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AAMT does not list this? Maybe spell it all out.

Posted By: CB on 2007-11-27
In Reply to: 70 plus % better - Tracey

Subject: AAMT does not list this? Maybe spell it all out.

Seventy plus percent.  ??  Just a suggestion.  Or flag it for QA....


Wish I could be of more help...Good Luck! 




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AAMT prefers you spell it out or subcut (weird)
Subject: AAMT prefers you spell it out or subcut (weird)

nm
Link for AAMT dangerous abbrevs list HTH :D
Subject: Link for AAMT dangerous abbrevs list HTH :D

Here's a link to the online AAMT Dangerous Abbreviations list. http://aamtonline.org/abbreviations.htm
We can use q.day, but q.d. must be expanded to every day or daily.
HTH!
Do you have to follow AAMT dangerous abbrevs list?
Subject: Do you have to follow AAMT dangerous abbrevs list?

We have to change 'cc' to 'mL' in nearly every instance now :( because that's listed on the AAMT Dangerous Abbreviations list. Were you able to keep it '2 cc' as above?
Just curious whether that's becoming the standard. (seems to me that most of those 'dangerous abbreviations' would only cause confusion if they were written, not when typed/transcribed...)
Pt list of drugs s/l "thy a do laj" 120 micrograms p.o. q.d. Problem list in message. sm
Subject: Pt list of drugs s/l "thy a do laj" 120 micrograms p.o. q.d. Problem list in message. sm

1.                    Dementia of undetermined etiology.


2.                    Hypothyroidism.


3.                    Osteoporosis. 

History of depression. 
In list of meds...Full bee 1 tab q.a.m. sm for problem list :)
Subject: In list of meds...Full bee 1 tab q.a.m. sm for problem list :)

1.                    Diffuse Lewy body disease mixed with Alzheimer’s disease.


2.                    Generalized anxiety disorder.


3.                    Benign prostatic hypertrophy.

4          Gastroesophageal reflux disease. 
Med list, s/l mylar? drops. No context as in list only. Tx. nm
Subject: Med list, s/l mylar? drops. No context as in list only. Tx. nm

xx
may I just add something about AAMT...sm
Subject: may I just add something about AAMT...sm

While I used to respect the AAMT, the AAMT is not the end-all, be-all, and, in fact, prior to the late 1990s, their book was 80 pages long....


just my 2 cents....


According to AAMT and ..
Subject: According to AAMT and ..

the Pharmicist's association, q.d. is on the "dangerous abbreviations" list. So if you did shorten it to the abbreviation, it can only be "1 daily" or "1 every day"
And where did the AAMT
Subject: And where did the AAMT

get this information?
AAMT
Subject: AAMT

In my most humble opinion, I would think the AAMT BOS rules are set by AAMT, as Joint Commision accredits hospitals.  Some of the style guides that my account uses are actually requirements by Joint Commission, but not those specifically required by the BOS.  Anyone else have an opinion? 
I mean q.6h. (per AAMT)
Subject: I mean q.6h. (per AAMT)

nm
AAMT BOS
Subject: AAMT BOS


"I wrote him a prescription for 38 Tylox."  Am I supposed to type #38 or not?


 


Per AAMT
Subject: Per AAMT

Abbreviate units of measure, even if dictated in full, if they are accompanied by a numeral.

I would assume in your case since it is not accompanied by a number and has the word of between the two, then I would spell it out.
# according to AAMT
Subject: # according to AAMT

I type for a hospital so # are not written out.  I only have the first AAMT book.  In the new book, is it now standard to not write out #.  I am QAing a clinic where they told me to use my own judgement as half MT are writing them out and the other half are not.  What is new standard rule?
AAMT BOS
Subject: AAMT BOS

Use only with numerals. Use a lowercase x in expressions of area and volume, as a multiplication symbol, and when it takes the place of the word times.

A capital X is generally used to express magnification.

X30 magnification


x meaning by (dimensions)
Use a lowercase x to express by in dimensions.

Space before and after the x.

13 x 2 cm

x meaning for
When the word "times" is dictated and can be translated as for, it should be transcribed as for rather than using times or x.

D: The patient was given antibiotics to take times 2 weeks.
T: The patient was given antibiotics to take for 2 weeks.

x meaning times
When the word "times" is dictated and means the number of times a thing was done, the letter x can be used.

To keep this expression together and easily read as a unit, do not place a space after the x.

D: Blood cultures were negative times 3.
T: Blood cultures were negative x3.

Use the symbol x meaning times only when the x precedes a numeral.

D: Demerol was administered 3 times.
T: Demerol was administered 3 times. not ...3x.
Yes, BOS is from AAMT, but
Subject: Yes, BOS is from AAMT, but

what they base their decisions on I'll never know.

