By the way, also states in AAMT BOS2 that 0 is correct for sutures as per The United States Pharmaco
Posted By: MT50 on 2007-11-19
In Reply to: sutures please help - marilyn
Subject: By the way, also states in AAMT BOS2 that 0 is correct for sutures as per The United States Pharmacopeia system sizes...
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- sutures please help - marilyn
- By the way, also states in AAMT BOS2 that 0 is correct for sutures as per The United States Pharmaco - MT50
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AAMT BOS2 under cardiology it states TIMI 3 (as it is a grade)
Subject: AAMT BOS2 under cardiology it states TIMI 3 (as it is a grade)
AAMT BOS2 states that diagnostic abbreviations are acceptable in diagnoses
Subject: AAMT BOS2 states that diagnostic abbreviations are acceptable in diagnoses
Per AAMT-BOS2 page 149 it states "Use of idiosyncratic capitalization is optional" so I would
Subject: Per AAMT-BOS2 page 149 it states "Use of idiosyncratic capitalization is optional" so I would put Actoplus Met
I agree; AAMT BOS2 states "The abbreviation mL is preferred to ml to avoid the l being misread as
Subject: I agree; AAMT BOS2 states "The abbreviation mL is preferred to ml to avoid the l being misread as the numeral 1 (one). "
In my opinion either would be correct. If MD states neurologic standpoint, that is what I would tran
Subject: In my opinion either would be correct. If MD states neurologic standpoint, that is what I would transcribe.
He states again in another report: s/l poor reversal of lordosis. Is this correct?
Subject: He states again in another report: s/l poor reversal of lordosis. Is this correct?
Just me, but I do not unless the CP states to do so.
Subject: Just me, but I do not unless the CP states to do so.
New standard states:
Subject: New standard states:
And I quote: "Numerals, or figures, stand out from the surrounding text and serve a functional purpose in medical reports, where they should be used almost exclusively as opposed to spelled-out numbers.
Exceptions: Judgment and discretion are need when deciding but adjacent numbers require one to be spelled out to avoid confusion.
Use a comma to separate adjacent unrelated numerals if neither can be readily expressed in words and the sentence cannot be readily reworded.
Use numerals for fractions.
Spell out numbers that begin a sentence.
Zero is always spelled out when it stands alone.
Spell out numbers used as pronouns.
That should get you started!
ENT always states S/L "verbrossi SM
Subject: ENT always states S/L "verbrossi SM
were clippped." It seems to mean nose hair, except I cannot document verbrossa. I have looked and looked. I could have spelling completely wrong. As stated, ENT doctor, doing sinus/ septal surgery, at the beginning of the report, along with prep and drape.
Thanks for any help.
HELP please!! Dr. states this 3 times
Subject: HELP please!! Dr. states this 3 times
It sounds like "Malin-body 4 airway." Any help would be greatly appreciated. Thanks
Pt with Raynaud's...doctor states sm
"without any identifiable primary *s/l pneumatic or pneumonic* disorder". Any one heard of this? TIA
Doc only states what s/l cervitol 15 mg at night...
Subject: Doc only states what s/l cervitol 15 mg at night...
dictates this with about 20 other meds....no mention of any stool issues. If it is sorbitol can it be a 15 mg dose?? May have to leave it blank.
Thanks but no "Trans" just states s/l Varisol..nm
Subject: Thanks but no "Trans" just states s/l Varisol..nm
x
States current medication..
Subject: States current medication..
she is being seen for left arm numbness. Does that help any? Nothing in history.
Not my day. exam of the chest and states (sm)
Subject: Not my day. exam of the chest and states (sm)
the "pox" is 90 and felt 87, and she is on oxygen. This in the exam of the chest. What could "pox" be?
The consult by the neurologist states that sm
Subject: The consult by the neurologist states that sm
the s/l partodyskinesia may be a slow progress. Also later in the diagnosis, doctor states "s/l Partodyskinesia secondary to anticholanergic drugs". Any help would be appreciated. Thanks :)
when doc states g-y-n, are all letters capped or only first? nm Thanks!
