MEDICAL TRANSCRIPTION SAMPLE REPORTS: Incision and drainage

Medical Transcription

Medical transcription is one of the fastest-growing profession in the country today.

Medical transcription offers excellent opportunity to housewives, ex-servicemen, graduate fresh or experienced, especially the newly passed ones. It is also a high income career for the graduates. You can even sit at your home and earn money from home feasibly through medical transcription career, and one can organize his/her own work timings and avoid travel to the works for and thus earn more than the usual office goers.

Nature of job, doctors will dictates the patients’ information, which we will receive in wave format through voice mail or dictaphone which consists of medical datas, which we have to type.

Transcription process is conversion of voice to electronic text form. As this process deals medical data documentation, so this is called medical transcription. The person who deals with medical data process is called Medical Transcriptionist.

Any person can do home based medical transcription program, those who are interested to learn, who able to grasp accents’ of dictators’ voice, who able to understand English, who able to form sentences grammatically and finally, who wants to earn money shortly from home or office.

There are many institutions that providing free home based medical transcription training through internet with their own “terms and condition” and time limits, duration. To avail home based medical transcription training you should computer laptop or desktop with UPS, phone and internet connection for communications. They would design the program accordingly where one can learn medical transcription from home.

Home based Medical transcription Training program duration may be 2 to 4 months.

After successful completion of home medical transcription training from institute based on your quality and quantity, you will be offered a home based job medical transcription immediately, and you are supposed to sign an agreement and can start medical transcription job from home and can start earning from home. Companies will provide you files through internet which has to be transcribed.

Based on your quality and quantity, remuneration will be fixed with incentives per month and remuneration will be gradually increased as your experience increases. One can start earn initially low, but gradually can increase with incentives as experience increases.

Quality - the document should be without error and should not commit error beyond the limit. Files should be submitted with minimum 90% accuracy to company by the medical transcriptionist and to the client, 99.5% accuracy after QC/QA. Quantity - a transcriptionist should be able to transcribe minimum of 350 lines per day, initially after successful training.

Main advantage of taking home based medical transcription work, one can organize their own work timings. They can reduce your traveling time 2 to 4 hours, so that can spend more time in working to earn more.

Sunday, 29 July 2012

Incision and drainage

PREOPERATIVE DIAGNOSIS: Chalazia, both upper and lower lids.

POSTOPERATIVE DIAGNOSIS: Chalazia, both upper and lower lids.

PROCEDURE: Incision and drainage.

ANESTHESIA: General.

COMPLICATIONS: None.

PROCEDURE IN DETAIL: The patient was wheeled into the operating room suite, placed on the operating room table, where a routine preop cardiac monitoring was initiated. IV was inserted into place. The patient was induced with face mask anesthesia, intubated, and maintained on appropriate mixture of gases for general anesthesia. Both eyes were prepped and draped in a sterile fashion. Turning to the right eye, the lower lid was clamped, and lid was everted. Chalazia was incised and drained. Then turning to the upper lid, the same procedure was performed. TobraDex ointment was instilled into the eye. The eye was patched. Then turning to the left eye, the exact same procedure was performed, i.e., incision and drainage of chalazion.

The patient was weaned from anesthesia, returned to recovery room in good condition.