All this stuff is client specific and not BOS directed. Give 'em what QA says they want. nm
Posted By: wandering on 2006-02-06
In Reply to: Just got an email from sup about it. Sm - style question
Subject: All this stuff is client specific and not BOS directed. Give 'em what QA says they want. nm
s
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You hear trialed all the time. Give 'em what they give you! Can't drive yourself friggin'
Subject: You hear trialed all the time. Give 'em what they give you! Can't drive yourself friggin'
s
Found out it was client specific. Thanks anyway.
Subject: Found out it was client specific. Thanks anyway.
nm
Perhaps you have a client specific instruction there.
Subject: Perhaps you have a client specific instruction there.
Per the ISMP, JCAHO, and the BOS, "nightly" should transcribed when qhs is dictated.
http://www.usp.org/pdf/EN/patientSafety/ismpAbbreviations.pdf
Ask your QA for this probable client-specific information. nm
Subject: Ask your QA for this probable client-specific information. nm
x
It is q.4 h. - I have to type q.4 hours, client's specific...nm
Subject: It is q.4 h. - I have to type q.4 hours, client's specific...nm
nm
Too many to even consider. Give 'em a blank. nm
Subject: Too many to even consider. Give 'em a blank. nm
s
Or if client is AAMT BOS, er, anal like stuff I do...
Subject: Or if client is AAMT BOS, er, anal like stuff I do...
You might have to re-word that bad boy to say something like "areas of lucency."
I really need to get a life! 
Sorry, this is wrong unless it is client specific. BOS2 says period after h. nm
Subject: Sorry, this is wrong unless it is client specific. BOS2 says period after h. nm
nm
verbatim or not, I'd give 'em pus-like sputum
Subject: verbatim or not, I'd give 'em pus-like sputum
x
If it's verbatim, then you gotta give 'em what you hear, so pussy
Subject: If it's verbatim, then you gotta give 'em what you hear, so pussy
s
they dictated AV fistula? If so give 'em AV fistula
Subject: they dictated AV fistula? If so give 'em AV fistula
as far as post-end versus postend.....hyphens are used for clarity and in this case I would have used the hyphen.....because it is usually end-stage renal disease....I'd give 'em post-end
If your account is verbatim and they said AV fistula give them what they said. If you are allowed to expand, you could give them arteriovenous fistula.....
HTH (hope that helps)..........
if they say *foot* - give 'em foot....nm
Subject: if they say *foot* - give 'em foot....nm
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?
...Can't assume that you should change it if not directed to do so. nm
Subject: ...Can't assume that you should change it if not directed to do so. nm
s
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" ?
I'd blank 'em as I researched this for you and
Subject: I'd blank 'em as I researched this for you and
Bless 'em docs
Subject: Bless 'em docs
They mean well, they just can't spell!!!
LOL!!! Gotta love'em. I would just put antihypertensives. nm
Subject: LOL!!! Gotta love'em. I would just put antihypertensives. nm
Thanks both! Same doc that says "bujuuu" for bougie. Gotta love 'em.
Subject: Thanks both! Same doc that says "bujuuu" for bougie. Gotta love 'em.
Thanks I saw that one too, but the doc is saying either Tegris or Tigris. Gotta love 'em.
Subject: Thanks I saw that one too, but the doc is saying either Tegris or Tigris. Gotta love 'em.
nm
Go to onelook.com and type in *genia and a few words come up. You'll have to look 'em up
Subject: Go to onelook.com and type in *genia and a few words come up. You'll have to look 'em up
s
It's gig 'em, a term denoting frog hunting and is accompanied
Subject: It's gig 'em, a term denoting frog hunting and is accompanied
by a thumbs up sign. This supposedly came into being in 1930 when the Aggies played the TCU Horned Frogs, then a nationally ranked team, and an Aggie member said "What are we going to do with these Frogs? Gig 'em!"
no specific ST-T changes
Subject: no specific ST-T changes
should have been more specific
Subject: should have been more specific
It was just in the middle of a list of meds. No doses at all.