Subject: when doc states g-y-n, are all letters capped or only first? nm Thanks!
s/l "multitude" tenaculum - states the
Subject: s/l "multitude" tenaculum - states the
cervix was grasped with a "multitude" tenaculum? TIA
dr. states "as the isotype would likely pool
Subject: dr. states "as the isotype would likely pool
on the infected colon" - do you think I'm hearing that correctly? would it be "pool"?
thanks in advance
Great link to cities/states
Subject: Great link to cities/states
Never heard of runmyass, but here's a great link to find all the cities in the state.
http://dir.yahoo.com/Regional/U_S__States/Louisiana/Cities/wp_A/
Not that one either:) States clearly 'Viag', like leaving off the end of Viagra. nm
Subject: Not that one either:) States clearly 'Viag', like leaving off the end of Viagra. nm
..
ESL states twice..allergies s/l tetrum toxoid. nm
Subject: ESL states twice..allergies s/l tetrum toxoid. nm
born 3 weeks s/l "pro-states"
Subject: born 3 weeks s/l "pro-states"
Thought this may be post-age, but didn't know if there was a word for premature other than after due date????
makes since as after he states there is adequate stability. Thanks a lot.
Subject: makes since as after he states there is adequate stability. Thanks a lot.
It also states to "precede by # or No. if the word 'number' is dictated. sm
Subject: It also states to "precede by # or No. if the word 'number' is dictated. sm
"Keep in mind that 'French' is linked to diameter size and is not the eponymic name of an instrument. Thus, it is a 15-French catheter, not a French catheter, size 15."
Nevermind, I am going to flag it as he specifically states "inhaler," thanks anyway.
Subject: Nevermind, I am going to flag it as he specifically states "inhaler," thanks anyway.
He states childs platelet count normal...
Subject: He states childs platelet count normal...
but I cannot find normal values for kids. I have tried google but I am having one of those days I guess.
States problem as Bourne Willaburn's Disease??? tia..
Subject: States problem as Bourne Willaburn's Disease??? tia..
Not enuresis. The PURR is definitely there. He states it about five times in the dictation. nm
Subject: Not enuresis. The PURR is definitely there. He states it about five times in the dictation. nm
Don't know if there are other diagnoses involved, but this is what the drug index states it is us
Subject: Don't know if there are other diagnoses involved, but this is what the drug index states it is used for:
to treat chronic hives, premenstrual depression, attention deficit hyperactivity disorder in children, and bedwetting.
25 mg would be the proper dosage also.
P. 337 of BOS states it should be typed "pro time" as 2 words; sm
Subject: P. 337 of BOS states it should be typed "pro time" as 2 words; sm
however, spelling out of both words is preferable.
that is what I had. Just double checking becasue she states it different later in report. Thanks
Subject: that is what I had. Just double checking becasue she states it different later in report. Thanks
nm
Never? (dr states "there is tenderness on ballotting the knee?")
Subject: Never? (dr states "there is tenderness on ballotting the knee?")
Yes, I know. My post below states that and I answered her, can be indexes or indices
Subject: Yes, I know. My post below states that and I answered her, can be indexes or indices
even BOS states that follow-up is an acceptable version of followup. sm
Subject: even BOS states that follow-up is an acceptable version of followup. sm
Isn't it funny how this profession dwells on simple little things like this.
patient's prior surgeries---states THA/BA1 or VA1 or ?? What would be assoc with THA
Subject: patient's prior surgeries---states THA/BA1 or VA1 or ?? What would be assoc with THA
Doc states Desonide 0.05% eyedrops b.i.d. as needed, but only have it as cream??
Subject: Doc states Desonide 0.05% eyedrops b.i.d. as needed, but only have it as cream??
Sorry..nope...it is so clear and states twice "Buta vent". ??
Subject: Sorry..nope...it is so clear and states twice "Buta vent". ??
