Line padding is not using standard abbreviations and
Posted By: typing out BMP, BNP, H&H, etc. on 2005-08-03
In Reply to: there a note on the company board from QA regarding cherrypicking and they mention "line padding& - wondering MT
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line padding
Okay. I have doctors who dictate words like "toc" for tocolysis, "conj" for conjunctiva, and other shortened versions of words that are not proper. I call this sloppy dictating and I always spell out the word IF I know exactly what they mean. If I don't know what they mean, I flag it for QA. Would you call that line padding? My account doesn't give any specifics on this. I was also taught to NEVER use abbreviations in diagnoses even if dictated. Is that considered line padding? Just wondering.
I hardly think she was padding line counts.
There are a lot of doctors out there who are completely ignorant in regard to spelling, proper sentence construction, and grammar. And with their grandiose and overly inflated egos, they don't like to be corrected by a peon transcriptionist.
Line padding is also adding little blank characters
like spaces throughout the report to get paid more. I saw reports at MQ and Sp that had lines of spaces shown on reveal codes between paragraphs where someone either didn't know how to work their expander, was cutting and pasting, or was deliberately padding their lines.
As for typing out abbreviations, I work on an account that doesn't use abbreviations at all. I use otcx for over-the-counter, etc.
Line padding is also adding extra words. See inside.
Doc says: "General. Alert and oriented, no distress. HEENT: Eyes clear. Lungs: Clear."
MT types: GENERAL EXAMINATION: In general, the patient is alert and oriented. The patient is in no distress. HEENT EXAMINATION: The patient's eyes are clear. LUNG EXAMINATION: The patient's lungs are clear.
I kid you not. And there are companies out there that will defend the MT's right to do so. But, would the client's approve of it? I seriously think not.
Yes, 65-character line is standard. You
were lucky if being paid by the line still, including blank lines.
not OP, but what is standard font for gross line that most are using? sm
how would you go about it if the acct suddenly decreased font size from 12 to 10, but expects to pay the same? to me it is kinda like a decrease in my pay!!!! well it is technically because i am doing the same amount of work for less money and i am not happy.
The standard line the office gives me -grrr
Whenever I run out of work, I call the office. It's a waste of time. They have a standard answer which is "umm, umm, let me check, um, can you check back later in an hour?" Which later became "um, um, let me check, um can you check back in two hours?" If there is no work, can they not just say it's slow or there will likely not be much work today? I find this insulting. I never know how to respond since I can't really say to them "Liar, liar...." Lol. What would a better response be? I have stopped calling now. It's frustrating!
Besides padding counts
I worked with someone who got into the Lanier system and moved jobs typed from other transcriptionists onto her number. We were all "judged" by how many minutes we could type per day besides lines and also judged for raises by difficulty of the dictators we typed. Everyone could not figure out how she did so "well" until we started logging by hand the job #s that we did each day and then checked on it later. Lots of them magically moved over to her number. Somehow she got the Admin password and was putting it to "good use." It was mind-boggling and eye-opening.
Yes, like why do MTSOs allow padding to
x
Most of the Logitech ones seem to be less clacky. Put some padding under it, too, if
s
Is that called padding lines, LOL?
x
Could this be the reason padding allowed to
x
I agree, and it's also how they get more money out of their customers, too, by padding
s
MTSO usually also repeats benefit of padding
x
Discussion re padding counts. Anyone remember where it was?
nm
Excuse me -- that is called "line padding" and
one can be fired over that.
Employee padding time-card = "unethical".
Employees get fired for padding their paychecks, but employers don't mind how much overtime you work, as long as they don't have to pay you for anything but the lines you typed.
Be glad they didn't ding you for padding your lines.
sm
there a note on the company board from QA regarding cherrypicking and they mention "line padding&
This is a new one on me. I've heard of cherrypicking but what constitutes line padding? Isn't everybody typing what the doctor dictates? How can you possibly add extra????
A gross line is anything on a line is a line. A line set at 65 characters means it sm
has 1-inch margins on each side. The maximum number of characters on that line would be 65 and that includes spaces. If there is 1 character on that line it is a line.
A standard 65-character line usually consists of 65 characters with spaces unless, of course, the employer does not pay for spaces and then it would be 65-characters without spaces.
abbreviations
On anything that I want expanded and is also used as an abbreviation, I put an x at the end. Such as CHF, I have it as chf and will capitalize and then chfx will spell out congestive heart failure without a problem. I do this for all my abbreviations. Hope this helps.
