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I would expand it to saturating or saturations if allowed. nm

Posted By: wanderer on 2007-03-12
In Reply to: that's what i thought and that's - MT4eight

Subject: I would expand it to saturating or saturations if allowed. nm

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I always expand it to saturating. (nm)
Subject: I always expand it to saturating. (nm)

xx
Do you guys expand AIDS/HIV in admit or discharge diagnoses? Normally I expand COPD, CAD, etc.. sm
Subject: Do you guys expand AIDS/HIV in admit or discharge diagnoses? Normally I expand COPD, CAD, etc.. sm

not sure in this case.  Account goes by BOS, not super nitpicky, but I'm wondering what y'all do. 
No. More probably O2 sats for saturations. nm
Subject: No. More probably O2 sats for saturations. nm

s
sats or saturations.
Subject: sats or saturations.

x
Iron sats? (saturations) nm
Subject: Iron sats? (saturations) nm


I always use saturating for "sating", we are not
Subject: I always use saturating for "sating", we are not

to use slang where I work.
I always change to saturating, per my company QA
Subject: I always change to saturating, per my company QA


I change to saturating/saturation, i.e.,
Subject: I change to saturating/saturation, i.e.,

the patient is saturating 99%. Saturation was 99%. Satting is slang for saturating, sat for saturation.
If verbatim, satting; if not saturating.
Subject: If verbatim, satting; if not saturating.

x
Do you folks type satting for saturating? nm TIA
Subject: Do you folks type satting for saturating? nm TIA

.
Saturating. Satting is slang, and sating means something else
Subject: Saturating. Satting is slang, and sating means something else

nm
I didn't think they allowed it on
Subject: I didn't think they allowed it on

nm
How many times allowed help?
Subject: How many times allowed help?

She has a combination of s/l kramedonol acne and acne rosacea. 


 


Thanks- I will make this one my last for tonight! - Thanks  


Is q.a.c. allowed in any form?
Subject: Is q.a.c. allowed in any form?

thx
nope - not allowed....
Subject: nope - not allowed....


True, it is in all what you are allowed or not
Subject: True, it is in all what you are allowed or not

allowed to do. However, at one of the first hospitals I worked for (back in the early 80s) for example, we had a doctor who was constantly using abbreviations which we were not allowed to do in diagnosis. I will NEVER forget this. His diagnosis was "P.M.S.O.B." The transcriptionist, of course, changed this in the diagnosis to read "Shortness of breath at night." He flew off the handle - this abbreviation meant "poor, miserable, son of a B****" and that is what he wanted in the chart. It was referred to the Hospital Director who told our department manager that even though this was definitely not correct, he dictated it and wanted it there and there was not much we could do about it if we wanted to keep our jobs. This is a lesson that taught me never to second guess a physician. Granted this was not at all politically correct (we didn't have that term back then), but that is what he wanted, so I don't change anything in that vein - I may question it and flag it for the higher ups, but I don't change it.
so only Americans are allowed to post on here? nm
Subject: so only Americans are allowed to post on here? nm

:(
Headings are allowed to be added.
Subject: Headings are allowed to be added.

It would look weird without a heading.  Thanks. 
I am allowed to edit and correct
Subject: I am allowed to edit and correct

I am allowed to make changes to what he says, which is why I asked the question. I am allowed to edit and change what the doctor says and how he says it - and I do a lot of that in the course of the day because some of the things he says are just a mess. "Retarded" did seem a little derogatory to me and I think I will put it in better terms than that.

I guess it comes down to what the rules are that you work by - whether you can edit or if you are verbatim. If it was verbatim I wouldn't have questioned it (even thought I personally feel it is insulting) but since I have the option to change it, I was just wondering what the correct term was now because I know it keeps changing. Thanks for all the opinions!
Test questions are not allowed here.
Subject: Test questions are not allowed here.

If I remember correctly, test questions are not allowed on this board. You must pass the test on your own merits.
If not verbatim account and you are allowed
Subject: If not verbatim account and you are allowed

to add headings, I would put it under either MUSCULOSKELETAL or NEUROLOGIC.
I am allowed to restate as 4 10/12-year-old child
Subject: I am allowed to restate as 4 10/12-year-old child

but my account is like that. Ask your QA person what the account wants JMO
Whoa! Not allowed to ask innocent questions here?
Subject: Whoa! Not allowed to ask innocent questions here?

Veddy interesting.
Name calling is not allowed on MT Stars. Where's our moderator now? Where RU??? Yoo-hoo! (N
Subject: Name calling is not allowed on MT Stars. Where's our moderator now? Where RU??? Yoo-hoo! (NM)

LOL.
Thanks...that option is not allowed as my account is verbatim...
Subject: Thanks...that option is not allowed as my account is verbatim...

I put the word in as dictated with quotes around it and then sent it off to QA. I noticed later that they just deleted it and put a blank and sent it through without the word. Yet one more reason why I hate being on verbatim accounts!
Why aren't students allowed to ask questions?
Subject: Why aren't students allowed to ask questions?

