...Can't assume that you should change it if not directed to do so. nm
Posted By: What the account wants is priority. NM on 2007-07-03
In Reply to: ONLY if your QA, account, or docs want it to be so. Not everyone - abides by the Dangerous Abbreviations list. Can
Subject: ...Can't assume that you should change it if not directed to do so. nm
s
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it could be directed jet or -sm
Subject: it could be directed jet or -sm
there is an eccentric jet, so he could be saying direct E-jet, meaning eccentric jet, maybe?
Standing posture as directed?
Subject: Standing posture as directed?
directed on phosphorus (phos)
Subject: directed on phosphorus (phos)
could part of your answer be UD for "as directed" ? sm
Subject: could part of your answer be UD for "as directed" ? sm
I don't know what the OG might be...but i think bacitracin ointment comes in a *1 GRAM* size...hope someone knows the rest of your answer! =)
6-MeV electron beam directed on "foss" ?
Subject: 6-MeV electron beam directed on "foss" ?
All this stuff is client specific and not BOS directed. Give 'em what QA says they want. nm
Subject: All this stuff is client specific and not BOS directed. Give 'em what QA says they want. nm
s
you are very welcome - don't assume anything..*lol*
Subject: you are very welcome - don't assume anything..*lol*
you do know what they say about assume....sm
Subject: you do know what they say about assume....sm
When one assumes, they make an a@@ out of U and an a@@ out of me = spelling of assume...*lol*
NOT the OP here......just an observer.....
Have a great day!!! 
I assume they are saying something like
Subject: I assume they are saying something like
"normal facies" ??
Unless it is stated 3 mm you cannot assume that it is mm
Subject: Unless it is stated 3 mm you cannot assume that it is mm
According to a very detailed message from my QA department with authoratative references cited, unless the first measure is stated specifically, you are making an assumption that _3_ is mm and cannot assign 3-4 mm. They explained I had to use 3 x 4-mm effusion. There are many units of measure and their point was to assume is not permissible as it could be an error.
I assume a test..
Subject: I assume a test..
Chart review shows a negative RAANA and normal uric acid. I do not know if he is saying N or and.
Is it RAA NA or RAA and A or RAANA?
Thank you
Deborah
Nothing if you don't hear it. Can't assume, so
Subject: Nothing if you don't hear it. Can't assume, so
s
would assume not normal
Subject: would assume not normal
not chronic for him, or something he doesn't normally show on his EKG. Sorry, probably has an accent, I assume.
No, but I assume it is related to
Subject: No, but I assume it is related to
nm
I assume these are lab results ??
Subject: I assume these are lab results ??
I would assume "of" is what goes here.
Subject: I would assume "of" is what goes here.
you cannot assume 5-6 unless the doctor specifically
Subject: you cannot assume 5-6 unless the doctor specifically
5 to 6-mm nodule is the "most" correct. We all "know" the MD meant both values are mm but unless each value is specified, you cannot make that assumption.
Under allergies - I assume it's a drug...?
Subject: Under allergies - I assume it's a drug...?
Allergies include S/L: WUH-STEH-FIN and ciprofloxacin.
Any clues?
Thanks!!
I would think it would be without burying the port (I would assume they would want to keep it so it
Subject: I would think it would be without burying the port (I would assume they would want to keep it so it can be accessed and not buried)?
I haven't actually heard of it, but I would assume it
Subject: I haven't actually heard of it, but I would assume it
would be "ER" (extended release) ??
I totally agree. I assume I'm thanked, and if not,
Subject: I totally agree. I assume I'm thanked, and if not,
nm
labs I assume... last blood work with an s/l H&H 12.1 and 36.5..thank you
Subject: labs I assume... last blood work with an s/l H&H 12.1 and 36.5..thank you
I can only assume that it is because the name of the drug is Benicar HCT (without the slash) and it
Subject: I can only assume that it is because the name of the drug is Benicar HCT (without the slash) and it is made of olmesartan and hydrochlorothiazide.
I would assume 2-0 like in suture sizes, but maybe an "eye" MT can help us clarify this. nm
Subject: I would assume 2-0 like in suture sizes, but maybe an "eye" MT can help us clarify this. nm
s
Just my opinion... I never assume especially when it comes to a list of medications for a patient
Subject: Just my opinion... I never assume especially when it comes to a list of medications for a patient
You are probably right as it being Tessalon Perles, but I would have to flag it as such and send it with a blank since it is not a verbatim account.
I cannot find any definitive way of judging the values, but I can only assume that these are each se
Subject: I cannot find any definitive way of judging the values, but I can only assume that these are each separate, therefore, I would put it as 18, 6, 01. Just me though...
I would assume this MD might have mispoke, but in case not, I would type it Klor-Con 10 mEq 2-1 b.i.
