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Serving Over 20,000 US Medical Transcriptionists

Not to mention extremely dangerous for your pets - sm

Posted By: AGREE on 2005-12-07
In Reply to: It is hard to believe that Hartz is still in business. SM - Becky

especially the flea collars, shampoos, etc. Totally agree. Awful products. Should be banned completely.


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This is extremely dangerous reasoning. SM
It isn't what the "suits" are saying, it is what they are doing.  These are two totally different and separate entities.  My God, are you so complacent that you cannot even take a look around and see the face of the future?  No one is telling anyone to not just "be happy."  A little foresight and present thinking is imperative, not only in the MT world but in many other areas of business, especially IT.  It's all going over to Asia and it's all same-same there. 
Pets
I encourage you to stay with your pet in your home. If you are stupid enough to put animals above the welfare of humans, we, the rest of the human race, can do without you.

I do not want to be exposed to someone's animals with their ticks, fleas, dander and fur while I'm trying to ride out a storm in a shelter.

You have no right to inflict your animals on me. I do not want my tax money going to feeding and housing someone's pets (unless they are a helping animal, like a "seeing eye" dog or one of the dogs and monkeys that help disabled people.

You idiot animal lovers who put your pets before people need to put up the money to build/rent your own shelters for animals and leave the rest of us out of it.
There is a forum for Pets under
If there is a board for a particular topic, the topic is supposed to be taken to that board. I will be emailing the Administrator.
Anyone have pets that pester more than sm
the family, phone or doorbells?  I swear my 2 dogs have it in for me today.  I didn't take them for their 1/2 hour walk this morning and now they are being absolutely horrible. Won't leave me alone for anything.  Yikes, what a mistake.  Yep, this is the absolute worst they have ever been. One at the door staring at me and the other under the desk pawing my leg.   I've skipped the walk for 2 days now. Tomorrow I won't and I bet they leave me alone!  Shame on me.  Full moon maybe? 
neglected pets
...funny you should bring that up. I have been so
busy with school and work, my normally sweet cockatiel birds have been monsters!! I have a large office and a couple of months ago they decided they wanted to stay there so I moved in there. What a pain! They sense when I'm stressed and rushing. That's when the screaming starts. I had to leave my office for a half hour, and when I came back, the new telephone cord was chewed off, my papers were chewed and shredded, and one bird was shredding my reference books!!! They are so demanding. If I don't pay attention to then for a half hour before I start working, I will pay dearly!!! But I do so love them!
Dangerous as far as what? NM
x
Not sure. I just know enough to be dangerous.
x
Is it dangerous to buy used?
Used may be cheaper . . . but is it safe?  I hadn't really thought of getting used because I'd hate to get a "problem" computer.  However, if it were just as good as new . . . maybe . . .
Yes, bonuses are reserved for the pets, not
based on cooperation, quality, or anything else, just whether your team leader thinks you are wonderful and so does Deb, but if you are on Deb's list, you get nothing, so just stay quiet in your corner and say nothing or she will slam you.   
family pets while working
Have a chair behind my work chair and I HATE when at 2-3am, my cat wants my attention and all of a sudden I feel this "tap" on my back..no one else here but me but I swear everytime he does that it scares me to death lol
Katrina's Displaced Pets

As most of you know by now, lots of the evacuees are refusing to go because they don't want to leave their pets behind.  For all you you pet lovers out here, I've found two sites that are trying to help out in this area that I thought I'd pass on...


www.hsus.org   (Humane Society of America)


www.petfinder.com


Has anyone ordered pet meds from Entirely Pets?

My dog has Cushings and is on $200.00/mo worth of meds and we are going broke between them and the $1000.00/year testing needed,  not to mention shots, etc.  We are paying about $80.00/month for one medicine.  I found it at Entirely Pets for $32.00/mo - a big savings.  The package they show is the exact same as what we get from the vet, the dosage and the # of pills is also the same.   I read the description and it doesn't say anything about it being a generic or anything else that would raise a red flag.  I checked this med at 1800PetMeds and it is $60.00/month there. 


I'm going to ask my vet tomorrow what she thinks.  I don't think she'll have a problem with me getting meds from another source but I'd like to hear feedback from an outside party too. 


