If your account doesn't have specific rules about it, sm
Posted By: CL on 2005-07-17
In Reply to: E. coli... Is this o.k? - mizzy
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.
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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.
account specifics for that particular account should state how it is to be typed. nm
Subject: account specifics for that particular account should state how it is to be typed. nm
.
doesn't sound like BUN, she doesn't spell out the letters, it just sounds like "win". sm
Subject: doesn't sound like BUN, she doesn't spell out the letters, it just sounds like "win". sm
Her whole sentence is: Chemistries show a mild increase in the s/l WIN (22) suggestive of mild dehydration and a mild increase in calcium (10.2)
He doesn't give it. He's flying, but doesn't s/l fentanyl.
Subject: He doesn't give it. He's flying, but doesn't s/l fentanyl.
nm
Depends on the account: My verbatim account is VERBATIM and other accounts I put 3100
Subject: Depends on the account: My verbatim account is VERBATIM and other accounts I put 3100
Regarding AAMT rules
Subject: Regarding AAMT rules
I go with my client preference, and when I began working his account, the sample reports did not use BOS rules. I only use numerals to express drug dosage, measurements, dates, etc. I also agree with you on the appearance of it.
number rules?
Subject: number rules?
Two of my teachers taught different number rules. One, said that they should almost always be numeral form. The other said that numbers are usually spelled out.
I believe the Book of Style says numerals are usually appropriate, accept for zero, at the beginning of a sentence, drug admin. abrev's., etc..
Anyone? Numerals right? With acceptions? I'm just starting.
I do agree with you, but it seems none of the rules fit this..
Subject: I do agree with you, but it seems none of the rules fit this..
BOS says if you can put "and" between the adjectives then use a comma, which in this case you really can't until btwn telangiectatic and vascular. Just always second guessing myself.
Thank you!!!!
IF you are to follow BOS rules...sm
Subject: IF you are to follow BOS rules...sm
The patient has Alzheimer disease.
She has Alzheimer's.
Don't use the apostrophe S when 'disease' follows.
But, that is the BOS rule. Your client and/or company may prefer it's own rule.
Format rules in MT
Okay, I am an old gal working mostly ias in-hospital MT (VA, Teaching hospital), but I did also work off and on for MTSOs at home. Now going back a long time, I was always taught that in formatting Problem Lists or Hospital Course by problem list you transcribe it this way. Problem #1 - HYPERTENSION. The patient is taking lisinopril currently..... or if the doc did not say PROBLEM #1, then you transcribed it 1. HYPERTENSION. Blah, blah, blah. When did this change and become wrong? Most of the docs I am now transcribing for one of the major MTSOs now (left the hospital), actually ask that we capitalize the major problem. Is this in the so-called AHDI BOS2?
IMHO, using the capitalization on the problem is much easier to read, than this...
1. Hypertension. The blah, blah, blah..
2. Diabetes mellitus type 2. Uncontrolled. Not compliant.
Any QAers out there can answer this one for this old school nitpicker?
Well, CLIENT PREFERENCE rules.....sm
Subject: Well, CLIENT PREFERENCE rules.....sm
Always, always it's client preference. I was just speaking in a BOS/AAMT ruling about numbers. Client preference most definitely IS the bottom line. 
Help, I can't remember the hyphen rules.
Is there a hyphen with non-radiating and non-icteric, or all one word, or separated? Thanks. I'm an old dog and I don't want to learn new tricks.
Rules for tense in a report?
I always thought it was past tense. I have a doc who started the first 2 sentences using past tense and then suddenly switched to present test. IV sedation IS administered, Patient IS positioned. Do you change present to past or type as is? Nothing in the CP about it.
Rules here per admin is No Testing..sm
Subject: Rules here per admin is No Testing..sm
hope you have a happy happy new year and good luck in your studies/testing
thanks....lots of rules with numbers!
Subject: thanks....lots of rules with numbers!
Rules change over the years
Subject: Rules change over the years
but some rules are that way just because it sounds right. 5 centimeters were injected just sounds ignorant and I don't care who you are, as Larry the Cable Guy would say. ;-)
ALS is correct per AAMT rules. See cite.
I don't care whether the BOS is right or wrong on the issue. I have to use it and so do others. Here's what it says.
As per AAMT BOS 2nd edition page 189: Always capitalize genus names and their abbreviated forms when accompanied by species name. Lowercase genus names used in plural and adjectival forms and when used in the vernacular; for example, when they stand alone without a species name.
as poster above stated, I was going with BOS rules...relax! :) nm
Subject: as poster above stated, I was going with BOS rules...relax! :) nm
I think just the normal rules of English would apply
Subject: I think just the normal rules of English would apply
Whenever adding *ing* to a word that ends in t, you add an extra t.
A couple of grammar rules are at play here
Subject: A couple of grammar rules are at play here
First of all, both got and gotten are correct forms of the verb get. However, got is a past tense or past participle depending on whether or not the word "has" or "have" is used in front of it. Gotten, however, is past participle and should be used with the word "has" or "have" in front of it.
It has gotten increasingly larger - okay. It gotten increasingly larger - not okay. It got increasingly larger - okay. It has got increasingly larger - okay.
So if your doc says it anyway but "It gotten increasingly larger", he is correct. It's simply a matter of preference. Brits don't generally use the word "gotten", and therefore, a lot of people think it is not a legitimate word, but it is.
Time format rules in BOS 3rd edition?
Can anyone tell me what the specific rules are for time format in the new BOS on pages 337-339. A brief description would be great or u can scan and email it to me too, whichever is easier.
I do intend to buy my own soon but I have to wait till payday and I'm starting a new company right now that uses that book :(
TIA !
Ringer. AAMT BOS2 rules on eponyms.
Subject: Ringer. AAMT BOS2 rules on eponyms.
I believe that is only if the company is compliant with JCHO rules. Not all companies are.
Subject: I believe that is only if the company is compliant with JCHO rules. Not all companies are.
By AAMT rules, need help with period with drug values. (sm)
Subject: By AAMT rules, need help with period with drug values. (sm)
Is this right?
1 gm
0.1 mg
1 mg
I was taught that it was 1.0 mg but doc wants it to be just 1 mg and 1 gm.
Help. Thanks.
It is not 'erroneous', only add to the AAMT rules, which change every year!
Subject: It is not 'erroneous', only add to the AAMT rules, which change every year!
To say that the plural form decubiti for the singular of decubitus is
'erroneous' is plain BS !
And it is known that the AAMT, now it has another name, 'makes up' its own grammar rules for the MTing.
This issue has been discussed numerous times on this board and causes a lot of confusion for the MTs and arguments between MTs, QAs and the clients.
EVERY year the BOS rules are changed. We just got used to the BOS 2 and in December 08 the BOS 3 was issued, again with new rules to adhere. The price is around $ 90.--.
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
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.
Found out it was client specific. Thanks anyway.
Subject: Found out it was client specific. Thanks anyway.
nm
Yep, in certain cases and specific activities.
Subject: Yep, in certain cases and specific activities.
x
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
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
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