As q. day is a dangerous abbreviation, the correct format is p.o. daily...:)...nm
Posted By: typinlikemad on 2009-03-03
In Reply to: p.o. q day? - Glenna
Subject: As q. day is a dangerous abbreviation, the correct format is p.o. daily...:)...nm
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- p.o. q day? - Glenna
- As q. day is a dangerous abbreviation, the correct format is p.o. daily...:)...nm - typinlikemad
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Abbreviation Format
Hi... Can someone tell me the correct format for what comes after this med in a dictation: "Zarontin 250 mg 500 500 250 500?" Is this 500 am, 500 mid-am, 250 afternoon, 500 bedtime?
Thanks! 
Abbreviation Format
Subject: Abbreviation Format
Thanks! I thought that would be a mega-dose as well, but that's what she said. I did "slash" them though.
This is a dangerous abbreviation and should be
Subject: This is a dangerous abbreviation and should be
changed to "at bedtime" but if it is an office note or you don't have to worry about that, it does not need the space after the q. -- q.h.s.
It's not a dangerous abbreviation (sm)
Subject: It's not a dangerous abbreviation (sm)
but some platforms do not support symbols like the "&" sign and so you might not be able to type it. On my employer's platform I can't type it or it will cause an error when the report is being sent.
cc is now classified as a dangerous abbreviation..
Subject: cc is now classified as a dangerous abbreviation..
Table 1. Dangerous abbreviations and dosage designations |
|---|
Problem
Term |
Intended
Meaning |
Reason for
Problem(s) |
Suggested
Remedy |
AU |
both ears |
Read as OU (both eyes) or not understood |
Use "both ears" |
cc for expressing liquid measurements |
cc (same as mL) |
Read as u (unit) |
Use "mL" when expressing liquid measurements (drugs, urine, blood, etc.) |
D/C |
discharge |
Interpreted as discontinue medications resulting in premature discontinuance of current medication |
Use "discharge" |
IN |
intranasal |
Read as IV or IM or heard as IM |
Write "intranasal" "nasally" or use "NAS" if limited by computer space allotted |
yes - they use dangerous abbreviation list
Subject: yes - they use dangerous abbreviation list
dangerous abbreviation-should be discontinue
Subject: dangerous abbreviation-should be discontinue
DC can be discontinue or discharge; hence, JCAHO considers it a dangerous abbreviation. If you have a verbatim account use d/c his stitches.........
FYI - per BOS2, cc is a dangerous abbreviation
Subject: FYI - per BOS2, cc is a dangerous abbreviation
x
DC is considered a dangerous abbreviation
Subject: DC is considered a dangerous abbreviation
per BOS2 and should NOT be used. You use it in the context, not hard to determine if it means discontinue/d or discharge/d.
subq is a dangerous abbreviation and
Subject: subq is a dangerous abbreviation and
is not to be used at all. I use subcutaneous or subcutaneously, whichever one fits.
cc is considered a dangerous abbreviation
Subject: cc is considered a dangerous abbreviation
per BOS, however, if the facility/MTSO, etc. wishes to use cc they trump BOS.
3 months' time is the correct format
Subject: 3 months' time is the correct format
correct abbreviation for millicuries please
Subject: correct abbreviation for millicuries please
tx
correct abbreviation for metastasis?
Subject: correct abbreviation for metastasis?
NP states "Mets to brain". Should this be mets, metz, or should I spell it out?
Hip ASIS and "ISIS?" Is ISIS a correct abbreviation?
I know ASIS is correct, but I cannot find ISIS abbreviation for the hip anywhere. He is very clear with saying "ISIS" too. Thanks! 
Personally, I would spell out, but the correct abbreviation would be mets (metastases).
Subject: Personally, I would spell out, but the correct abbreviation would be mets (metastases).
Trileptal 150 b.i.d.; s/l "Vantz" as tolerated; Cymbalta 30 mg daily; verapamil 24 mg daily.
Subject: Trileptal 150 b.i.d.; s/l "Vantz" as tolerated; Cymbalta 30 mg daily; verapamil 24 mg daily.
Pt with chronic headache, chronic back pain, factor V Leiden.
Depression, Not Otherwise Specified.