Abbreviations
I was thinking you could benefit from using a popular website for medical abbreviations. The sites are:
1) www.medilexicon.com
2) www.pharma-lexicon.com
You would enter the abbreviation and it will give you the definition. This is, of course, in addition, to your usual research methods using the search engine such as www.google.com
abbreviations
I do abbreviations like CHF is CHF and chff is congestive heart failure. whatever it is I just double the last letter to get spelled out version.
abbreviations
http://www.medicalabbreviations.biz
ABBREVIATIONS - nm
X
abbreviations sm
I was taught years ago never to abbreviate in a diagnosis. I also would spell it out and put the abbreviation in parentheses as this is his direct dictation and that's how I've always done it. The BOS may disagree but never got called on it. I once wrote a physician a sticky note to please not dictate his diagnoses in abbreviations as they may be misinterpreted. He was nasty about it, but it is a very dangerous thing to do.
Abbreviations
What is proper abbreviation for A Fib?
Abbreviations
Thanks. Thought it was a. fib. but saw it somewhere as A Fib and thought I was wrong. Looked in Stedman's Abbrev and it says AFib
I think it is best not to use abbreviations as much as possible.
In my opinion, I would prefer it typed "okay", but every company has their own opinion. If she is the boss, do it her way.
MM's abbreviations
You would have to add MM's expansions to Smartype yourself, one at a time. Here is a link for her abbreviations:
http://www.mtdaily.com/abbvs.txt
I use Barb Grow's vocabulary that I bought from her about 7 years ago. I don't have contact info for her now though, and I don't know if she still offers her vocabulary. I'd be lost without it. It makes much more sense than what the original Smartype or Stedmans came up with in their vocabularies. Her vocabulary is in the vcb format that goes into Smartype, ready to use.
abbreviations help
try this website:
http://www.medilexicon.com
backing up abbreviations
I'd like to make a backup copy of all my abbreviations on Word Expander. I use Bayscribe for my work. Does anybody know how I can go about backing these up? I'm concerned that all it would take would be a virus or something funky to happen to my PC, and I'd lose all those abbreviations. I have stored over 2,000 my own abbreviations for a total of over 60,000 characters and would really regret all that work if something happened. Thanks. 
backing up abbreviations
Thank you VERY much for the info! Makes sense to me. I'll give it a try. 
dangerous abbreviations
It really depends on the account. Some facilities/doctors really don't care for the new set of guidelines and want their work verbatim precisely. But employers want it practiced just in case for some of the more confusing abbreviations.
List of abbreviations
Yes, they are quite certain how wonderful that "dangerous abbreviations" list is, but don't kid yourself. There are quite a few physicians out there/facilities who don't care for the list and want abbreviations (and dictate them too) the former way; --- q.i.d., q.o.d., t.i.w., q. week, q. Monday, Wednesday, Friday, etc. Shall I go on? I know because I've transcribed from physicians dictating just this way. The docs want it THEIR WAY. Get over yourself.
need help on abbreviations board please...thanks
message abbreviations
What do sm and NM stand for? Is there a place to look up abbreviations used on this site?
I use the 1 after a lot of my abbreviations. How about cyto1? nm
nm
Invalid abbreviations
Sorry, was reading quickly and missed where it was saying invalid abbreviations AND mixed Latin/English abbreviations. The actual paragraph reads:
Invalid Latin abbreviations such as q.a.m. (every morning) and mixed Latin and English abbreviations such as q.4 hours (every 4 hours) have become commonplace. However, as with all abbreviations, avoid those that are obscure (like a.c.b. for before breakfast) or dangerous. For example, b.i.w. is both obscure and dangerous. It is intended to mean twice weekly but it could be mistaken for twice daily, resulting in a dosage frequency seven times that intended. Copyright (c) 2002 American Association for Medical Transcription
Sorry for any confusion.
I think with the prohibited abbreviations
to spell them out is essentially typing vertabim- it is what the doctor said, you are not changing it. If a doctor is foolish enough to complain about that knowing the penalty for each incidence of a prohibited abbreviation then he needs to get his head out of his hind end.
I would check with your supervisor but surely when they say verbatim they mean not changing the sentence structure around or what have you. I can't imagine they would want you to type these abbreviations just because the doctor says it.
Medical Abbreviations
A really cool site for searching medical abbrevitions
Yes - it helped w/abbreviations, etc.
