Do admission orders need to be expanded? eg. C&S, CBC, STAT
Posted By: JuliaC on 2009-05-23
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Subject: Do admission orders need to be expanded? eg. C&S, CBC, STAT
Thanks for your help.
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Is it D-stat or T-stat used in a pulse generator surgery?. TIA. nm
Subject: Is it D-stat or T-stat used in a pulse generator surgery?. TIA. nm
.
Blood pressure elevated in the s/l orders of 170 systolic - placed on atenolol
Subject: Blood pressure elevated in the s/l orders of 170 systolic - placed on atenolol
I expanded it...Thanks!!
Subject: I expanded it...Thanks!!
nm
Should EKG be expanded in Assessment?
Subject: Should EKG be expanded in Assessment?
ASSESSMENT: Abnormal EKG.
Many accounts want this expanded
Subject: Many accounts want this expanded
now because it's on the dangerous abbrev. list
That is what some say but it is incorrect. Expanded I's and O's would be
Subject: That is what some say but it is incorrect. Expanded I's and O's would be
.
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.
BVP was 8/8...on obstetrics admission...sm
Subject: BVP was 8/8...on obstetrics admission...sm
Is BVP correct, I can't find this abbreviation anywhere??? Thanks!
ER admission note help please
Subject: ER admission note help please
The patient had diminished sphincter tone. The patient did receive cow littix prior to the exam.
This patient had been in a car accident, she was intubated, combative, and had 2 broken legs. Any ideas?
s/l MOD was called for admission. sm
Subject: s/l MOD was called for admission. sm
the patient was hemodynamically stable, s/l MOD was called for admission secondary to GI bleed. the patient was transferred to the s/l MOD service ???
by mouth, the expanded form of po, yes, per os
Subject: by mouth, the expanded form of po, yes, per os
nm
maybe admission H&P (history and physical). NM
Subject: maybe admission H&P (history and physical). NM
x
I have always expanded to C. difficile, hate slang. nm
Subject: I have always expanded to C. difficile, hate slang. nm
.
Thanks ..is it okay to wirte the slang term? Or should it be expanded?
Subject: Thanks ..is it okay to wirte the slang term? Or should it be expanded?
its in a list of meds on admission, no dosage
Subject: its in a list of meds on admission, no dosage
pt has diabetes, asthma, migraines, gastroparesis
refer to the admission agency?? for details
Subject: refer to the admission agency?? for details
Outpatient hold admission versus inpatient
Subject: Outpatient hold admission versus inpatient
Please read this with a little grain of salt, since I don't have enough info to be sure in this case, but this has happened to me before. Most hospitals and most insurance companies have a "24 hour hold bed" policy of some sort. The patient is considered an outpatient, (and charged the lesser "hold bed" charge) even though admitted to the hospital, for the first 24 hours, or 23 hours and 59 minutes. Maybe this doc is saying that the EKG was done at that time in the admission - hour #23, minute #____. Again, use caution, and if this is the case, the doctor sure SHOULD have said "at 23 hours X minutes after" admission or clarified it somehow. But this is just food for thought, since I have had docs dictate using the number of hours since the patient was admitted, though I'm happy to say they the docs always made it known that that's the way they were counting down the hold bed time.
just guessing, could it be admission and disch (A&D)so pt can get hospice care afterwards?
Subject: just guessing, could it be admission and disch (A&D)so pt can get hospice care afterwards?
It's in Recommendations, and I have found it in the hospital employment listings but NOT expanded
Subject: It's in Recommendations, and I have found it in the hospital employment listings but NOT expanded, so still scratching head.
tisbar injection? located in a list of meds on admission
Subject: tisbar injection? located in a list of meds on admission
HOSPITAL COURSE: Fish?? admission history and physical for details
Subject: HOSPITAL COURSE: Fish?? admission history and physical for details
Hi, Amy, PORT score is for pneumonia severity on admission, predicted outcome.....nm
Subject: Hi, Amy, PORT score is for pneumonia severity on admission, predicted outcome.....nm
nm
AAMT BOS Second Ed says, "The expanded form, prothrombin time, is preferable, but if the short..s
Subject: AAMT BOS Second Ed says, "The expanded form, prothrombin time, is preferable, but if the short..sm
"The expanded form, prothrombin time, is preferable, but if the short form is used it should be written as two words: pro time."
STAT help please
Subject: STAT help please
Right atrial pressure was 13, RV pressure 47/14, PA pressure was 47/22, with a mean of 34, with a wedge of 25. LV "DP" was 118/23. The DP is what I am concerned about. I cannot verify DP, VP, BP one way or another. DP is what it sounds like, but again I cannot find this for sure.