Other/Unknown Substance Intoxication Delirium, Resolved.
Opioid Dependence.
Episodic Sedative Hypnotic Abuse.
s/l luvensa 4 capsules daily and s/l Exforge 10/160 mg one daily
Subject: s/l luvensa 4 capsules daily and s/l Exforge 10/160 mg one daily
daily versus q. daily?
I always thought q. daily was wrong, but have received back corrections from QA with q. daily after I had changed it to daily. This is not a verbatim account. Am I wrong?
q.daily versus daily
Subject: q.daily versus daily
You are definitely right. Q.daily and q.day, q.d. are not accepted by the AAMT Book of Style. You are to put daily.
format
Subject: format
No.1 PDS or #1 PDS? Which is correct?
Format ?
Subject: Format ?
5/5 strength throughout sensation is intact. So the 5/5 is not at the start of the sentence, how would you reword this phrase?
OB format for G 3, P 1-1-0-2
Subject: OB format for G 3, P 1-1-0-2
Is this how you type that? I havn't heard it transcribed that way before... Thanks!
Format Help
Subject: Format Help
How do you type the name of a book? Italics or quotations? TIA
Format help
Subject: Format help
I have a dictator who constantly repeats words, phrases, entire sentences! Do you transcribe it twice or if she has already stated it, leave it out? 
Format ?
Subject: Format ?
Would it be MEDICATIONS: Include
1.
2.
3.
H & P Format
Subject: H & P Format
Just when I think I have it on format - I don't. The following is under PHYSICAL EXAMINATION. What would the subheading be?
Patient walks to the right occasionally. She has trouble getting started because of discomfort. She can walk on heels and toes briefly. However, on a tandem walk she really has difficulty with that. She does not line up her toes easily, loses her balance very easily with that. This is typed as dr. dictated. Suggestions would be appreciated.
format question
Subject: format question
Do you put immunizations under the Social History section in a report or by themselves? I'm not testing, just confused. The doctor is dictating: "All immunizations are up to date" under Social History. Thanks.
Format question...
Subject: Format question...
Hi, I'm wondering whether AAMT BOS says to type this: "image #31 series 3" or this: "image #31, series 3." Comma or no?
Thank you! :D
Format question
Subject: Format question
This is so small I hate to ask, but everytime I type this it just looks odd no matter what way I type it and would like to know how another MT would type this.
If someone has a dull aching sensation or sharp stabbing sensation would you hiphenate (dull-aching sensation) or slash (dull/aching sensation) or just leave it (dull aching sensation)? Thanks for any input to my "stupid" question. 
I would say cecal and S1-S2 is how I format it...nm
Subject: I would say cecal and S1-S2 is how I format it...nm
s
number format
Subject: number format
When transcribing a very large number, "1 million 120 thousand" is it considered more acceptable to use words or just to stick to numbers?
Format question
Subject: Format question
I was hoping someone might be able to give me the rule for this.....Should departments be capitalized? For instance, "she saw University of Virginia orthopedics" Should orthopedics be capitalized or not? I'm always confused about this:)
format question
Subject: format question
I was taught that if the "orthopedics" came after the name of the place, it should be capitalized (UoV Orthopedics). If not, it wouldn't be capitalized(orthopedic department at UoV). Please correct me if I'm wrong, anyone! :)
Punct? format?
Subject: Punct? format?
REVIEW OF SYSTEMS
He is 6 feet tall and weighs 260 pounds. His weight has been stable. No rashes. No problems with his eyes, ears, nose or mouth. Respiratory: he is positive for a smoker, half pack per day, with a smokers cough. Cardiovascular: has a history of hypertension. No GI/GU problems. Musculoskeletal is stated in the HPI. No neurological or hematological disorders.
Is this how this should be put in paragraph form with the Respiratory and Cardiovascular??
Radiology Format ??
Subject: Radiology Format ??