Subject: I would assume this MD might have mispoke, but in case not, I would type it Klor-Con 10 mEq 2-1 b.i.d.
drug list; I assume it's like ADEK vitamins. nm
Subject: drug list; I assume it's like ADEK vitamins. nm
nm
Yes, I would assume that it is having your faculties: "Having wit or intellectual comprehension..
Subject: Yes, I would assume that it is having your faculties: "Having wit or intellectual comprehension..."
s/l Bez or all in change
Subject: s/l Bez or all in change
shows the patient in sinus mechanism 66 beats per minute, normal intervals, normal axis. Voltage criteria for LVH and s/l Bezoiorall is change in comparison to prior EKG dated
Thanks so much to both of you. I will change to 6, 90, and -1. nm
Subject: Thanks so much to both of you. I will change to 6, 90, and -1. nm
I change that to:
Subject: I change that to:
I change elicitable (which to my knowledge has never been a "real word" to "able to be elicited." My doctor dictator thanked me for this once (I was suprised that he noticed). I checked this out with several transcripitionists that I have worked with who have lots of experience and are CMTs and they also edit this word to "able to be elicited."
I'm not CMT and I change that the same way...nm
Subject: I'm not CMT and I change that the same way...nm
 
cc to mL - do you change cc to mL
Subject: cc to mL - do you change cc to mL
according to AAMT or do you type cc
Thanks
Would you change this...
Would you change CT head to say head CT? The doctor says CT head.
Thanx
VR change
Subject: VR change
He should point it out to his supervisor because it is wrong. I don't care what QA says unless they can show me a resource where they got their information and it checks out. I would also point out to the client this fact. If they don't want to have their transcription correct and concise then I don't want their work. Right is right, wrong is wrong. I am really strong on this especially since the "new AAMT" has made all their "changes" and believe their BOS is the bible. It is not. Many of their "rules" are correct. Many of the are not. Research some of their changes and you will see just how over the top they have gone (it seems to be a control issue and they WILL cram it down your throat). I say that we all research on our own and go to reliable trusted sources that have been proven over time to be correct. The "New AAMT" definitely has not proven itself over time and incidentally they are not there for Americans anymore, they are there for the "overseas community." Humbug on them! Anyone know who could take the place of AAMT for American transcriptionits? After all, we are all Americans here and the language is English.
I would change it to this
Subject: I would change it to this
patients blood pressure readings at home daily have been 90 percent plus. Would leave as is or change........looks wrong.
Patient's daily at home blood pressure readings have been 90%+.
they can change...
Subject: they can change...
depends on what the MD hears on auscultation; that being said, it usually is 3/6, 2-3/6...etc... six is the prime as there are standard 6 heart sounds and the first number being how many of the 6 they hear.
When did p.r.n. change to p.R.n. and why?
Subject: When did p.r.n. change to p.R.n. and why?
nm
I would change it to (sm)
Subject: I would change it to (sm)
CPKs as it appears these labs were done multiple times if they are dictating MBs. I hope I'm making sense.
I'd put, CPKs were high but his MBs were normal.
I would change it to
Subject: I would change it to
Mrs. Smith is a patient on whom I performed rhinoplasty. but that is just me.
Just like you have it, why change anything?
Subject: Just like you have it, why change anything?
x
I always change that to *in regard*..sm
Subject: I always change that to *in regard*..sm
as for toward/towards, afterward/afterwards......both are acceptable as you said per the dictionary......so it depends on the MD I'm working for...I have one that is a stickler so I give him afterwards and towards as he says them.
Exactly, that is why I don't understand, QA does the same with H&H, they change it H and H. Nm
Subject: Exactly, that is why I don't understand, QA does the same with H&H, they change it H and H. Nm
x
...or 'otherwise no overall change"..??? nm
Subject: ...or 'otherwise no overall change"..??? nm
s
I would change it to ൜ mEq K/L" sm
Subject: I would change it to ൜ mEq K/L" sm
The dictator is "slanging" the order. Since what they're ordering is K (potassium) and that is measured in mEq, and since it has a unit of measurement (mEq), then the "/liter" needs to be abbreviated to /L... imho (wouldn't it be nice if they dictated PROPER medication orders?) :)
I'd change to "mg," as well, but (sm)
Subject: I'd change to "mg," as well, but (sm)
the manufacturer's site would seem to indicate it should be hyphenated, as you originally had it.
http://www.jnj.com/index.jsp?content=product/brands/NEUTRA_PHOS.htm
"Prior" change? nm
Subject: "Prior" change? nm
m
yes, but change it to "are"
Subject: yes, but change it to "are"
nm
it looks weird to me too...I always change it to...
Subject: it looks weird to me too...I always change it to...
it's not necessarily correct - but I think about pussy cats and so the *eye is crusty and has pus* is what I'd put.
Would you change this sentence?
Subject: Would you change this sentence?
His eye contact was intermittent; most of the time his gaze was fixed on whatever toy he was playing with.
...most of the time his gaze was fixed on whatever toy with which he was playing?
Not a verbatim account.
TIA
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