NUANCE PowerMic II User manual

PowerMic II Getting Started Guide
Dragon®Medical
Version10.1

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Patents
The PowerMic II product is the subject of pending U.S and foreign patent applications.
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Published by Nuance Communications, Inc.
Burlington, Massachusetts, USA
Visit Nuance Communications, Inc. on the Web at www.nuance.com.
L-3271-002 07/2009

i
Dragon Medical Version . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
PowerMic II Illustration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Adding a Dictation Source for the PowerMic II . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Using the PowerMic II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Dictating with the PowerMic II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Using the PowerMic II as a Mouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Scanning Barcodes with your PowerMic II . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Reassigning the PowerMic II Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Using the Buttons with DragonTemplates . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Using the Buttons to Tab Within an Application . . . . . . . . . . . . . . . . . . . . . . 10
Using a Button to Delete the Last Word . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Using a Button to Switch Between Hidden Mode and Normal Mode . . . . . . 12
Changing the Dictate Button to a Microphone On/Off Button . . . . . . . . . . . . 13
Contents

ii
Getting Started with the PowerMic II and Dragon Medical, Version 10.1

1
Getting Started with the
PowerMic II and Dragon
Medical, Version 10.1
Objectives
The instructions in this document are designed for the experienced
Dragon Medical user who is about to start using the PowerMic II,
as well as trainers who will be assisting Dragon Medical users
with this microphone.
This document covers the following topics:
• Adding a dictation source for the PowerMic II
• Using the PowerMic II to dictate, say
commands, and to function as a mouse
• Customizing the PowerMic II buttons to do the
following tasks:
• Navigating in a Dragon Template
• Tabbing within an application
• Deleting the last word
• Turning hidden mode on and off
• Turning the microphone on by pressing and releasing
(rather than holding in) a button

2
Getting Started with the PowerMic II and Dragon Medical, Version 10.1
Dragon Medical Version
These instructions apply only to version 10.1 of Dragon Medical. If you are
using version 10.0, please see document L-3271-001. If you are using version
9.x or lower, you need to upgrade to version 10 to take advantage of most of
the features of the PowerMic II.
Note: The Dragon Medical Version 10.1 Provider Packet (part number L-
3243-003) has two pages on the PowerMic II. One shows the default
settings, and one has blanks where you can write in your custom settings.
PowerMic II Illustration

3
Adding a Dictation Source for the PowerMic II
Adding a Dictation Source for the
PowerMic II
Before you can use all of the features of the PowerMic II, you must add a new
dictation source to your user file.
To add a dictation source for the PowerMic II:
1. Plug the PowerMic II into any USB port on your computer.
Note: If you are using a tablet PC, plug the PowerMic II directly
into the tablet rather than the docking station so that you can
continue using the microphone if you undock the tablet.
2. Wait for the Your new hardware is ready to use message to appear. (If
you see a message asking you to reboot Windows, click No.)
3. Start Dragon Medical if it is not already running.
4. If the Open User dialog box doesn’t appear, on the DragonBar click
Dragon > Open User. The Open User dialog box opens.
5. Select the correct user name. (If you have more than one vocabulary, it
doesn’t matter which one you select.)

4
Getting Started with the PowerMic II and Dragon Medical, Version 10.1
6. Click Source > New. The New Dictation Source dialog box opens.
7. If the Dictation Source does not automatically select the PowerMic II,
choose it from the drop-down list.
Note: If you don’t see the PowerMic II on the menu, close this
dialog box, make sure the microphone is firmly plugged in, and
wait for Windows to finish detecting it. Then try again.
8. Click OK. You should now see your user name twice in the Open User
dialog box. (If you have two vocabularies and two dictation sources,
you’ll see four entries because there are four possible combinations.)
You haven’t created a new user file, you’ve added a dictation source to
the existing user file. That means your custom words and commands
will still work with the new microphone.

