Radiology

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1. Turn on PC and RMS appears Will use 1,4,5 6,8, 9 A on menu 2. Hit 4 for Transcription 3. 5 Edit Header/Report 4. Report Look Up 5. Use Sequence # from written report 6. Exam Date – always use reort date and make sure it matches 7. Seq # 8. F1 Enter Status D = date dictated T = date typed N = New To use Dictophone: Log on by hitting System Access Twice (may want to use Cody and my code is 086999) Use # 1 to select by Report Presss 3 by Subject # - (number under pt’s name) may have to key it to dictaphone more than once – may need to use a 8 before number on paper Put in number and hit the # sign Put in transcription time in military time – jot down on report from taped message Put in auth # from phone screeen Enter dictated time MD’s Hospital Computer numbers: 00---- 2 lead zeros and then 4 digits and justified to the left On PC: F9 to enter W/P (word processing section) Report design: Use Z N)normal S)specific use N unless some thing additional written in by Radiologist F3 and F4 to view and move back and forth between headers Some Radiologists give the date and some don’t - -HAVE TO HAVE A DATE – IF THEY DON’T GIVE ONE, USE DATE ON WRITTEN REPORT Can go back and review sheet when done and for Mammograms, put in data from written additonal sheet (Radiologist Findings) F1 first Enter T for transcription menu Choose breast Catagories (Radiologist Findings) If no answer to a section, hit Escape to go past it If answer, fill in, hit enter and then F1 to Save Press Escape to bring back to beginning screen If Reason for Exam noted, to back to Pt.System – into Pt Information; Enter Pt’s number, F1 Begin Search, Find Visits ALT H, Find Visit and Enter; Alt M --Mammographic Software – Reasons check whatever is checked, F1 to save, if problem indicated, Sign OFF Dictophone when finished/Sign off PC software at Transciption Menu (1 Sign Off) TO PRINT REPORTS In Transcription Menu Go to Sign Off By Radiologist Find reports by Radiologist F2 to pull up everything for Radiologist F1 to select Print When you do this, it prints all for all transciptionists SHORT CUT KEYS: IMPRESSION Hit Alt I F1 SAVE ACR Code: Hit Alt 9 Find Visit Alt H Mammagraphic system Alt M Alt C Clinical History Correct all misspellings found If note to fax, enter fax number on header screen, Only answer Fax as Y is you know fax number of MD office in system already; if you don’t know, answer N, enter Fax # as 9,776-6176 or if long distance enter as 9,9197766176 AND put it in comments to Fax

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