MEDICAL TRANSCRIPTION SAMPLE REPORTS: Primary low-flap cesarean section

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

Primary low-flap cesarean section

PREOPERATIVE DIAGNOSIS: Failure of descent.

POSTOPERATIVE DIAGNOSIS: Failure of descent.

PROCEDURE: Primary low-flap cesarean section.

COMPLICATIONS: None.

ESTIMATED BLOOD LOSS: 100 cc.

FINDINGS: A live male infant with Apgars of 9 and 9, with a weight of 8 pounds and 1 ounce. There was moderate meconium. There were normal tubes and ovaries bilaterally.

PROCEDURE IN DETAIL: The patient was brought to the operating room and anesthesia was obtained without difficulty. She was prepped and draped in a normal sterile fashion in a dorsal supine position with a leftward tilt. A Pfannenstiel skin incision was then made with the scalpel and carried through the underlying layer of fascia with blunt and sharp dissection. The fascia was nicked in the midline and the incision was extended laterally with the curved Mayo scissors. Inferior aspect of the fascial incision was grasped with a Kocher clamp and elevated off the rectus muscles. Rectus muscles were dissected out bluntly and sharply. Attention was turned to the superior aspect, which in a similar fascia was dissected out bluntly and sharply. The rectus muscles were separated in the midline. The peritoneum was entered sharply and incision was extended superiorly and inferiorly with good visualization of the bladder. Bladder blade was inserted. The vesicouterine peritoneum was incised in a transverse fashion. The scalpel was used to make the uterine incision and this was extended laterally with the bandage scissors. A live male infant was delivered atraumatically. The nose and mouth were suctioned on the field. The cord was clamped and cut and the infant was handed to pediatrician with an Apgars of 9 and 9. The baby weighed 8 pounds and 1 ounce. There was moderate meconium. Placenta was delivered spontaneously. Uterus was cleared of all clots and debris, and the incision was closed with 0 chromic in a continuous locking fashion. One figure-of-eight suture was placed in the midline for hemostasis. The incision was re-inspected and noted to be hemostatic. The tubes and ovaries were normal bilaterally, and the gutters were cleared of all the clots and debris. The fascia was then closed with 1-0 Vicryl in a continuous fashion. Subcutaneous tissue was irrigated, Bovie cautery was used for hemostasis, and the skin was closed with staples.

MEDICAL TRANSCRIPTION SAMPLE REPORTS

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