DUPLEX SCAN OF LEGS
Duplex scan of the arterioles system in the legs was performed and results are as follows:
RIGHT LEG: On the right side,
Is this layout correct? or is it
RIGHT LEG no colon? then drop down a line? Thanks
Format rules in MT
Okay, I am an old gal working mostly ias in-hospital MT (VA, Teaching hospital), but I did also work off and on for MTSOs at home. Now going back a long time, I was always taught that in formatting Problem Lists or Hospital Course by problem list you transcribe it this way. Problem #1 - HYPERTENSION. The patient is taking lisinopril currently..... or if the doc did not say PROBLEM #1, then you transcribed it 1. HYPERTENSION. Blah, blah, blah. When did this change and become wrong? Most of the docs I am now transcribing for one of the major MTSOs now (left the hospital), actually ask that we capitalize the major problem. Is this in the so-called AHDI BOS2?
IMHO, using the capitalization on the problem is much easier to read, than this...
1. Hypertension. The blah, blah, blah..
2. Diabetes mellitus type 2. Uncontrolled. Not compliant.
Any QAers out there can answer this one for this old school nitpicker?
and the reason it's on the dangerous...sm
Subject: and the reason it's on the dangerous...sm
abbreviation list is because h.s. (hour of sleep) is confused with half-strength. *S*
how do you write Z-pac? also is qid a dangerous
Subject: how do you write Z-pac? also is qid a dangerous
abbreviation?
used to be IU/mL but JCAHO says dangerous
Subject: used to be IU/mL but JCAHO says dangerous
international units per mL
Dangerous abbv?
Subject: Dangerous abbv?
I believe the list of dangerous abbreviations says not to use "&" symbol, but to use "and." D&C should be D and C; O&P should be O and P, etc. Not sure if I'm remembering this correctly.
Does anyone know if this sounds correct? Thanks.
Per BOS - it is "nightly." Look in dangerous
Subject: Per BOS - it is "nightly." Look in dangerous
x
dangerous abbreviations
Subject: dangerous abbreviations
Now please do not flame me for asking, but I am getting confused about some of these. The one for today is hs. Is it used at all? If so, is it hs or h.s.? I thought it was not used, but substitute "bedtime", but I do not find it in BOS and on page 463 of BOS 2 it lists "BT" as to not use but substitute "hs." Can anyone give me a definitive reply with citation of source? Thanks.
q is considered a dangerous
Subject: q is considered a dangerous
abbreviation when standing alone. Unless client wants you to use it, replace with "every."
format that to your accts specs (sm)
Subject: format that to your accts specs (sm)
a.m., AM, whatever your acct likes! LOL
Format for multiple problems
Subject: Format for multiple problems
Can someone show me an example of how to type a report that has multiple problems. The doctor does one problem completely, then goes onto the next one.
It doesn't look right typing HISTORY OF PRESENT ILLNESS, PHYSICAL EXAMINATION twice throughout the report.
Thanks
Format & Capitalization (psychiatric)
Subject: Format & Capitalization (psychiatric)
Capitalize verbal, performance, and full-scale? Should I leave the subtest scores in a vertical list arrangement or use a different format?
On this administration of the Wechsler Adult Intelligence Scale-III, Mr. ___ obtained a verbal IQ of 57 (range 53-63), a performance IQ of 64 (range 59-73), and a full-scale IQ of 56 (range 53-61). These scores fall within the mild range of mental deficiency.
The following scatter of subtest scores was obtained:
VERBAL:
Vocabulary: 2
Similarity: 3
Arithmetic: 2
Digit Span: 3
Information: 3
Comprehension: 2
PERFORMANCE:
Picture Completion: 4
Digit Symbol: 4
Block Design: 4
Matrix Reasoning: 5
Picture Arrangement: 4
All the scores above fall within the mentally deficient range and are relatively even.
Go to format/paragraph and you'll see it. nm
Subject: Go to format/paragraph and you'll see it. nm
In MSWord, go to Format, Font,..
Subject: In MSWord, go to Format, Font,..
Effects, place a check mark next to Subscript.
Just a general question on format
Subject: Just a general question on format
I have been using these forums for a while now and I keep seeing people using "nm" and "sm". What does this mean?
nm = no message
sm = see message
Just a guess
Time format in BOS 3rd edition
Can anyone tell me what the specific rules are for time format in the new BOS on pages 337-339. A brief description would be great or u can scan and email it to me too, whichever.
I do intend to buy my own soon but I have to wait till payday. :(
Much appreciated !
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