Ask your QA for this probable client-specific information. nm
Posted By: Lifer on 2007-01-31
In Reply to: abbreviation in ER report - ER MT
Subject: Ask your QA for this probable client-specific information. nm
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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
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
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
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
Well...both are more than probable.
Subject: Well...both are more than probable.
1. Fecal discharge from the vaginal vault is possible with fistulas.
2. Denies incontinence to flatus (uncontrolled passing of gas) and/or bowel movements.
What is the probable dx etc? nm
Subject: What is the probable dx etc? nm
not saying probable ischemia?
Subject: not saying probable ischemia?
CT contrast - Probable is bubble
Subject: CT contrast - Probable is bubble
I type bubble contrast quite often in CT reports.
Probable nonmedical word
Subject: Probable nonmedical word
She is talking about a man with allergies, and states this twice...
The interesting thing about it is the patient has (sounds like "a century") of a lot of animals and pets, dogs, cats, and birds, close to his bedroom.
Then later she states, "allergic rhino-sinus has something to do with his pet "century." I cannot figure this out! Thanks for looking!
PROBABLE GANGLION CYST,
Subject: PROBABLE GANGLION CYST,
plantar right foot. It is on the plantar area of the foot.
first syllable probable the word all...nm
Subject: first syllable probable the word all...nm
x
WAG here but acute gastroenteritis with probable IBS? nm
Subject: WAG here but acute gastroenteritis with probable IBS? nm
perhaps "pericolic abscess," though there are probable other possibilities nm
Subject: perhaps "pericolic abscess," though there are probable other possibilities nm
planemetry??seems probable. telemetry seems improbable. SM
Subject: planemetry??seems probable. telemetry seems improbable. SM
From the word parts, I imagine that planemetry is measuring the size of the heart and its chambers by taking "still" echos in various planes, then moving the screen markers to define the maximal up-down dimensions and the maximal left-right dimensions.
Probable a stretch ... meningeal tumors?
Subject: Probable a stretch ... meningeal tumors?
Up for a challenge? S/L **Probable LB** aneurysm with chronic anticoagulant therapy
Subject: Up for a challenge? S/L **Probable LB** aneurysm with chronic anticoagulant therapy
I am just not familiar with this dictator, and he talks SO fast! Anyone heard of anything that sounds like **Probable LB** aneurysm? Probable may not even be the correct word... It just sounds like what he is saying. Or it is and I have never heard of an 'LB' aneurysm.
Any ideas?
Left wrist sprain with probable TFCC degenerative tear and s/l bore bursitis?
Subject: Left wrist sprain with probable TFCC degenerative tear and s/l bore bursitis?
could be volar, does that make sense????
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.
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.
Yep, in certain cases and specific activities.
Subject: Yep, in certain cases and specific activities.
x
prostate specific antigen?
Subject: prostate specific antigen?
I would agree with that if there hadn't been a specific
Subject: I would agree with that if there hadn't been a specific
dosage noted - that leads me to believe it's something the patient is taking.
It's likely hospital specific or the name of a local SNF. n/m
Subject: It's likely hospital specific or the name of a local SNF. n/m
If your account doesn't have specific rules about it, sm
the correct way would be to write it out in full (Escherichia coli) whether or not it was dictated in full. Then, if the dictator says E. coli after that, then it is correct to transcribe it that way. If the dictator says it in full the next time, then transcribe it in full. Check your account's guidelines for their preference.
urine specific gravity is ten thirty?
Subject: urine specific gravity is ten thirty?
How do I type this value? Thanks!
My QA likes KCl if specific poss chloride is not
Subject: My QA likes KCl if specific poss chloride is not
x
Can find other Bechert eye tools, but not your specific one. nm
Subject: Can find other Bechert eye tools, but not your specific one. nm
s
It's probably something specific to that hospital/facility. Ask your QA or Google the
Subject: It's probably something specific to that hospital/facility. Ask your QA or Google the
s
sounds like he could be referring to a specific date....
Subject: sounds like he could be referring to a specific date....
As in, last *episode of this headache* Maybe he meant last headache was on March 6, 2007 (3/6/07) ???
Thanks for the help:) Sorry I could not be more specific I only had pt. hist. of sinus problems.
Subject: Thanks for the help:) Sorry I could not be more specific I only had pt. hist. of sinus problems.
No ear exam was specified. But you found the answer I needed and I appreicate it, thanks again.
I don't get all the drama anyways?!! Don't the ear,nose and throat go together?
Sorry, should have been more specific - should pain free be hyphenated?
Subject: Sorry, should have been more specific - should pain free be hyphenated?
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