I think it helps to broaden your knowledge of certain standards if you're job hunting, even if you've never used them. For example, you won't be surprised when you get a different job or client and someone chews you out about starting a sentence as "27-year-old patient comes in today" (versus "This 27-year-old..." or "Twenty-seven-year-old..."). JMHO and IME
Suggestion/Abbreviations
I'd like to make a suggestion to MTStars. There are so many abbreviations used on this web site and I often am unsure what they refer to. I'd like to suggest that you create a board with the definitions of these abbreviations that we can refer to as we are reading. I've been in this business for 18+ years and still many of the abbreviations are unfamiliar to me. I am sometimes able to figure them out, but sometimes I'm just not sure. I find your newsletter very interesting and helpful and a help tool like this would only add to it. Thanks for taking the time to consider this.
Dangerous Abbreviations
Q.D., QD, q.d., qd (daily) = Mistaken for each other = Write "daily".
I woud say this should over ride anything BOS has to say, but we aim to please the client. As transcriptionists though we should be aware of these dangerous abbreviations since it can affect a patient's medical record and how it is interpreted.
Abbreviations Book
Can someone recommend a good abbreviations book or a good website to use as a resource? I have Stedman's Abbreviations and I am not that happy with it. Thanks in advance!
Dangerous Abbreviations
"IV" isn't on the Joint Commission list of dangerous abbreviations. Don't take this as an indication that you're getting old--the confusion surrounding those darned abbreviations can be aggravating.
Here are some reasons for the aggravation. You might have seen it on a facility's list in the past or you might have encountered it as a recommendation from a consultant or in a journal article. Before The Joint Commission solidified its list of dangerous abbreviations, there was a lot of confusion about this--some groups banned any and all abbreviations.
There is an abbreviation that is banned because it can be CONFUSED WITH "IV." It's "IU," the abbreviation for "international unit." While it's OK to use IV, some facilities do not want you to use it, reasoning that if IU can be confused with IV, then IV can be confused with IU. And then some would want you to avoid using IV, until they discover that they have to pay extra for you to transcribe "intravenously."
Here is a link to the whole list. The document on The Joint Commission website was broken, so this link is to another website, but it is the same thing. http://www.aapmr.org/hpl/pracguide/jcahosymbols.htm
How would they know what abbreviations you used. (No message)
x
She does mention the abbreviations in
x
Thoughts on dangerous abbreviations
You're partly right. Joint Commission has no jurisdiction over a private office setting; however, this was adopted by Joint after it was first given to the national pharmacy assocition. When a doctor has his/her nurse phone in a prescription or writes one himself regardless of private office or inpatient setting, s/he better follow these guidelines.
Having worked in a pharmacy, I understand how critical it is to be able to know EXACTLY what the doctor wants the patient to have presribed. Pharmacy is going down the same path as MT work. Notice how many insurers allow for your prescriptions to go to a mail order company who will fill up to three months of your prescriptions at a time. The first line of defense these companies have (well, really just one anymore as they are becoming the MQ of pharmacies), is to scan the prescription. If it is not written clearly, a body must contact that physician. Addtionally these mail order companies allow MDs to relay prescriptions online. These guidelines better be followed or they will be contacted.
Depending on which division within the mail order pharmacy you work, a tech may fill more than 100 prescriptions an hour. If ONE of those prescriptions is filled incorrectly, it is reported to the State Board of Pharmacy who requires a monetary penalty be forwarded by the company depending on the error classification. If there are too many errors in a given month, the pharmacy is shut down, the supervising PHARMACIST receives (typically) a $5000 fine and a one month to five year suspension of practice, all actions of which are published and distributed to all 50 states in a monthly newsletter.
To say this is all AAMT's fault is ludicrous. To say the doctors are not going to change their ways because they have god complexes is ludicrous. This happened because too many mistakes were being made through haste, bad handwriting, lack of time to thoughtfully write prescriptions, etc. This is today's reality. If you do not adapt, you do not survive. Just ask a Cro-Magnon.
d~
Grrr! I just had a doc who spelled the abbreviations!
COPD, that's captial C, capital O, capital P, captial D. LAD, capital L, capital A, capital D.
Plus...
Patient has been in drug recovery - that's R-E-C-O-V-E-R-Y
Really? I did not know that. Thanks so much.
I use Stedman's Abbreviations, Acronyms, and
Symbols. Works nicely. I also go to www.medilexicon.com quite often. Using that website prevents me from having to stop and look it up in the book.
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