oral pharynx shows flat neck veins.
The body was released to the funeral home. Follow up outpatient next week.
The patient was carefully grasped and elevated.
The patient was given 1000 cc of IV normal saline for the purposes of hydration and improving the overall state of hydration.
Ibuprofen as abdominal binder 100 mgm.
She has been married for quite some time but her husband appears to be helpful.
He struck another vehicle in front of him from the rear.
Repeat x-ray of the left shoulder showed no significant interval change and a fracture of the left humeral neck fracture.
This lady presents with respirations of 110.
Nausea with emesis with vomiting with vomiting.
There was an abrasion on the occipital scalp that had a healing abrasion.
Mat citrate 296 cc PO rectally.
Patient is accompanied by her significant other husband.
She was discharged the same day she was discharged home.
Aerate the shoes well so that he gets adequate oxygenation and mobility with the chest situation.
This an admitting H&P on _______________ on 9-31-02.
The patient was placed in a specimen bag.
The culture did reveal that Cipro was sensitive to both organisms.
This patient has migraine headaches on a prn basis.
Asked her to stay in and out of the cool air.
The patient really is relatively soft.
Upper right lower lobe pneumonia.