Just stayed at Drury, they allow pets.
x
I have Mohawk and it does great with our pets...sm
It's neither the cheapest nor the most expensive carpet. Look around your area for a discount place as you can oftentimes find name brand carpets at a reduced price due to overstocks, discontinued items, etc.

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.
dangerous abbrevs

Pharmacies make plenty of mistakes on prescriptions and I have never heard of one being shut down.  They aren't any better or more careful at their job than anyone else in health care these days - which is to say, the consumer/patient needs to be on their toes at all times because you simply cannot trust anyone to do their job properly. 


Yes, sloppy writing is responsible for some of these mistakes, which is one of the reasons why many elements of  the AMA, the pharmacist associations, and the pharmaceutical industry are pushing for all drugs to have an individual number assigned, so that medication errors can be eliminated or at least greatly reduced.   Thousands of people are injured, make sick or even die from prescription errors every year.


I have been doing MT since the 1970s and I have seen huge changes in health care.  Most obvious change is that it has become a BUSINESS rather than a human service.  Most if not all involved in health care delivery care foremost about the bottom line and their own "bottoms."   Like one of the posters below, I too have noted how long the disclaimers are at the bottom of the H&P and Consults, particularly by the surgeons and interventionalists. 


When I started MT, almost no report was more than 1 page long.  Now, I sometimes transcribe reports where the "disclaimer" section with risks, benefits, alternatives, possible outcomes explanation is half a page long.   This information is already contained in the consent forms that are signed by the patient, so it is redundant to include it on the dictated report, but more and more MDs are doing it.   I have also noticed, or perhaps it is just my perception, that all dictators are including more information about patient attitude, knowledge and compliance regarding their (the patient's) regarding their medical condition.   Personally, I think that is a good thing - people need to take more responsibility for themselves and stop expecting the doctor to solve all their problems. 


 


 


Dangerous Abbv. below
I want to know how come a hospital says they are compliant with the list and AAMT guidelines but tell you transcribe ver batim even if incorrect? Can't have it both ways seems to me. I got caught by QA between a rock and a hard place about this but stood my ground. I did ver batim because that was the hospital's wish even though I knew it was wrong dictation. At least I flagged it for QA but it caused a problem. No one seems to have the answer. Next time, I'm not flagging it.
Not just lazy...DANGEROUS
This is how patient care errors are made. I know they hate dictating, but it is very disrespectful to their patients when the doctors won't even attempt to dictate clearly so that their patient's lives are not in jeopardy. They should be chastized by their hospitals and not allowed to dictate like that!
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.


cc is not correct, mL is. cc is a dangerous
x
PO is not a dangerous abbreviation (see msg)

Go to this website: 


http://www.ismp.org/tools/errorproneabbreviations.pdf 


 


IV is not a dangerous abbreviation.
For Pitocin it is WAS given.
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




q is a dangerous abbreviation.
x
If you suspect something dangerous, then
for heaven's sake go and visit a doctor.

Why do you suspect a pulmonary embolism? I dounbt tht you wiklk be able to cough it up. Are you producing some blood when coughing?

It might just be some mucus or phlegm that you cannot lodged in you lungs.

Does your cough produce blood?

Here are the symptoms tht indicate a pulmonary embolism
(blood clot in the lungs):

Google:

'Pulmonary embolism symptoms can vary greatly, depending on how much of your lung is involved, the size of the clot and your overall health — especially the presence or absence of underlying lung disease or heart disease.

