NUANCE PowerScribe - User Manual

© 2007 Nuance Communications, Inc. All rights reserved.
Nuance
®
, the Nuance logo, Dictaphone
®
, and
PowerScribe
®
are registered trademarks of Nuance
Communications, Inc. or its affiliates in the United States
and/or other countries. All other trademarks referenced
herein are trademarks or registered trademarks of their
respective owners.
L-3117-001 07/2007
To create a shortcut:
1. Dictate the shortcut text into the body of the
report.
2. Press and hold the Dictate button and dictate
“Select All.”
3. Press and hold the Dictate button and dictate
“Create Shortcut.”
4. Type the name of your new shortcut using two
or three words.
5. Click the OK button.
To insert a shortcut:
1. In Correction mode, place the insertion point
where you want the shortcut.
2. Press and hold the Dictate button and
dictate:
■ “Dictaphone (shortcut name)”
OR
■ “PowerScribe (shortcut name)”
3. Press and hold the Dictate button and dictate
“Transcribe report.”
Shortcuts
To dictate an addendum to a signed
report:
1. Enter the accession number/patient ID:
■ Scan the barcode on the order,
OR
■ Type the accession number/patient ID,
OR
■ Dictate the accession number/patient ID
(two digits at a time)
2. Press and hold the Dictate button and dictate
“Add.” You are prompted to dictate an
addendum.
3. Press and hold the Dictate button and dictate
“Yes.”
4. Press and hold the Dictate button and dictate
“Dictate addendum.”
5. Press and hold the Dictate button while
dictating the addendum.
Dictating an Addendum
PowerScribe
®
Workstation
RESIDENTS USING VOICE COMMANDS
To begin a dictation:
1. Start PowerScribe
®
Workstation.
2. Enter the accession number/patient ID:
■ Scan the barcode on the order,
OR
■ Type the accession number/patient ID,
OR
■ Dictate the accession number/patient ID
(two digits at a time)
3. Press and hold the Dictate button and dictate
“Add.”
4. Press and hold the Dictate button and dictate
“Dictate new report.”
5. Press and hold the Dictate button while
dictating. No text appears while dictating.
To end a dictation:
Press and hold the Dictate button and dictate
“Transcribe Report.” Your speech-recognized
text is displayed.
Dictating a Report

Summary

Shortcuts

To Create a Shortcut

Guides users through the process of creating custom voice shortcuts for commands.

To Insert a Shortcut

Explains how to recall and insert previously created shortcuts into reports.

Dictating an Addendum

To Dictate an Addendum to a Signed Report

Details the procedure for adding an addendum to an already signed medical report.

PowerScribe Workstation

Dictating a Report

Outlines the initial steps for starting and dictating a new medical report.

To End a Dictation

Provides the command to conclude dictation and initiate text processing.

Selecting and Replacing Text

To Select Text

Describes voice commands for selecting specific words or ranges of text.

To Replace Selected Text

Explains how to dictate new text to overwrite selected portions.

To Un-select Text

Provides the command to cancel the current text selection.

To Delete Selected Text

Details the voice command to remove selected text from the report.

Saving and Approving a Report

To Save a Report (Without Signing)

Instructions for saving a report draft without final sign-off.

To Approve a Report

Guides users through the process of formally approving a completed report.

To Unapprove an Approved Report

Details the procedure to reverse the approval status of a report.

Deleting a Report

To Delete a Report (Prior to Signature)

Steps to remove a report from the system before it has been signed.

Overview

1. Function Description
2. Important Technical Specifications
3. Usage Features
4. Maintenance Features

This document provides a user guide for the PowerScribe® Workstation, specifically for residents using voice commands. It details various functions related to dictating, editing, saving, and managing medical reports, as well as the use of the PowerMic II device.

Function Description

The PowerScribe® Workstation is a speech-recognition system designed to assist medical residents in dictating and managing patient reports. It allows users to create, insert, and manage shortcuts, dictate addendums to signed reports, and perform comprehensive report dictation, editing, and approval processes using voice commands. The system integrates with a PowerMic II device, which serves as the primary interface for voice input and control.