Thank you!
Help Please! STAT
Subject: Help Please! STAT
Does anybody know how you transcribe magnification of 30? I need help ASAP.
it is something stat
Subject: it is something stat
it is something before stat, but i slowed it down and it sounds like an "n" starts the word and then an "m" is in the middle. do you think it could be OT stat? thanks for your help!!
Lab Help: s/l I-STAT 8
Subject: Lab Help: s/l I-STAT 8
Under labs, dictator says, repeat I-STAT8. What is he saying...how do I type this?
stat UA and hCG
Subject: stat UA and hCG
I was just wondering how do you transcribe stat? with an all caps STAT or just stat? I am finding it both ways in google. hope someone can help. thanks.
It is stat according to BOS-2. nm
Subject: It is stat according to BOS-2. nm
zzz
stat
Subject: stat
According to the English dictionary, it is typed in lowercase letters.
O2 stat is 91% on room air
Subject: O2 stat is 91% on room air
stat. blood
Subject: stat. blood
We will check a chest x-ray, stat. blood work including a CBC and a pro time today.
This is under assessment, so I need to spell it out.
Help!! The pt wakes up coughing up blood.
stat blood
Subject: stat blood
If you are questioning the word "stat", I would just type it as stat with no period after it.
Stat report help!!
Subject: Stat report help!!
Her belly is soft. She still has her ____ lines and there is mild hepatomegaly.
Obviously, a PE. It s/l UVIDUA lines???? She's got a bunch of heart problems and has had heart surgery, but this appears to be in the abdominal exam?! I'm lost!
Thanks a bunch!
Found D-Stat. sm
Subject: Found D-Stat. sm
http://www.medcompare.com/matrix.asp?catid=989&search=vascular+closure+device&searchtype=all
yes if it was ordered stat
Subject: yes if it was ordered stat
s/l stat pack
Subject: s/l stat pack
in hernia repair
he says "secured laterally with s/l stat pack and then the anterior mesh...."
Thx
HELP PLEASE STAT REPORT
Subject: HELP PLEASE STAT REPORT
This is a 63-year-old man with congestive heart failure secondary to sounds like Chavez disease? Any clues?
STAT report-need help!
Subject: STAT report-need help!
upon arrival, the patient was noted to have received a significant amount of s/l suctional choline? (FYI, unresponsive, hypothermic, hypotensive, bradycardic)
Oh thank you so very much - stat report
Subject: Oh thank you so very much - stat report
s/l super STAT sm
Subject: s/l super STAT sm
Sinus congestion, sore throat, questionable fever, some allergies.
Diagnosis: Upper respiratory infection.
Continue Allegra, use s/l super STAT or superstatin. Given amoxicillin 500 mg.
STAT and profiles...HELP!
Subject: STAT and profiles...HELP!
ASSESSMENT
1. Type 2 diabetes mellitus.
2. Hypertension.
3. Relative hyperlipidemia for a diabetic patient.
PLAN
[s/l STAT and profile], PSA and hemoglobin A1c will all be checked. Follow up in 4 months, soon if problems arise.
A few words PLEASE!! Stat!
Subject: A few words PLEASE!! Stat!
Horrible audio and hurrying through dictation like a speed demon...Plinsky clamp? Tinsky? Other one sounds like Plintzbaum. This is a liver transplant. Thanks for any help with this guy. I think he might be sick, too, with a bad cold or something.
Ortho help - Need STAT. Thanks!
Subject: Ortho help - Need STAT. Thanks!
Patient is having L4-L5 lumbar reconstruction. MD says patient will be protected with a "s/l leg-in brace" following surgery.
The -stat is clearer than the nia-.
Subject: The -stat is clearer than the nia-.
s/l Toridis. Help please, this is a STAT report
Subject: s/l Toridis. Help please, this is a STAT report
.....presenting to the emergency room with an acute abdomen and evidence of perforation. Exploratory laparoscopy demonstrated radiatition and TORIDIS and she required an extended small bowel resection
"emergency stat lytes"
Subject: "emergency stat lytes"
Is there such a word as lytes? This is regarding lab work. Also, should stat be capitalized? Thanks in advance for any help.
"emergency stat electrolytes" sm
Subject: "emergency stat electrolytes" sm
isn't it redundant to say emergency stat
Subject: isn't it redundant to say emergency stat
x
D-Stat dry hemostatic bandage
Subject: D-Stat dry hemostatic bandage
I went ahead and sent it with a blank. It was STAT. Thanks-
Subject: I went ahead and sent it with a blank. It was STAT. Thanks-
nm
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