Thursday, November 6, 2008

Dictation

I did my first dictation this week. Here's a glimpse of how it went...

"The patient was admitted on 11/1/08 with the diagnosis of.... uh..... with the diagnosis of.... uh.... (pause system)... ... ... ... ... (unpause system)...
Axis I major depressive disorder... next line...
Axis II borderline personality disorder... next line...
Axis III none... next line...
Axis IV none... next line...
Axis V GAF 40 out of 100... next line...
to 7 west under the care of... uh.... uh... Dr. Smith... wait, error, scratch that... under the care of... uh... uh... Dr. Jones... period. (This continues for a long time)

Dictated by Lindsey Miller, L-i-n-d-s-e-y M-i-l-l-e-r, M-3. End dictation."

It was a pretty painful experience.

2 comments:

Unknown said...

Yet, it gets better! Especially at the VA...you just read the FPN. THEN on peds...no dictation! Were you on 7-East when they had the Code Blue?

Miller said...

I didn't get to rotate on 7East, just PES and 7West. We only got to do two 3-week rotations this time...