5
Adding a Dictation Source for the PowerMic II
9. Select your PowerMic II user and click Open. Since this is a new
dictation source, you now have to run the Audio Setup Wizard and the
General Training.
10. Hold the PowerMic II in one hand. Note that the microphone element is
in the foam-covered indentation at the top end of the device. Make sure
the microphone element is 1 to 3 inches from the side of your mouth,
and try to keep its position fairly consistent. The microphone is not
designed to lie on the table.
Note: During the Audio Setup Wizard and the General Training,
do not press any of the buttons on the PowerMic II. Dragon
Medical automatically starts listening when you click the Start or
Go button on each of the dialog boxes.

6
Getting Started with the PowerMic II and Dragon Medical, Version 10.1
Using the PowerMic II
Dictating with the PowerMic II
When you finish the General Training, you can begin using the PowerMic
II.
Hold in the Dictate button while you are speaking and release it when you
are done. Make sure that you press the button in completely before you
start talking. Otherwise Dragon Medical will cut off the beginning of your
dictation.
Using the PowerMic II as a Mouse
Your PowerMic II can also function as a mouse. There are three controls on
the front and one on the back of the microphone that allow you to perform
common mouse functions.
Pointing Device: Use this control to move your mouse cursor. This button
is very similar to the control seen on many notebook-style computers.
Left/Right Mouse Buttons: These buttons perform the same functions as
your left and right mouse buttons.
Trigger on back of microphone: This button functions as a left mouse
button as well, so you can drag objects by holding in the trigger while you
move the pointing device. (See illustration on page 2.)
Left Mouse Button Right Mouse Button
Pointing Device
(or joystick)

7
Using the PowerMic II
Scanning Barcodes with your PowerMic II
Note: To determine whether your PowerMic II is equipped with a scanner,
look on the back of the PowerMic II (near the top) for a red plastic
semicircle and a caution regarding the scanner’s laser. Refer to the
illustration on page 2.
Pressing and releasing the small button directly below the pointing device
activates the PowerMic II barcode scanner (located on the back of the
microphone).
When the barcode scanner detects a valid barcode, Dragon Medical
converts the barcode into text and sends it to the active application.
Note: If your PowerMic II is not equipped with a scanner, pressing this
button does nothing.
Scan Button

8
Getting Started with the PowerMic II and Dragon Medical, Version 10.1
Reassigning the PowerMic II
Buttons
Dragon Medical assigns a default group of settings for your PowerMic II
buttons. You can customize how these buttons function.
To customize the buttons on your PowerMic II:
•OntheDragonBar, click Tools > Options and select the PowerMic II
tab.
Note: If you don’t see the PowerMic II tab, on the DragonBar, click
Dragon > Open User and make sure you selected the PowerMic II
dictation source when you opened your user file.

9
Reassigning the PowerMic II Buttons
Note: If you want to customize a button and don’t know its name, either
click a button on the picture in the dialog box or press the button on the
microphone itself. Dragon Medical then highlights the correct menu item.
Using the Buttons with DragonTemplates
You can use the PowerMic II to navigate through the fields in a
DragonTemplate, once you customize the buttons to do so. If you’re not
familiar with DragonTemplates, read about them in the Dragon Medical
help or the Dragon Medical Version 10.1 Provider Packet.
Note: DragonTemplates do not work in the Add Note field in AHLTA
versions earlier than 3.3. They do work in other text fields in AHLTA, and
they also work in Essentris, CPRS, RPMS, and any other application in
which the Select-and-Say indicator turns green.
To assign buttons for use in DragonTemplates:
1. If you don’t have a DragonTemplate, create one.
• You can edit an existing Text & Graphics command and put square
brackets ( [ ] ) around any text whose value is likely to change from
patient to patient.
• See the Dragon Medical Version 10.1 Provider Packet for more
complete instructions on creating a DragonTemplate, including an
example.
2. On the DragonBar, click Tools > Options and select the PowerMic II
tab.
3. From the Rewind drop-down list, select Navigation > Previous field.
4. From the Fast Forward drop-down list, select Navigation > Next
field.

