Inside or outside facility...
Posted By: pdqtrans on 2007-06-14
In Reply to: Dischargd to SCC - Me
Subject: Inside or outside facility...
Senior Care Center
There are Specialty Care Centers.
Surgical Care Center.
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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
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.
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?
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 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.
Check with your TL on the specifics of the facility.
Subject: Check with your TL on the specifics of the facility.
Most hospitals I have worked with prefer cm2.
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
should urgent care facility be capitalized
Subject: should urgent care facility be capitalized
A thought, wonder if it's the name of the unit, like facility slang
Subject: A thought, wonder if it's the name of the unit, like facility slang
just a thought
maybe normal values/ranges for this facility? nm
Subject: maybe normal values/ranges for this facility? nm
nm
Seems to be a facility, what state or town is the report in?
Subject: Seems to be a facility, what state or town is the report in?
googled acox tuberculosis facility,
Subject: googled acox tuberculosis facility,
On a Cox regression model, distance from home to treatment centre (hazard .... in the TB clinics of the respective health facilities provided treatment, ...
Probably short for a department in that particular facility, may Admitting? You'll need to ask. n
Subject: Probably short for a department in that particular facility, may Admitting? You'll need to ask. nm
s
Abbrev or nickname of trauma facility-s/l "true".
Subject: Abbrev or nickname of trauma facility-s/l "true".
x
He means "SNF" (skilled nursing facility) .nm
Subject: He means "SNF" (skilled nursing facility) .nm
Burke is THE rehab facility for Westchester, Putnam,
Subject: Burke is THE rehab facility for Westchester, Putnam,
s
SNIF - skilled nursing inpatient facility. =) NM
Subject: SNIF - skilled nursing inpatient facility. =) NM
x
I have always used "skilled nursing facility." I have never seen SNiF as an abbreviation nor
Subject: I have always used "skilled nursing facility." I have never seen SNiF as an abbreviation nor
have I ever typed "skilled nursing inpatient facility." And I've been at this a long time.
Per AAMT BOS2 do not capitalize if it is generic, do capitalize if it is associated with a facility
Subject: Per AAMT BOS2 do not capitalize if it is generic, do capitalize if it is associated with a facility name, i.e. emergency room or General Hospital Emergency Room.
Inside
as part of the neurological exam, you have sensory testing and withdrawing to pain or (some kind of) stimuli would be correct. Not sure about the phraseology in your report, maybe 'withdrawal sensation' ??
See Inside
Subject: See Inside
I would type it as "1-year-5-month-old girl"
See inside (sm)
Subject: See inside (sm)
That is probably mosaicism or punctation.
Changes Associated with High Grade SIL
- Blood Vessel changes (Coarse punctation or mosaicism)
- Abnormal blood vessels
- Erosions
- Dense Acetowhite staining of epithelium
Please see inside.
Subject: Please see inside.
On his hearing test, the patient could not hear frequencies at 1000-2000-4000 with his right ear at 40 decibels. He could not hear 1000 with his left ear at 40 decibels. However, during the whisper test, he was able to hear three items in each ear from at least 7 feet away.
I have no idea how to type the 1000 2000 4000. This is on a physical exam. Thanks for any help!!
see inside
Subject: see inside
s/l 'tramcentel' metered dose inhaler 4 puffs b.i.d.
see inside
Subject: see inside
that would be 8-French Judkins, left-4 coronary catheter.
see inside
Subject: see inside
Prolapse is assessed as none, grade 1 (in vagina), grade 2 (to introitus), and grade 3 (outside vagina).
see inside....*S*
Subject: see inside....*S*
Subject: I would do it like this...
I would do it this way...
CLINICAL IMPRESSION:
1. Fever.
2. Bronchitis. Rule out a right pneumonia.
3. Chronic lymphocytic leukemia.
4. Atrial fibrillation. Rule out arrhythmia.
The reason I do it that way is because way before, we used to line Rule out under let's say Atrial fibrillation, yielding 2 lines. It used to be done that way back in the early 90s. Now it is not done that way. So, I give the impression which would be atrial fibrillation and begin a new sentence....because they have to rule out an arrhythmia. I don't think it is etched in stone, so either/or would be fine. *S*
You had to look inside
Subject: You had to look inside
see inside
Subject: see inside
I have heard "estrogen receptor" and "progesterone receptor" positive in breast cancer, so think "estra septa" could be "estrogen receptor.
Not sure what "heptra" could be.
see inside...........
Subject: see inside...........
Mohs surgery, named after surgeon Frederick Mohs who
developed the Mohs procedure...........
See inside.
Subject: See inside.
PAST SURGICAL HISTORY: s/l-TAB or TAV x2.
Anyone now?
Thanks for the help!
See inside.
Subject: See inside.
A plastic wound exposure fish was placed overlying the bowel to allow placement of the composite Gore-Tex and Prolene mesh patch and the mesh was secured. At the end, he said it again and it was clear that he was saying "wound fish", but for the life of me I can't find it said this way anywhere.
I can only think of 2, see inside.
Subject: I can only think of 2, see inside.
bradyarrhythmia (brady·ar·rhyth·mia) (brad”e-ə-rith´me-ə) [brady- + arrhythmia] any disturbance in the heart rhythm in which the heart rate is abnormally slowed, usually to less than 60 beats per minute in an adult.
Or tachybradyarrhythmia aka tachybrady syndrome.
BUS, see inside.
Subject: BUS, see inside.
BUS - Bartholin's, Urethral and Skene's glands.
Good site for abbv lookup:
http://www.pharma-lexicon.com/
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