UCSD Musculoskeletal Radiology

bonepit.com

Signing

Dictating and signing reports at Scripps Green

June 20, 2002

Dictations

1. Push button next to staff's name on dictaphone. After you hear the prompts, scan bar code given on patient's information sheet. (If scanner does not work, manually enter the patient’s medical record number). Begin dictating.

2. Dictation should include: fellow and staff's last name, patients last name, medical record #, type and date of study, history and comparison's date.

3. After dictation is complete hit "L" button on hand held dictaphone.

4. To do addendum, repeat above with initial statement including word "addendum".

Signing reports:

1. Call extension 4-2648. Secretary (Les) will give you usernames and passwords and instructions for siging reports. A demonstration is the easiest way to learn to sign and edit reports.

2. Generally, the fellows sign everybody's reports including staff - unless told otherwise.