10
Getting Started with the PowerMic II and Dragon Medical, Version 10.1
5. From the Stop/Play drop-down list, select Navigation > Accept
defaults.
6. Click OK to save your changes.
To use your PowerMic II in a DragonTemplate:
1. Say the voice command that inserts the DragonTemplate into your
note.
2. Press the Fast Forward button to select the first field.
3. Press and hold the Dictate button and dictate the value for that field.
4. Continue alternately pressing Fast Forward and dictating the field
values. You can skip over the fields where you want to keep the default
values.
5. If you skip a field and need to go back, press Rewind.
6. When you are done filling in the template, if any brackets remain, press
Stop/Play to erase the brackets.
Using the Buttons to Tab Within an
Application
In any application where you can press the Tab key on your keyboard to
move from field to field (such as in an Essentris template or an Outlook
email message), you can use the Tab Forward button on the PowerMic II
to navigate.
Note: You cannot generally use a Tab key to navigate in AHLTA, not even
in the currently available AIM forms.
If you would also like to be able to use the Tab Backward button to move
backward from field to field, you need to set this button to execute the
“press shift tab” voice command.
To assign the Tab Backward button:
1. Press and hold the Dictate button on your PowerMic II and say “press
shift tab.”This places the press shift tab command onto the User
Commands list, which is a list of recently used voice commands.
2. On the DragonBar, click Tools > Options and select the PowerMic II
tab.
3. From the Tab Backward drop-down list, select User commands.
From this list you can see up to 20 commands that you recently
dictated.

11
Reassigning the PowerMic II Buttons
4. From the User commands list, select press shift tab.
5. Click OK to save your changes.
Using a Button to Delete the Last Word
Instead of using the voice command “delete last word,”you can assign a
PowerMic II button to delete the last word from your text.
To assign a button to execute the “delete last word” voice command:
1. In any application, dictate any text.
2. Say “delete last word.”This places the delete last word command
onto a list of recently used commands.
3. On the DragonBar, click Tools > Options and select the PowerMic II
tab.
4. Select the button you want to use. For this example, use the Custom
Left button.

12
Getting Started with the PowerMic II and Dragon Medical, Version 10.1
5. From the Custom Left drop-down list, select User commands. From
this list you can see up to 20 commands that you recently dictated.
6. From the User commands list, select delete last word.
7. Click OK to save your changes.
Tip: To delete multiple words, press the PowerMic II button more than
once.
Using a Button to Switch Between Hidden
Mode and Normal Mode
In Hidden Mode, Dragon Medical captures and stores dictation without
immediately placing it into the application. This allows you to view other
windows or applications while dictating. If you set the Dictation Box
Open option to Always hidden (see below), the Transcribe button on the
PowerMic II toggles Dragon Medical between Hidden Mode and Normal
Mode. (See the Dragon Medical online help for more information on
Hidden Mode and Normal Mode.)
To set the Dictation Box to Always hidden:
1. On the DragonBar, click Tools > Options and select the Dictation
Box tab.
2. In the Dictation Box Open section, select Always hidden.

13
Reassigning the PowerMic II Buttons
3. Click OK.
To use your PowerMic II to switch between Hidden Mode and Normal
Mode:
1. Press the Transcribe button to place Dragon Medical into Hidden
Mode.
2. Press and hold the Dictate button and dictate text.
3. Place the cursor in the field where you want the text to be transferred.
4. Press the Transcribe button to transfer the text and place Dragon
Medical back into Normal Mode.
Changing the Dictate Button to a
Microphone On/Off Button
If you find that your thumb gets tired from holding down the Dictate
button, you can change the Dictate button from a press-to-talk button to a
microphone on/off (toggle) button.
1. On the DragonBar, click Tools > Options and select the PowerMic II
tab.
2. From the Dictate button drop-down list, select Dictation >
Microphone on/off.
3. Click OK to save your changes.
Now you can press and release the Dictate button to turn the microphone
on. Just remember that you must press and release the Dictate button again
to turn it off.

14
Getting Started with the PowerMic II and Dragon Medical, Version 10.1
Notes
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