Stedman's derm book states Tindall effect. nm
Subject: Stedman's derm book states Tindall effect. nm
x
During a tonsillectomy states tonsils removed using s/l a flat bovie?? Thanks
Subject: During a tonsillectomy states tonsils removed using s/l a flat bovie?? Thanks
eNos is a gene therapy & still in testing, OP states doc said it was old treatment. NM
Subject: eNos is a gene therapy & still in testing, OP states doc said it was old treatment. NM
It would be STEMI in hpi and spell it out in diagnoses (unless client profile states otherwise)
Subject: It would be STEMI in hpi and spell it out in diagnoses (unless client profile states otherwise)
Doctor states s/l spondylolysis. Do you think he meant spondylosis or spondylolisthesis?
Subject: Doctor states s/l spondylolysis. Do you think he meant spondylosis or spondylolisthesis?
ENT MD states" an 8 French catheroneedle tube was placed in left 4th intercostal space. NM
Subject: ENT MD states" an 8 French catheroneedle tube was placed in left 4th intercostal space. NM
Per AAMT BOS2
Subject: Per AAMT BOS2
Under "dangerous abbreviations" they would prefer mL instead of cc; thus, have changed it in my expansions and use it for all hospitals without anything to the contrary ever being said for about a year now.
and per BOS2 and AAMT for this we are not
Subject: and per BOS2 and AAMT for this we are not
not supposed to expand - unless your client profile says to - so if the dictator says I's and O's and it's verbatim - well....they get I's and O's. Most accounts today do not want over-expansions to pad lines. Of course, the client profile (CP) comes first or client preferences, but secondarily across the board - BOS2 keeps us all pretty uniformed....
See below taken from AAMT BOS2
Subject: See below taken from AAMT BOS2
Ordinals: Ordinal numbers are used to indicate order or position in a series rather than quantity.
Ordinals are commonly spelled out, especially when the series goes no higher than 10 items. However, as with all numbers in medical reports, AAMT recommends using numerals: 1st, 2nd, 3rd, 4th, etc.
Do not use a period with ordinal numbers.
3rd rib (or third)
5 th finger (or fifth)
She is to return for her 3rd (or third) visit in 2 days.
She was in her 9th (or ninth) month of pregnancy.
His return visits are scheduled for the 15th and 25th of next month.
The 4th cranial nerve...
From AAMT BOS2
Subject: From AAMT BOS2
followup, follow up
Use followup for the noun and adjective forms (the hyphenated form, follow-up is an acceptable alternative).
The patient did not return for followup. (noun)
In followup visits, she appeared to improve. (adjective)
For the verb, the two-word form follow up is the only correct choice.
We will follow up with regular return visits. (verb)
HINT: To test whether the correct form is one word or two, try changing the tense or number. If one or more letters must be added, the correct form is two words.
We will follow up.
tense change >>
We followed up.
(Followedup is not a word, so followed up must be two words.)
We follow up.
number change >>
He follows up.
(Followsup is not a word, so follows up must be two words.)
Per AAMT- BOS2
Subject: Per AAMT- BOS2
Express partial units as indicated.
D: grade 4 and a half over 6 murmur
T: grade 4.5 over 6 murmur
or grade 4.5/6 murmur
D: grade 4 to 5 over 6 murmur
T: grade 4 to 5 over 6 murmur
or grade 4/6 to 5/6 murmur
not grade 4-5/6 murmur
Per AAMT BOS2
Subject: Per AAMT BOS2
With periods for the latin abbreviation i.e.
q.i.d.
p.o.
b.i.d.
etc.
Per AAMT-BOS2...
Subject: Per AAMT-BOS2...
In particular, avoid the use of unnecessary or inappropriate capitals. Do not, for example, capitalize a common-noun reference to a thing or person if it is just one of many other such things or persons. Thus, emergency room and recovery room are not capitalized. Think of the rule for generic versus brand names for drugs. The generic term (common noun) emergency room is applied to all emergency rooms, so it is not capitalized.
Thus, I do not capitalize it unless it is with a facility name so I would say you are correct. Always exceptions to the rule according to the facility preference.
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