If they are looking for something specific,
Subject: If they are looking for something specific,
they will run strips for various lengths of time.
I mean specific.
Subject: I mean specific.
nm
Specific gravity 1.015.
Subject: Specific gravity 1.015.
specific gravity.
Subject: specific gravity.
nm
I would think yes since it is a specific division. IMO. nm
Subject: I would think yes since it is a specific division. IMO. nm
nm
This could be a form specific to the
Subject: This could be a form specific to the
facility being called by the abbreviation.
Do not cap. Cap only if it is a specific clinic, name given....nm
Subject: Do not cap. Cap only if it is a specific clinic, name given....nm
nm
It may be account specific -- but
Subject: It may be account specific -- but
on my accounts, we are not to abbreviate any medications, including epi, so I expand it.
Yes, the suspicion is there for a specific
Subject: Yes, the suspicion is there for a specific
x
I don't know if it is state specific or not,
Subject: I don't know if it is state specific or not,
I transcribe for clinics in Oregon and transcribe it as Workers' Comp as this is the way the state refers to it (Oregon Workers' Compensation Division).
1,022 is specific gravity, 5 is pH - nm
Subject: 1,022 is specific gravity, 5 is pH - nm
sorry - 1.022 is specific gravity, 5 is pH - nm
Subject: sorry - 1.022 is specific gravity, 5 is pH - nm
Non-specific cervicitis ?
Subject: Non-specific cervicitis ?
It is probably a dept name specific to
Subject: It is probably a dept name specific to
x
It's probably facility specific
Subject: It's probably facility specific
It's possible this is the name of a facility or something that is specific to the account you're typing. You might see if the hospital has a web page and go there and look under services/programs, and see if there is a TLC listed there.
It really could be anything. My first thought was transitional long-term care, but given that they're on pressors, that's usually not the kind of drug they send you to a SNF with.
Gee, ya think? You should see some of the stuff
I don't know who they got working there sometimes. So much conflicting stuff it's unreal. I call them on it every time though and send it to my super. It's hard enough without the conflicting feedback.
Example:
Dictator said HPI (for a heading), so I typed it HISTORY OF PRESENT ILLNESS. I get QA feedback that says, "If the dictator dictates the header as HPI, type it in as HPI." So I'm like okey dokey.Next time I get HPI I do just that. Then I get a nasty note. NEVER, EVER abbreviate in the headers, always spell it out. I'm like geeesh!
One told me to type out 2:00 O'clock (for position, i.e., cornea).
CA stuff
Subject: CA stuff
Stage I breast cancer (T1B, sentinel N0, M0, ER positive, PR negative, grade 2, HER2/neu negative).
I would put HER-2 neu, but the rest all looks good.
Might want to try Web MD for stuff like this. nm
Subject: Might want to try Web MD for stuff like this. nm
s
lab stuff
Subject: lab stuff
CPK total was elevated at 483 with an MB s/l fraction or infraction of 26.7
you can use it for stuff like D&C, I&D sm
Subject: you can use it for stuff like D&C, I&D sm
but not in place of a regular and in a normal sentence.
can you be more specific? what part of exam?--sm
Subject: can you be more specific? what part of exam?--sm
what part of body is being examined? give the sentence it is in, please. Help us so we can help you.
thanks.
Sounds like he was caught not being specific enough.
Subject: Sounds like he was caught not being specific enough.
You should have been given account specific pages that explain what is expected. Nobody really knows what verbatim means until account specifics are spelled out. He needs to take a chill pill and put his expectations in writing, get approval from his supervisor, then run those specifics by the contact for the account. Otherwise all the MTs will change what they are doing and somebody at the hospital will object and then you'll have to change the way you do things AGAIN! JMO.
Not unless it is the specific name of an institution for care.
Subject: Not unless it is the specific name of an institution for care.
Specific gravity question
Subject: Specific gravity question
Been out of commission for a year or so, so have a question about how the number would be typed. If a doctor says "specific gravity 1015" how would that number be typed out. Just a little confused on where to put the decimal.
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