Important Technical Specifications

While specific technical specifications for the PowerScribe® Workstation itself (e.g., processor, RAM, storage) are not detailed in this document, the functionality described implies a robust speech recognition engine capable of real-time transcription and command processing. The system supports integration with Radiology Information Systems (RIS) for uploading preliminary reports. The PowerMic II device is a key component, featuring a microphone for voice input, and dedicated buttons for "Transcribe," "Dictate," "Enter/Select," and "Button A," indicating a specialized hardware interface optimized for dictation workflows. The software version is indicated as 07/2007, and the document is copyrighted by Nuance Communications, Inc. (2007), highlighting its origin from a leading speech recognition technology provider.

Usage Features

Dictating a Report: To begin a dictation, users start the PowerScribe® Workstation and enter the accession number/patient ID by scanning a barcode, typing, or dictating it two digits at a time. They then press and hold the "Dictate" button and say "Add," followed by "Dictate new report." Dictation proceeds by holding the "Dictate" button while speaking. No text appears during dictation. To end, users hold the "Dictate" button and say "Transcribe Report," after which the speech-recognized text is displayed.

Dictating an Addendum: To dictate an addendum to a signed report, users first enter the accession number/patient ID. They then press and hold the "Dictate" button and say "Add," followed by "Yes" when prompted to dictate an addendum. Finally, they press and hold "Dictate" and say "Dictate addendum," continuing to hold "Dictate" while speaking the addendum.

Shortcuts:

• Creating a Shortcut: Users dictate the shortcut text, then select it by holding "Dictate" and saying "Select All." They then hold "Dictate" and say "Create Shortcut," type a two or three-word name for the shortcut, and click "OK."
• Inserting a Shortcut: In Correction mode, users place the insertion point, hold "Dictate" and say either "Dictaphone (shortcut name)" or "PowerScribe (shortcut name)." They then hold "Dictate" and say "Transcribe report."

Selecting and Replacing Text:

• Selecting Text: Users hold "Dictate" and say "Select (word)" or "Select (first word) through (last word)."
• Replacing Selected Text: While dictating, users hold "Dictate" and say "Transcribe Report" to replace the selected text with new speech-recognized text.
• Un-selecting Text: Users hold "Dictate" and say "Un-select that." The cursor returns to Insert mode.
• Deleting Selected Text: Users hold "Dictate" and say "Scratch that."

Saving and Approving a Report:

• Saving (without signing): Users hold "Dictate" and say "Save report."
• Approving a Report: Users hold "Dictate" and say "Approve Report," then hold "Dictate" and say "Yes." Approved reports may upload as preliminary to the RIS.
• Unapproving an Approved Report: Users hold "Dictate" and say "Reports tab," select "Approved" in the "Show" field, select the "Staff Provider" in "Reports assigned to," hold "Dictate" and say "Find." They then right-click the desired report and select "Unapprove" from the menu, confirming by holding "Dictate" and saying "Yes."

Deleting a Report (prior to signature): Users hold "Dictate" and say "Reports tab," right-click the desired report in their queue, select "Delete" from the menu, and confirm by holding "Dictate" and saying "Yes."

PowerMic II Buttons: The PowerMic II features a "Microphone" for voice input. Dedicated buttons include "Transcribe" (likely for initiating transcription or ending dictation), "Dictate" (for continuous voice input), "Enter/Select" (for confirming actions or navigating menus), and "Button A" (an assignable or context-sensitive button).

Maintenance Features

The document does not explicitly detail maintenance features such as software updates, troubleshooting, or hardware cleaning. However, the structured workflow for report management (saving, approving, unapproving, deleting) implies a system designed for efficient data handling and integrity within a medical environment. The copyright and version information suggest a product that undergoes periodic updates and support from Nuance Communications.

NUANCE PowerScribe Specifications

General

Brand	NUANCE
Model	PowerScribe
Category	Desktop
Language	English