A new BOS is being written, and the new writers have some much better credentials than the former writers, so hopefully the new one will make actual sense. One can only hope.
it is CT per AAMT
Subject: it is CT per AAMT

x
AAMT BOS
Subject: AAMT BOS

affect, effect

These terms often sound alike when dictated, but their usage and meanings are not interchangeable. Affect is usually a verb, and effect is usually a noun. In medicine either of these terms may be a verb or noun, with a multitude of meanings, and their differences in usage and meaning should be learned.

affect
As a verb, affect (pronounced af-féct) means to influence or change.

She suffers from a neuropathy affecting her upper extremities.
The warm encouragement of the patient's wife positively affected his outcome.

As a noun, affect (pronounced áf-fect) means an expressed or observed emotion or feeling.

The patient displayed a flat affect.
Her affect did not change throughout the course of the interview.

effect
As a verb, effect means to bring about or cause to happen.

We plan to effect a decrease in the size of the tumor using adjunctive therapy.
The medication effected relief.

As a noun, effect means result.

The effect of the treatment was pronounced.
A mass effect was seen on x-ray.

Copyright (c) 2002 American Association for Medical
Transcription

It is confusing! I have been doing this for years and still have to stop and think at times. Good luck to you! You are getting into a great field of work! Hope you can get with a good company!
x3 per AAMT
Subject: x3 per AAMT


According to AAMT BOS use
Subject: According to AAMT BOS use

arabic numerals (not roman numerals) in this case.


See AAMT-BOS (sm)
Subject: See AAMT-BOS (sm)

Gleason tumor grade
Also known as Gleason score. The system scores or grades the prognosis for adenocarcinoma of the prostate, with a scale of 1 through 5 for each dominant and secondary pattern; these are then totaled for the score. The higher the score, the poorer the prognosis.

Lowercase grade or score, and use arabic numerals.

Diagnosis: Adenocarcinoma of prostate, Gleason score 8.
Gleason score 3 + 2 = 5.
Gleason 3 + 3 with a total score of 6.
without the S per AAMT-BOS (sm)
Subject: without the S per AAMT-BOS (sm)

eponyms
Names of entities—e.g., diseases, anatomic structures, operations, or tests— derived from the names of persons or places.

Homans sign
Lyme disease
Down syndrome


capitalization
Capitalize eponyms but not the common nouns, adjectives, and prefixes that accompany them.

Do not capitalize words derived from eponyms.

ligament of Treitz
red Robinson catheter
non-Hodgkin lymphoma
Parkinson disease but parkinsonism
Cushing syndrome but cushingoid

plurals
Do not use an apostrophe in the plural forms of eponyms.

Babinskis were negative.

possessive form
AAMT first advocated dropping the possessive form of eponyms in 1990. We adopted this standard because it promotes consistency and clarity. More recently, The AMA Manual of Style (1998), Stedman's Medical Dictionary (2000), and Dorland's Illustrated Medical Dictionary (2000), have acknowledged the trend away from the possessive form.

It is important to note, however, that use of the possessive form remains an acceptable alternative if dictated and/or if indicated as the preference by employer or client.

Apgar score
Babinski sign
Down syndrome
Gram stain
Hodgkin lymphoma

In awkward constructions, such as when the noun following the eponym is omitted, the possessive form becomes preferred.

The patient's husband suffers from Alzheimer's.
AAMT says...
Subject: AAMT says...

AAMT under cancer classifications has it as grade 1.
AAMT says...
Subject: AAMT says...

AAMT under obstetrics has it as gravida 1 or G1
62 mL - according to AAMT - nm
Subject: 62 mL - according to AAMT - nm


From AAMT
Subject: From AAMT

fractions
Spell out or use numerals for common fractions. Use the dictation style as a guide.


An hour and a half before presentation, the patient slipped and fell.
or Approximately 1-1/2 hours before presentation... (if dictated "one and a half hours" or "one and one-half hours")
The glass was two-thirds full. or The glass was 2/3 full.
7/8-inch wound
a half-inch incision or a 1/2-inch incision (since it was dictated precisely)
about a half inch below the sternal notch (the word about makes this an imprecise measurement)
He smokes a pack and a half of cigarettes per day.
or He smokes 11/2 packs of cigarettes per day.
or He smokes 1-1/2 packs of cigarettes per day.


Copyright (c) 2002 American Association for Medical Transcription


I'd spell out at least once sm
Subject: I'd spell out at least once sm

Biventricular Implantable Cardioverter DefibrillatorsThis study provides three principal findings regarding the impact of biventricular ICD therapy compared with biventricular pacemaker therapy alone for ...
www.medscape.com/viewarticle/488736 - Similar pages



When do you spell out IV?
Subject: When do you spell out IV?

Do you not spell out all abbr. in the assessment, impression, and dx?????????  I have had so many QA people change this on me so now I am lost totally.
Thank you! I could not think how to spell that at all. nm
Subject: Thank you! I could not think how to spell that at all. nm


Definitely would spell it out!
Subject: Definitely would spell it out!

