Numbers Boost - Vital Signs Power Point
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CARE <strong>Numbers</strong> <strong>Boost</strong>:<br />
<strong>Vital</strong> <strong>Signs</strong><br />
Developed by<br />
Michelle Marino, CMT, AHDI-F, MBA<br />
© 2002-2013 Nuance Communications, Inc. All rights reserved. Page 1
<strong>Vital</strong> <strong>Signs</strong>: General Tips<br />
• Be careful with soundalike numbers.<br />
• Use Google to help you convert values (Celsius<br />
to Fahrenheit, kilograms to pounds, etc.)<br />
• Be aware of normal values/ranges of vital signs<br />
(ex: temperature 98.6).<br />
• Flag any value that seems amiss.<br />
© 2002-2013 Nuance Communications, Inc. All rights reserved. Page 2
<strong>Vital</strong> signs: Normal Range<br />
© 2002-2013 Nuance Communications, Inc. All rights reserved. Page 3
Normal Range: Blood Pressure<br />
© 2002-2013 Nuance Communications, Inc. All rights reserved. Page 4
Normal Range: Temperature<br />
© 2002-2013 Nuance Communications, Inc. All rights reserved. Page 5
Normal Range: Respiratory rate<br />
© 2002-2013 Nuance Communications, Inc. All rights reserved. Page 6
Normal Range: Weight<br />
© 2002-2013 Nuance Communications, Inc. All rights reserved. Page 7
Normal Range: Pulse<br />
© 2002-2013 Nuance Communications, Inc. All rights reserved. Page 8
<strong>Vital</strong> <strong>Signs</strong>: Pediatric<br />
© 2002-2013 Nuance Communications, Inc. All rights reserved. Page 9
Example: Weight<br />
Error Type FIESA Feedback Tip<br />
1 ERROR Weight today 7.8 kg,<br />
Incorrect Values CORRECTI<br />
(Lab/<strong>Vital</strong>s) CPSE 3.0 ON<br />
Weight is at 87.8 kg,<br />
Always verify numbers. A weight of 7.8 kg is equal to just<br />
over 17 pounds. Unless the patient is a very young infant,<br />
this is not a valid weight.<br />
A weight of 87.8 kg is equivalent to a bit over 193 pounds.<br />
This makes sense for an adult patient.<br />
3 COMMENTS Use Google to convert kilograms to pounds.<br />
Edit<br />
© 2002-2013 Nuance Communications, Inc. All rights reserved. Page 10
Example: Newborn Weight<br />
Error Type FIESA Feedback Tip<br />
1 ERROR<br />
Medical Word Misuse<br />
CPSE 3.0<br />
3 COMMENTS<br />
Today, his weight is 3421<br />
grams, down from birth weight<br />
of 35/55. He is<br />
Today, his weight is 3421<br />
CORRECTIO<br />
grams, down from birth weight<br />
N<br />
of 3555. He is<br />
< This is not a valid weight. A weight is ONE number. A weight<br />
of 3421 grams is equal to 7.54 pounds. Today’s weight of 3421<br />
is "down from" some other number, and that number MUST be<br />
higher than 3421 grams (greater than 7.54 pounds).<br />
< This makes sense. The baby weighed 3555 grams (or 7.84<br />
pounds) when it was born.<br />
Edit<br />
© 2002-2013 Nuance Communications, Inc. All rights reserved. Page 11
Example: Height<br />
Error Type FIESA Feedback Tip<br />
1 ERROR<br />
blood pressure 80/50 and 29.9<br />
cm tall,<br />
< 29.9 cm tall would make the patient just a tiny bit less than 1<br />
foot tall. READ what you transcribe/edit to ensure it makes<br />
sense.<br />
Incorrect Values<br />
(Lab/<strong>Vital</strong>s) CPSE 3.0<br />
3 COMMENTS<br />
CORRECTIO blood pressure 80/50 and 129.9<br />
N<br />
cm tall, < This makes sense. A patient who is 129.9 cm tall is 4 feet 2<br />
inches tall (patient is a child).<br />
Edit<br />
Go to Google and type "cm to feet" and convert to double<br />
check that the number makes sense.<br />
© 2002-2013 Nuance Communications, Inc. All rights reserved. Page 12
Example: Heart Rate<br />
Error Type FIESA Feedback Tip<br />
1 ERROR<br />
Blood pressure was 92/45,<br />
heart rate of 1440 per minute,<br />
temperature 98.8,<br />
< A heart rate is the same thing as pulse. The normal range<br />
for an adult is 60-100. A child's range is higher (70-120). A<br />
heart rate of 1440 means that the patient's heart beats 1440<br />
times in a minute, or 24 times per second!<br />
Blood pressure was 92/45,<br />
Incorrect Values CORRECTIO<br />
heart rate of 140 per minute,<br />
(Lab/<strong>Vital</strong>s) CPSE 3.0 N<br />
temperature 98.8,<br />
< This makes sense. Notice the blood pressure is low. The<br />
heart rate (pulse) is high, but at least believably so.<br />
3 COMMENTS<br />
© 2002-2013 Nuance Communications, Inc. All rights reserved. Page 13
Example: Temperature<br />
Error Type FIESA Feedback Tip<br />
1 ERROR Her temperature 9.6<br />
Added/Omitted<br />
Dictation Major 1.0<br />
CORRECTI<br />
ON<br />
1 COMMENTS<br />
Her temperature 98.6<br />
< This value does not at all make sense. A temperature of<br />
9.6 Fahrenheit would only occur perhaps in the morgue. A<br />
temperature of 9.6 Celsius is equivalent to 49.28 degrees<br />
Fahrenheit, again not a viable body temperature.<br />
< Go to www.google.com and type "celsius to fahrenheit,"<br />
and you can convert the numeric value.<br />
© 2002-2013 Nuance Communications, Inc. All rights reserved. Page 14
Important <strong>Point</strong>s to Remember<br />
• Always listen carefully to numeric values.<br />
• Be careful with soundalike numbers.<br />
• Look at clues within the report or sentence to<br />
determine if value is normal, elevated, or<br />
decreased.<br />
• Note normal ranges for each set of vitals.<br />
• When in doubt, leave it out. (Leave a blank.)<br />
© 2002-2013 Nuance Communications, Inc. All rights reserved. Page 15
Thank you for your participation!<br />
© 2002-2013 Nuance Communications, Inc. All rights reserved. Page 16
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