Medical transcription is a very specialized profession and today we have skilled people who even specialize in emergency room transcription. How is an emergency report transcription prepared? And what are the challenges faced during the process? Quite often the emergency reports are scribbled and illegible. One of the most important skills a good transcription professional should have is to read and understand these scribbled notes by doctors. It is always useful to properly identify the doctor who has attended the patient as every doctor also has his unique styles.
The next process for the emergency room transcriptionist is to read the description written by the doctor and find out as to what ever caused the patient to visit the emergency room. Usually the medical forms in an emergency room are not very extended and have only limited space. Thus the transcription professional has to make detailed notes of the following:
Time /Date
Time of the onset of illness
Symptoms of the illness
Details of the incident
Accident description
Add more details if required
Find out if all other requirement of patient is met
What is the immediate attention required?
How is the medication to be given (oral/ injection etc)
Has the patient to be referred to other specialist?
Details of physical injury etc if anyQuite often the emergency room has to handle the accident victims who come with various bruises, cuts and injuries. All the specific details of the appearance of the wound etc has to be mentioned in the transcript as it can be of great use if the transcript has to be used as a legal document to be produced in a court of law.