It may be account specific -- but
Posted By: fiddlestix on 2009-02-14
In Reply to: the use of the term "epi" vrs. epinephrine - Sarah
Subject: It may be account specific -- but
on my accounts, we are not to abbreviate any medications, including epi, so I expand it.
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
If your account doesn't have specific rules about it, sm
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.
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
.
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
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
urine specific gravity is ten thirty?
Subject: urine specific gravity is ten thirty?
How do I type this value? Thanks!
My QA likes KCl if specific poss chloride is not
Subject: My QA likes KCl if specific poss chloride is not
x
Ask your QA for this probable client-specific information. nm
Subject: Ask your QA for this probable client-specific information. nm
x
Can find other Bechert eye tools, but not your specific one. nm
Subject: Can find other Bechert eye tools, but not your specific one. 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
sounds like he could be referring to a specific date....
Subject: sounds like he could be referring to a specific date....
As in, last *episode of this headache* Maybe he meant last headache was on March 6, 2007 (3/6/07) ???
Thanks for the help:) Sorry I could not be more specific I only had pt. hist. of sinus problems.
Subject: Thanks for the help:) Sorry I could not be more specific I only had pt. hist. of sinus problems.
No ear exam was specified. But you found the answer I needed and I appreicate it, thanks again.
I don't get all the drama anyways?!! Don't the ear,nose and throat go together?
It is q.4 h. - I have to type q.4 hours, client's specific...nm
Subject: It is q.4 h. - I have to type q.4 hours, client's specific...nm
nm
Sorry, should have been more specific - should pain free be hyphenated?
Subject: Sorry, should have been more specific - should pain free be hyphenated?
Might be specific to that hospital. Maybe find on their website? Or call QA? nm
Subject: Might be specific to that hospital. Maybe find on their website? Or call QA? nm
s
Lab results - UA specific gravity 1.022, s/l P8 6.5, etc.. I have never heard of P8 as part of a UA
Subject: Lab results - UA specific gravity 1.022, s/l P8 6.5, etc.. I have never heard of P8 as part of a UA
Sorry, this is wrong unless it is client specific. BOS2 says period after h. nm
Subject: Sorry, this is wrong unless it is client specific. BOS2 says period after h. nm
nm
All this stuff is client specific and not BOS directed. Give 'em what QA says they want. nm
Subject: All this stuff is client specific and not BOS directed. Give 'em what QA says they want. nm
s
in general sentence, not capitalize; if stating a specific department,
Subject: in general sentence, not capitalize; if stating a specific department,
nm
anyone heard of PPSA as it relates to prostate-specific antigen?
Subject: anyone heard of PPSA as it relates to prostate-specific antigen?
I can't find anything on PPSA.
I generally don't make specific comments on someone's grammar, spelling, etc., unless - sm
Subject: I generally don't make specific comments on someone's grammar, spelling, etc., unless - sm
that's what they're asking about, as most of us make typos when we're just posting to one of the boards here, looking for a quick answer .... :-) But, just wanted to give you a heads-up that a few things might have needed a second look there. That kind of thing becomes second nature after a while, but it's worth spending the extra time on it when you're starting out.
I have always been told to capitalize when a specific center, ER, or hospital/clinic is mentioned.sm
Subject: I have always been told to capitalize when a specific center, ER, or hospital/clinic is mentioned.sm
Otherwise it is kind of like a generic term, the patient can follow-up in travel care clinic of choice. I hope this helps out!
account?
Subject: account?
NM
On the account I'm on they want us to
Subject: On the account I'm on they want us to
type out potassium chloride. Which I'm only too happy to do with a shortcut, LOL.
The account that I am on
Subject: The account that I am on
The account I type is "almost verbatim". We type subcu, but in the lab values we have to expand the workds (alkaline phosphatase, et cetera). If a word is dictated that is not a known abbreviation, we have to type it out. I think each account is different, and as the other poster said, they should have given you an client form so that you would know what the hospital expects. Sounds like your guy kinda got his tail in a crack and felt like he needed to unload on a poor, innocent MT who was just trying to do her job! Hang in there!  W'e're cheering for you!
g is okay per BOS, but I have an account
Subject: g is okay per BOS, but I have an account
where the client profile forbids it and it must be written out as grams. Maybe yours is account specific too.
I am on a new account and need some help here.
Subject: I am on a new account and need some help here.
Patient has a mild s/l list to the left. This is orthopedic. I have postural list in my Stedman's Ortho book. Could that be it?
|
