I’ve realized since transferring to New Zealand that communication is vital. Now, earlier than you get frothing, it’s worthwhile to know I’ve been fairly flat out, so I collected these crack-ups that are candy as!
I’ve additionally realized that although you would possibly know each phrase in a sentence, it won’t truly imply what you thought it did. I’ve realized a number of turns of phrase that I completely love. I’ve additionally discovered that a number of expressions I take advantage of have been greeted with confused clean stares. It goes each methods.
I used to be speaking a couple of case not too long ago and the way we had been Monday morning quarterbacking, and no one had a clue what I used to be speaking about.
Alternatively, I had a affected person inform me he was fizzing for the weekend regardless of being fairly flat out all week (he was excited after a busy week).
I used to be additionally advised, after explaining hemorrhoid remedy, that every one that discuss was method too scody for them to listen to (simply too disgusting).
Clearly, being misheard could cause issues. We have to make certain that what we are saying is clearly understood, particularly in drugs. Nowhere is that this clearer than once we use word-to-text dictation. We expect we’re talking clearly, however what’s documented won’t be precisely what we meant.
The next examples begin with what was dictated by the doctor after which what the software program (dictation) interpreted. Watch out on the market whereas dictating!
Physician: He has been making an attempt to assuage throat with giant portions of water.
Dictation: He has been making an attempt to choke youngster with giant portions of water.
Physician: Affected person was discovered to have acute SVT, and we did use vagal maneuvers.
Dictation: Affected person was discovered to have acute SVT, and we did use vaginal maneuvers.
Physician: The affected person had a blood alcohol stage of 312.
Dictation: The affected person had a blood alcohol stage of CCCXII.
(This one will get actually complicated if a affected person ever has 4 IVs).
Physician: The affected person was intubated with a GlideScope.
Dictation: The affected person was intubated with a kaleidoscope.
Physician: Affected person was then bolused with 1000 mLs.
Dictation: Affected person was then bloused with 1000 males.
Physician: Affected person was positioned on nicardipine. The nicardipine was titrated.
Dictation: Affected person was positioned on a mattress of ache. The mattress of ache was titrated.
Physician: The affected person has a parous cervix on examination.
Dictation: The affected person has a Paris cervix on examination.
Physician: Lumbar puncture not indicated.
Dictation: Lumbar puncture indicated.
(This one actually makes me nervous.)
Physician: The affected person has a TIMI low threat.
Dictation: The affected person has tiny little breasts.
Physician: Physician was then checking affected person’s glucose.
Dictation: Physician was then lashing affected person’s balls.
Physician: Affected person had anaphylactic response to peanut cookies.
Dictation: Affected person had anaphylactic response to penis cookies.
Physician: You’ll want to prop your daughter’s head up at night time with pillows.
Dictation: You’ll want to prop your daughter’s hymen at night time with pillows.
Physician: Affected person is A&O instances three.
Dictation: Affected person is anal instances three.
Physician: Affected person then had catheter that was positioned in after which out after urine.
Dictation: Affected person then had catheter that was positioned In-N-Out after urine.
Physician: The ECG was irregular, and a heart specialist was instantly paged.
Dictation: The ECG was irregular, and a prostitute was instantly paged.
Bear in mind, at all times test your dictations. Communication is vital!
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Dr. Brandtis an emergency doctor at present working in New Zealand (after 12 years in Michigan). Learn his weblog and different articles athttp://brandtwriting.com, observe him on Twitter@brandtwriting, and take heed to his humorous ED podcast, EpineFriends, which could be discovered athttp://apple.co/3d9Nco2. Learn his previous EMN columns athttp://bit.ly/EMN-BrandtsRants.