From what I understand anyone can ask a question, including doctors, nurses, techs, etc.  I don't understand why you are telling the OP she cannot ask a question here?  
I would type Sr. so-and-so if you're allowed pt names. nm
Subject: I would type Sr. so-and-so if you're allowed pt names. nm

nm
No test question posts allowed here....
Subject: No test question posts allowed here....

.
If allowed, I would reword this...possibly, has not redeveloped a bleed.
Subject: If allowed, I would reword this...possibly, has not redeveloped a bleed.

/
Agree with Skipper, though, if allowed, restructuring the sentence would be better. nm
Subject: Agree with Skipper, though, if allowed, restructuring the sentence would be better. nm

x
Are test questions allowed on the Word Board?
Subject: Are test questions allowed on the Word Board?

Just wondering, for future reference.  :)
I never use orthopaedics and it is not allowed by my work specs..so it depends on your company! nm
Subject: I never use orthopaedics and it is not allowed by my work specs..so it depends on your company! nm

nm
Our hospital/clinics NEVER allowed us to capitalize any generic drug...nm
Subject: Our hospital/clinics NEVER allowed us to capitalize any generic drug...nm


If you are allowed to type superscripts (I cannot use that kind of symbols on my accounts) then you
Subject: If you are allowed to type superscripts (I cannot use that kind of symbols on my accounts) then you can put it also as 10 (superscript 5)


Could it just be 'assure', meaning the family wasn't allowed to watch to be sure it emptied
Subject: Could it just be 'assure', meaning the family wasn't allowed to watch to be sure it emptied? nm

,,
If that's what was said, yes. You'd expand the second one to 42,800 IF your QA allows it. If n
Subject: If that's what was said, yes. You'd expand the second one to 42,800 IF your QA allows it. If not,

s
if CP says to expand, I certainly do expand
Subject: if CP says to expand, I certainly do expand


Expand IV????
Subject: Expand IV????

How would I expand IV?  "Plan is to discontinue his IV."  When I look it up I get intravenous.  That does not sound right...... 


 


THANKS!!!


Expand LVH
Subject: Expand LVH

Not sure whether to expand LVH in assessment.  It does not appear expanded elsewhere in report.  Left ventricular hypertrophy or left ventricular hyperplasia??  Leave as is?
Unless you need to know it to expand it in
Subject: Unless you need to know it to expand it in

the report, I wouldn't waste time over it. If you need to know, ask your supervisor to find out for you.
how do you expand L5-S1 in a DS?
Subject: how do you expand L5-S1 in a DS?

How would you expand this sentence in the Diagnosis section of a Discharge Summary. 


Do I replace L5-S1 with lumbosacral joint? 


My account gives examples that we should expand "Fracture, L2" out to "Fracture, second lumbar" ....  so that is why I'm thinking I need to expand the L5-S1...


DIAGNOSES:


1.  Right-sided L5-S1 herniated nucleus pulposus.


 


I never expand
Subject: I never expand

Because abbreviations can mean so many things, I never expand abbreviations even in a diagnosis. Our hospital determined it is the dictators job to edit before signing if they want it expanded.
expand HPI?
Subject: expand HPI?

Forgive my newbiness (that WILL become a word someday, I'm sure of it!) that will clearly be seen in this question!

When the doctor dictates "as stated in the HPI" , should I expand that to History of Present Illness - with those caps in place or only capitalizing the H?

Thanks!
should expand
Subject: should expand

I'm told to expand all those that are not common. (How gloriously vague!) Seems to me that "HPI" is pretty common. But I think I'll go ahead and expand.

So should I capitalize all of it?
I would expand
Subject: I would expand

ANY abbreviations the client wants expanded. Everyone has a preference.
If you expand it (and you should if your account allows), sm
Subject: If you expand it (and you should if your account allows), sm

it should be "cardiac catheterization," not "cardiac catheter." 
only expand it out to metastasis if.....sm
Subject: only expand it out to metastasis if.....sm

Client profile dictates whether or not to give this dictator mets or metastasis.....his saying *met* was wrong.  I would've given him *mets* unless the client profile allows expanding of words, and in that case I would've given them *metastasis*
I would expand all as you stated...
Subject: I would expand all as you stated...

I am not on a verbatim account and I do expand those types of abbreviations, but I would be interested in hearing others' opinions as well.

By the way, why are you "dubious"? Just curious!
I wouldn't expand it.
Subject: I wouldn't expand it.

Considering the context in which IV is used, it is its own entity.  I would leave it as is.
I think I would just expand this nonsense to have it be
Subject: I think I would just expand this nonsense to have it be

s
How to expand UBJ obstruction
Subject: How to expand UBJ obstruction

Hi!  Need to type UBJ obstruction in an op note. Can't find anywhere in acronyms.  Anyone know?  Thanks in advance.