Common signs and symptoms include:

Sudden shortness of breath, either when you're active or at rest.
Chest pain that often mimics a heart attack. The pain can occur anywhere in your chest and may radiate to your shoulder, arm, neck or jaw. It may be sharp and stabbing or aching and dull and may become worse when you breathe deeply (pleurisy), cough, eat, bend or stoop. The pain will get worse with exertion but won't go away when you rest.
A cough that produces bloody or blood-streaked sputum.
Rapid heartbeat (tachycardia).
Other signs and symptoms that can occur with pulmonary embolism include:

Wheezing
Leg swelling
Clammy or bluish-colored skin
Excessive sweating
Anxiety
Weak pulse
Lightheadedness or fainting (syncope)
Fever'

If you do not have these symptoms, take an aspirin, drink hot tea with lemon juice and honey, you might just have a cold.
I so hoped they would. I felt for that little boy and others who had to leave their pets.
.
Tarro for ants (keep away for Children and Pets)
Worked great for me - like nothing else!
Better yet, keep your pets indoors in a/c and out of parked vehicles. nm

nm


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~


JCAHO dangerous abbreviations
Do physician offices/clinic notes need to comply with this list?  I thought JCAHO was joint commission for hospital compliance. 
Is p.o. considered dangerous abbreviation?
nm
DANGEROUS VIRUS COMING....

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I checked Snopes (URL above:), and it is for real!!

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If you receive a mail called' POSTCARD,' even though sent to you
by a friend, do not open it! Shut down your computer immediately.

This is the worst virus announced by CNN. It has been classified
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COPY THIS E-MAIL, AND SEND IT TO YOUR FRIENDS. REMEMBER: IF YOU
SEND IT TO THEM, YOU WILL BENEFIT ALL OF US.

Snopes lists all the names could come in.



Thanks! I have the dangerous abbreviation list
I was just afraid I was missing something buried in the book somewhere. I just didn't want to be making a mistake. Thanks again.
I actually hope these innocent pets get homes more than I care
x
I wish more people would spay, neuter and take care of the pets
they've already got instead of expecting everyone else to deal with their problem.  I get tired of the loose animals running around our neighborhood.  People just dump their animals because they can't be bothered to care for them.  We've got hundreds of cats running around having kittens all over the place.  The kittens wind up feral.  My pets are "rescues", but I can't take on any more.  I won't, either.  It's like kids.  Don't have more than you can properly take care of.  Don't expect me to take care of the problem you created either.
They are giving good stuff to pets and newbies, and if you
gave them your blood for a year they think they can walk all over you.  
I do dog sitting but screen owner and pets carefully. I won't take just anyone.
:)
It is amazing how pets really become real members of the family, isn't it?
Gotta lov'em! :-)
As per your request, Pets and Entertainment forums have been added.

When pets are not confined or supervised, things like this should not be a surprise. nm
:P
cc is on the dangerous abbreviation list and should be converted to ml.
x
Here's a link to that dangerous abbreviation list

This is the site the BOS recommends visiting, so I did.  It is a long list of stuff fer sure!  Here's the link...just copy and paste it into browser.


http://www.ismp.org/Tools/errorproneabbreviations.pdf


Hope it helps!


would you like a copy of the DAL(dangerous abbrv. list).
Just so happen my supervisor sent it to me today thinking that a report was mine with a dangerous abbr. listed in it.  Let me know if you would like for me to email you a copy.
Yes, good parents have nannies for their little pets, kiss their brothers
like they are boyfriends, keep vials of their ex-boyfriend's blood, bounce from relationship to relationship, and break up marriages. Not that Brad is without blame there, but married is off limits. AJ's own father has voiced concerns over her mental status.
Dinner and pets aren't the same as a medical emergency. Capiche?
x
Its HOT, folks. Give water 2 pets and check on elderly!

Lord, preserve me from Sam's Club! That place is dangerous!

That is THE most dangerous thing I think I've ever heard. You don't understand it?!

We have been told to use mL for all, regardless if dictated cc. Dangerous abbrev. blahblahblah nm
x
The Joint Commission's Dangerous Abbreviation List... SM

applies to written entries on a patient's chart, i.e. nurses' notes, doctor's orders, etc.  For some insane reason, someone somewhere decided to apply it to transcription as well which is just silly.  I work for a facility that has decided not to force transcription to strictly adhere to the dangerous abbreviation list and Joint Commission has not counted it against them in the last three audits.


I will say most MTs where I work do not use qhs, qac or qd.  We expand those out because WE (the transcription department) decided that we should for clarification purposes. 


My dangerous abbreviation sheet doesn't list...sm
q. as a dangerous abbreviation. It lists q.d. and q.o.d. and q.n. but not just q. by itself. ?