Check with your TL on the specifics of the facility.
Posted By: MWMT on 2008-12-27
In Reply to: echo report help - NYMT
Subject: Check with your TL on the specifics of the facility.
Most hospitals I have worked with prefer cm2.
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- echo report help - NYMT
- Check with your TL on the specifics of the facility. - MWMT
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also I should have said check your account specifics - SM
Subject: also I should have said check your account specifics - SM
Each doc and/or hospital may want classes and grades a certain way. It is a good idea to make sticky notes like Another KSMT said.
I would check your account specifics...(nm)
Subject: I would check your account specifics...(nm)
Although I would double check your account specifics. SM.
Subject: Although I would double check your account specifics. SM.
Some docs might prefer you to spell it out for them or have an specific way they want it typed.
check your company's Account Specifics, if you can
Subject: check your company's Account Specifics, if you can
nm
I would not unless there is a name to the facility such as Jones Hospital Urgent Care Facility but g
Subject: I would not unless there is a name to the facility such as Jones Hospital Urgent Care Facility but go by the client profile if you can for that report.
alm is right, skilled nursing facility, as in a short stay in a skilled nursing facility
Subject: alm is right, skilled nursing facility, as in a short stay in a skilled nursing facility
More specifics?
Subject: More specifics?
Is it a myringotomy and tube insertion? Is it being pronounced bog or b-o-g?
Do it per client specifics.
Subject: Do it per client specifics.
Also, don't know about your account specifics but
Subject: Also, don't know about your account specifics but
I would use 1.5 cm, as in 1.5-cm "hypoechoic" mass...decimals for metric...
Account specifics - if they want 's that's what they get. SM
Subject: Account specifics - if they want 's that's what they get. SM
That's what is in AAMT BOS - Depends on client preference, so, no, she is not wrong
All according to your account specifics. Like
Subject: All according to your account specifics. Like
I said below, we do not use slang, therefore use saturating; however if verbatim, then satting is correct.
What do your account specifics say? nm
Subject: What do your account specifics say? nm
nm
OB.. she returns for a string check?? or Estring check?? Thanks
Subject: OB.. she returns for a string check?? or Estring check?? Thanks
Account specifics would dictate whether you sm
Subject: Account specifics would dictate whether you sm
write it out or abbreviate. The abbreviation for beats per minute is bpm. Ask your QA person for approved abbreviations for this account (accounts will differ sometimes which can make us crazy).
do you have account specifics to read?
Subject: do you have account specifics to read?
on most accounts it is acceptable to leave 1-2 blanks. If you really think it sounds like minute, then put that.
Depends on account specifics. sm
Subject: Depends on account specifics. sm
In general, we are to write out the term in full the first time it is dictated for clarification. Then, if abbreviations are dictated later on, it is okay to use the abbreviation. Again, you must abide by account specifics. Ask your QA person to be sure.
...in the client specifics very clearly. Otherwise, QA should let it slide. nm
Subject: ...in the client specifics very clearly. Otherwise, QA should let it slide. nm
s
same here - depends on my account specifics nm
Subject: same here - depends on my account specifics nm
Almost depends on account specifics
Subject: Almost depends on account specifics
Some of the verbatim accounts allow for medical jargon, so if in the body of the report they said he was given 2 amps of bicarb, I would probably just leave it at amps. If this was in a medication list, as on admission or discharge, I would probably write it out as ampule(s).
depends on account specifics, whether verbatim, etc.
Subject: depends on account specifics, whether verbatim, etc.
x
First, see your account specifics or client preferences.
Subject: First, see your account specifics or client preferences.
If no mention is made about it, I would type it as a numeral for anything less than 10.
yes, but without specifics it's impossible to know if you're hearing it right
Subject: yes, but without specifics it's impossible to know if you're hearing it right
It has been that way every facility I have
Subject: It has been that way every facility I have
Go by what YOUR QA says. They should know what the facility wants. (nm)
Subject: Go by what YOUR QA says. They should know what the facility wants. (nm)
x
Only if it is associated with the name of the facility, i.e.
Subject: Only if it is associated with the name of the facility, i.e.
Example Hospital Anesthesia Department, otherwise it should be in small letters.
Every facility is different in this. I have one
Subject: Every facility is different in this. I have one
who wants all caps, one who wants the heading then normal case, and one who wants it on a separate line, top of report, no matter were dictated. Need to check with specific client.