I've never been a fan of slang myself, so if it's not a verbatim account, I'd transcribe hematocrit!
I myself spell them out - nm
Subject: I myself spell them out - nm


how would you spell this?
Subject: how would you spell this?

re-CT'd (as in to obtain another CT scan)  Is re-CT'd correct?  That is how he says it. 
I would spell it out as you did. nm
Subject: I would spell it out as you did. nm

s
Spell it out.
Subject: Spell it out.

The general rule of thumb is to spell out abbreviations under diagnoses. Missed abortion.
that is how i would spell it... nm
Subject: that is how i would spell it... nm

nm
Yes spell it out nm
Subject: Yes spell it out nm

x
I spell them out ...
Subject: I spell them out ...

I spell them out (i.e., second, third, fourth) because I am old and disslike what the word processor does to the alternative. I do, however, do a suprascript for exponents (i.e., "cm2" with the "2" smaller and above), but that's just me.
I use #1 and also you do not spell out
Subject: I use #1 and also you do not spell out

numbers unless 2 are together - two 40 mg tablets or if it begins a sentence - Three days prior to admission.....
Did doc spell it that way or is it a s/l?...sm
Subject: Did doc spell it that way or is it a s/l?...sm

maybe it is one of the meds found here, hope this helps: 


www.fda.gov/oashi/aids/virals.html  


Normally do not spell it out - ANA 1:160.
Subject: Normally do not spell it out - ANA 1:160.

x
mcg or necessary to now spell out?
Did the abbreviation rules recently change?  I am being told that we can no longer do mcg and must type out micrograms.
I'd spell it
Subject: I'd spell it

like you have it.
I always spell it out...
Subject: I always spell it out...

Depends on what the client or your employer wants.
Per my AAMT BOS, gm is acceptable, sm
Subject: Per my AAMT BOS, gm is acceptable, sm

but g is the referred method (no period), which is the way I type it, i.e. Valtrex 1 g

Of course, my BOS is not the newest version, so things could have changed.
FYI-AAMT BOS, edition 2
Subject: FYI-AAMT BOS, edition 2

Just thought I would pass on some information recently sent to me.


AAMT BOS  (Book of Style), 2nd edition


periods
Do not use periods within or at the end of most abbreviations, including acronyms, abbreviated units of measure, and brief forms. Use a period at the end of abbreviated English units of measure if they may be misread without the period. Better still, write out most English units of measure, thereby avoiding this use of a period at the end of an abbreviation.


wbc
WBC
mg
exam
prep
inch preferred to in. (Do not use in meaning inch without a period.)


However, use periods in lowercase drug-related abbreviations.
b.i.d.
q.4 h. = note it is "q.4" and then a space before the "h."
p.o.
p.r.n.


If a sentence terminates with an abbreviation that requires a period, do not add another period.
He takes Valium 5 mg q.a.m.
not He takes Valium 5 mg q.a.m..


plurals
Use a lowercase s without an apostrophe to form the plural of capitalized abbreviations, acronyms, and brief forms.
EEGs
PVCs
CABGs
exams


Use 's to form the plural of lowercase abbreviations.
rbc's
Use 's to form the plural of single-letter abbreviations.
X's


Hyphens and adjectives


15-year-old boy
The patient is a 33-year-old.
2-year 5-month-old child (note no comma in this)
5-1/2-year-old girl
1-month course
.38-caliber pistol - note no leading zero here - see below
two-thirds full
one-half normal saline
half-normal saline
She was panic-stricken
20-pack-year history
self-medicated
shell-like
 
For quantities less than 1, place a zero before the decimal point, except when the number could never equal 1 (e.g., in bullet calibers and in certain statistical expressions such as correlation coefficients and statistical probability).
0.75 mg
.22-caliber rifle


 


the new AAMT BOS says about numbers....sm
Subject: the new AAMT BOS says about numbers....sm

that you should use 4-5 and not spell out four to five.....all numbers now, even 1 through 9, should be numerals and not spelling out four, five, etc. 
quote from AAMT BOS
Subject: quote from AAMT BOS

eponyms
A name of a drug, disease, anatomic structure, operations, etc., derived from the name of the person or place. Do not use the possessive form.

Homans sign
Lyme disease
Parkinson disease
Cushing syndrome
ligament of Treitz


I went to an AAMT convention once and
Subject: I went to an AAMT convention once and

Someone asked her about that word, and she said never type pussy, type pus-filled or pus-like.  That is what I have done ever since and never got dinged on QA for it.
As per AAMT book 2, is it x2 or x 2? TIA nm
Subject: As per AAMT book 2, is it x2 or x 2? TIA nm

x
AAMT Style
Subject: AAMT Style

Anyone have any good web links to sum up AAMT BOS Second Edition - Don't have book yet...Thanks


Probably AAMT's benefit.
Subject: Probably AAMT's benefit.

I have been an MT for over 25 years and this is crazy stuff. I just do what the clients/hospitals prefer. Too many AAMT guidelines and I feel some are just totally ridiculous.