Dictation at Stanford

By Phone

Quick Instructions

  1. Dial 233 or +1-800-242-9770
  2. Dial your 6-digit dictation ID, # (also known as your MD number, same as healthstream login)
  3. Dial the clinic area code (see below), #
  4. Dial the work type (see below), #
  5. Dial the MRN, #
  6. Begin your dictation with the last 4 digits of the encounter CSN number, your name, and the name of your attending
  7. Press 5 to finish the recording

Clinic Area Codes (Inpatient)

  • Inpatient: 1
  • ED: 2
  • Outpatient Surgery: 3 
  • Inpatient Psychiatry: 4

Clinic Area Codes (Outpatient)

  • Allergy: 161
  • Audiology: 163
  • Blood & Morrow Transplant: 222
  • Cardiovascular Medicine: 25
  • Cardiovascular Surgery: 165
  • Cardiothoracic: 
  • Center for Integrative Medicine: 34
  • Chest clinic: 29
  • Cochlear Implant: 162
  • Community: 
  • Crane Street Eye Clinic: 49
  • Cutaneous Lymphoma: 200
  • Dermatology: 41
  • Digestive Health (RWC): 300
  • Emergency: 2
  • Endocrinology: 45
  • ENT: 159
  • Facial Plastic: 160
  • Gastroenterology: 54
  • Geriatric: 81
  • Gynecology Clinic: 64
  • Gynecology Oncology: 263
  • Hand Clinic: 65
  • Head & Neck Oncology: 206
  • Hematology: 266
  • Hepatology / Liver Clinic: 76
  • Immunology/ Rheumatology: 68
  • Infectious Disease Clinic: 69
  • Infertility (REI) Repro Endo: 125
  • Internal Medicine: 72
  • Interventional Radiology: 74
  • Inpatient Psych: 4
  • Kidney Transplant: 75
  • Liver Transplant: 77
  • Lymphoma: 208
  • Medical Breast Oncology: 223
  • Med Endocrine Tumor Program: 203
  • Medical Gastrointestinal Oncology: 255
  • Medical Oncology: 239
  • Med Pigmented Lesion Melanoma: 209
  • Medical Sarcoma: 214
  • Menlo Medical Clinic: 82
  • Nephrology: 85
  • Neurodiagnostic Labs/Epilepsy Services: 164
  • Neurology: 86
  • Neurologic Oncology: 212
  • Neuropsychology: 88
  • Neurosurgery: 89
  • Ophthalmology Main Clinic: 96
  • Orthopaedic Surgery Clinic: 99
  • Otolaryngology Head and Neck: 267
  • Outpatient Surgery: 3
  • Pain Management: 104
  • Physical Medicine & Rehab: 111
  • Pituitary: 189
  • Plastic Reconstructive Surgery: 213
  • Plastic Surgery Clinic: 112
  • Psychiatry & Behavioral Science Clinic: 119
  • Radiation Oncology: 121
  • Sleep Clinic: 127
  • Stanford Eye Center: 133
  • Stanford Family Medicine: 51
  • Stanford Medical Group: 135
  • Stroke Center: 136
  • Surgical Breast Oncology: 224
  • Surgical Endocrine Tumor Program: 204
  • Surgical Gastrointestinal Oncology: 256
  • Surgical Oncology: 238
  • Surgical Sarcoma: 215
  • Surgical Specialties ( Boswell): 58
  • Surgical Pigmented Lesion/Melanoma: 210
  • Thoracic Oncology: 242
  • Thoracic Surgery: 241
  • Thyroid Clinic: 91
  • Urologic Oncology: 246
  • Urology O/P Clinic: 145
  • Vascular Lab: 155
  • Vascular surgery: 149

Work Types (Inpatient)

  • Pre-Op History & Physical: 1
  • Admit History & Physical: 2
  • Inpatient Progress Note: 3
  • Inpatient Consultation: 4
  • Operative Report: 5
  • Inpatient Letter: 6
  • Discharge Summary: 7
  • Transfer Off Service: 8
  • ED Note / Clinic: 10

Work Types (Outpatient)

  • Neurodiagnostics: 30
  • Radiation Tmt Summary: 31
  • Clinic Visit: 33
  • Outpatient Letter: 36
  • Skilled Nursing Visit: 39
  • Radiology Report: 40
  • Other Patient Specific Note: 57
  • Outpatient Psychiatry Note: 58

Commands

  • Pause: 2
  • Short rewind and play: 3
  • Fast forward: 4
  • Disconnect: 5
  • High Priority (STAT): 6
  • Short rewind and pause: 7
  • Rewind to beginning w/auto playback 8 New report, same worktype: 77
  • End of job: 44
  • Repeat job confirmation number: 0

Listen to Dictated Reports

  1. Press 233 or +1-800-242-9770
  2. Enter your ID, #
  3. Enter your location number, followed by star 1 (*1) to switch to Review mode. 
  4. Press 1 to review by MRN, press 2 to review by job number. 
  5. Enter the MRN or job number, followed by the # sign. 
  6. If reviewing by job number, the dictation will automatically play. Press 3 to Rewind. 
  7. If reviewing by MRN, each available job will play in succession. Press 44 to skip to end. 
  8. While listening to a job, press 8 to return to the main review menu.

Best Practices

  • H&P dictations must be signed within 24 hours of admission.
  • Since Operative reports take time to dictate, an immediate post-op note should be signed prior to the transferring the patient to the next level of care.
  • Operative Reports must be completed within 24 hours of surgery.
  • Discharge Summaries should be completed within 7 days of discharge.

Helpfu Phone Numbers

  • To dictate: 233 or +1-800-242-9770
  • Stanford Transcriptions Services: +1-510-974-2239
  • HIMS: +1-650-498-6200

By Dragon Software

Dragon lets you dictate notes using your mobile device (Nuance PowerMic Mobile App), handset (PowerMic), or built in computer microphone (even when logged in remotely). 

Initiate Training

  1. Send an email to dl-dragon@stanfordhealthcare.org with subject "Request for Dragon Mobile" (no need to write anything in the email).
  2. Get an automatic reply with instructions to fill out an Access Request Form.
  3. Wait up to 2 business days for a Dragon mobile account to be setup, after which you will receive email instructions for completing the Dragon Mobile Self-Start course (~10 minutes)

Once completed a new button will appear at the top of Epic labeled "Dragon DMO".

Install Nuance PowerMic Mobile

Begin by installing the app on your mobile device.

After the app is installed navigate to the Stanford Configuration page from your mobile device and click on the corresponding link. This will open in the app and install a configuration profile. You can have more than one profile installed at a time (SHC, SCH, SCVMC, etc.).

Dictate

  1. Press your new "Dragon DMO" button within Epic to launch Dragon. 
  2. Fill in your S-ID
  3. Select how you want to dictate (mobile device, hardware PowerMic, or built in computer microphone)
  4. Choose your specialty, and press go
  5. Launch PowerMic Mobile on your mobile device and point it at the instance of Dragon running within Epic
  6. Dictate!