That's what I mean by "ask your QA!" Account specifics dictate style, sm
Subject: That's what I mean by "ask your QA!" Account specifics dictate style, sm
but the AAMT BOS dictates what is correct for the industry, getting its information from sources such as the Chicago Manual of Style, the American Medical Association book of style (which I own), etc. As the poster below states, Joint Commission goes by BOS and does not like "same" or abbreviations for diagnoses, impressions, op titles, etc. They will randomly choose patient charts and go through them to check things like this! It's the Joint Commission which recommends or removes hospital accreditations--a very powerful entity.
So, ask your QA what the account wants. If they want "same," give them "same." For other accounts, do it the correct way.
depends on account specifics, but I usually type 3-1/2 months NM
Subject: depends on account specifics, but I usually type 3-1/2 months NM
Got it. Thanks again. There are no account specifics, so I like to type verbatim just to be safe.
Subject: Got it. Thanks again. There are no account specifics, so I like to type verbatim just to be safe.
the facility or community as there....sm
Subject: the facility or community as there....sm
There is no such diet or anything so I tend to think this may be a nutritionist or dietician/dietitian in and around the facility or area where the dictator works from/around. Just a wild guess actually. 
Sure this is not the name of the facility performed at?
Subject: Sure this is not the name of the facility performed at?
MRI at Open Imaging of Redwood?
Inside or outside facility...
Subject: Inside or outside facility...
Senior Care Center
There are Specialty Care Centers.
Surgical Care Center.
You definitely do for a JCAHO facility.
Subject: You definitely do for a JCAHO facility.
Some accounts will not tell you but cc is a big no no on the Joint Commission "Do Not Use List" See site below. Account I type for now, MTSO was/is not even aware. They dictate cc but I change to ml and have not had a report come back yet.
STEL facility?
Subject: STEL facility?
Sentence: Nursing home placement was secured in a 's/l STEL' OR stell' facility.
Anybody know if this is an acronym and what it may stand for?
Could he be saying SNIF facility?
Subject: Could he be saying SNIF facility?
Skilled Nursing Inpatient Facility (Unit)...
If your facility follows BOS, or your MTSO
Subject: If your facility follows BOS, or your MTSO
follows BOS, it is followup. Why not contact your QA/supervisor for clarification to be sure on your end. One facility I work for wants followup, the other follow-up. Verify to be sure for your sake.
We ust Thromboguard at our facility,
Subject: We ust Thromboguard at our facility,
compression boots/stockings for DVT prophylaxis.
That is probably a facility preference. The
Subject: That is probably a facility preference. The
abbreviations you gave examples of are standard abbreviations still in use.
That is probably a facility preference. The
Subject: That is probably a facility preference. The
abbreviations you gave examples of are standard abbreviations still in use.
If the facility does not want it expanded,
Subject: If the facility does not want it expanded,
then you don't. Could be a specific rule of a particular client. If you are told not to, then don't.
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.
It all depends on your account specifics. If they use BOS, then use mL. I've had verbatim accou
Subject: It all depends on your account specifics. If they use BOS, then use mL. I've had verbatim accounts
with no BOS wanted per the client, regular accounts who do use BOS and others that do not want it, and others that "just type what I say." So, like I said, refer to your account specifics.
Always go with account specifics, regardless of what BOS recommends. Good luck! (no message)
Subject: Always go with account specifics, regardless of what BOS recommends. Good luck! (no message)
X
Depends on your account specifics. If they allow you to expand, that's fine, but it is straight
Subject: Depends on your account specifics. If they allow you to expand, that's fine, but it is straight
hardcore verbatim you have to leave it as is, whether it looks ugly or not. I know, I really don't like it when they abbreviate left and right, leave words off sentence structures so they can speak faster and get it over with.
Both are correct, just type it according to your account specifics, some like disc and other disk.
Subject: Both are correct, just type it according to your account specifics, some like disc and other disk.
It is probably SNF (skilled nursing facility).
Subject: It is probably SNF (skilled nursing facility).
nm
it may depend on a facility rule
Subject: it may depend on a facility rule
our facility requires a hyphen for any statement of __ to__ so for us it would "x4-5" days.
It's a 'per the facility' issue as both are acceptable. Just use what QA says to keep them
Subject: It's a 'per the facility' issue as both are acceptable. Just use what QA says to keep them happy. 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
Need more info. What's located on the 4th floor of the facility? nm
Subject: Need more info. What's located on the 4th floor of the facility? nm
s
The facility may have it's own stock or normal regimen that they
Subject: The facility may have it's own stock or normal regimen that they
s
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