Medication dosages, QA marking wrong both ways!
Posted By: Frustrated MT on 2008-07-18
In Reply to:
Subject: Medication dosages, QA marking wrong both ways!
Good afternoon everyone. I'm in need of some second opinions please. When typing medication dosages, I have always transcribed them the same way for the last 12-1/2 years. For example, Lortab 5 mg q.4h. p.r.n. pain.
I have worked for the same company for a little over two years now and have never had QA say anything about this until last month, when I got a QA audit marking it off and changing it to Lortab 5 mg q. 4h. p.r.n. (with a space between the q. and the 4h.) I thought okay, maybe I've been transcribing it incorrectly all lthis time and a new QA person picked up on it. It happens, no big deal.
So, I started transcribing it their way with the space, as in q. 4h. and didn't think anything more about it. Yesterday, I get another audit. This time, I get dinged for typing it the way they wanted it the last audit q. 4h. with the space with a note stating it should be q.4h. with no space (the way I had been typing it).
Now, I know they have been messing with all of the MTs big time lately, making changes daily from everything to hours, pay, policies, and procedures for vacation, days off, etc. You name it, they've been doing it, and I really think they are trying to either find a reason to fire some of us or drive us to the point of insanity until we quit, but despite the games, I still want to make sure I'm doing my job correctly. If I've been doing something wrong, I would like to correct it ASAP, except now I have no idea which one is correct.
Sorry for the long, drawn out post, but I'm totally confused now and beyond frustrated. Now, I'm questioning myself on everything, and I have no idea which way is correct as far the space or no space with the medication dosages. Thank you for taking the time to read my question and rant. I would appreciate any and all opinions on how you all transcribe this!
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
Did find that this particular marking pen (Surgiscribe® Surgical Marking Pens) comes with a ruler? g
Subject: Did find that this particular marking pen (Surgiscribe® Surgical Marking Pens) comes with a ruler? go figure...
Medication - s/l la-vell patch. He may be pronoucing it wrong. Thanks.
Subject: Medication - s/l la-vell patch. He may be pronoucing it wrong. Thanks.
pen mark (as in skin marking pen)?
Subject: pen mark (as in skin marking pen)?
Did find roller tip pens used for marking ??
Subject: Did find roller tip pens used for marking ??
I have too, but just got a report from QA marking it out and putting curet - nm
Subject: I have too, but just got a report from QA marking it out and putting curet - nm
x
I used over read though because my spellchecker was marking it as misspelled. SM
Subject: I used over read though because my spellchecker was marking it as misspelled. SM
Thanks for all the input. It is helpful to get opinions from other MTs with more experience. I really love coming here for advice and trying to give some if I can.
Thanks you hit it dead on I'm marking and sending through so he can fix it..Teach him how to dict
Subject: Thanks you hit it dead on I'm marking and sending through so he can fix it..Teach him how to dictate..Thanks
Surgery ? - Proposed length was marked with a marking s/l pendulum?
Subject: Surgery ? - Proposed length was marked with a marking s/l pendulum?
xx
mEq (the only way I have ever seen it and have looked also everywhere on dosages)
Subject: mEq (the only way I have ever seen it and have looked also everywhere on dosages)
DOSAGES- how to type out?
Subject: DOSAGES- how to type out?
"He will also add vitamin D to his regimen at 2 to 4,000 units per day."
How should I type this? 2-4,000? 2,000-4,000? 2 to 4,000? I want it to be right.
Need help with how to write dosages (sm)
Subject: Need help with how to write dosages (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.
Does not matter. All dosages are singular.
Subject: Does not matter. All dosages are singular.
All dosages are singular. 10 cc was injected...
Subject: All dosages are singular. 10 cc was injected...
drug dosages listed with no mg
Subject: drug dosages listed with no mg
Is it acceptable to type drug dosages with the number but not the unit of measure. For example Zocor 10 every night. I believe this may be confused with 10 pills instead of mg. What's acceptable on a verbatim account?
Folate dosages....high?
Subject: Folate dosages....high?
Resident says folate 100 mg via PEG and also folate 1 g via peg. That's a lot, isn't it?
You are correct, doc either gave wrong dosage or wrong drug, would "flag" this for your QA dep
Subject: You are correct, doc either gave wrong dosage or wrong drug, would "flag" this for your QA dept if you have one.
Hematology - know your chemotherapy and dosages well, same anatomy. n/m
Subject: Hematology - know your chemotherapy and dosages well, same anatomy. n/m
Meds and dosages scare me, so when in doubt...
Subject: Meds and dosages scare me, so when in doubt...
I always blank/flag it.
Trust us. Docs never give dosages with the word sm
Subject: Trust us. Docs never give dosages with the word sm
"chemotherapy." It makes no sense as there are hundreds of medications (where you would hear dosages) that comprise chemotherapy. Would you rather be corrected by people who are not paid to help you, or would you rather your QA catch a blunder like this? Up to you.
That can happen on meds for a.m. and p.m. dosages, but if you are concerned, is it possible to leave
Subject: That can happen on meds for a.m. and p.m. dosages, but if you are concerned, is it possible to leavea a QA note just for the facility?
I agree with Hayseed...meds and dosages scare me, too. However...sm
Subject: I agree with Hayseed...meds and dosages scare me, too. However...sm
You might find assurance in the fact that (according to QuickLook) Lortab is only available with 500 along with the 5, so the 500 might be understood. But, I would flag if you are unsure.
need help w/2 drugs, s/l thermadon and s/l knee-po-tir? They are just in a list no dosages or usage
Subject: need help w/2 drugs, s/l thermadon and s/l knee-po-tir? They are just in a list no dosages or usage
Was this in wrong spot before? We had a slew of responses, all wrong! nm
Subject: Was this in wrong spot before? We had a slew of responses, all wrong! nm
s
2 ways
Subject: 2 ways
1. Go to INSERT, AUTOTEXT (Or ALT, I, A. In autotext you can type “-year-old” and hit okay. For this side you will actually have to type at least 4 letters (i.e. –yea) and the rest of the phrase will pop up and then you hit enter.
2. Or, the one you are hunting is to INSERT and AUTOCORRECT at the top left tab. Go to middle of screen “replace” and “with”. Type ":yo" and then tab over to the With side and type "-year-old". And then enter or "ok". Make sure it is a colon not semicolon.
HCG or hCG?? i have seen both ways.
Subject: HCG or hCG?? i have seen both ways.
Two different ways, so which one is
Subject: Two different ways, so which one is
correct?? and google has it with the hypen.
Yes, both ways!
Subject: Yes, both ways!
Stedman's Orthopaedic & Rehab Words has it listed both ways, bur hole and burr hole.
I have seen it both ways......nm
Subject: I have seen it both ways......nm
nm
I put both ways into google and both
Subject: I put both ways into google and both
were used, but in different contexts. It depends on how it is used and what the intent is. After reading both, reflection, in this case, would probably be the more correct word. Sorry.
Have see it in dictation both ways.nm
Subject: Have see it in dictation both ways.nm
S/L general ways
Subject: S/L general ways
Patient is ready to be admitted for outpatient surgery tomorrow for right hemicolectomy. When awakened this morning he felt this sharp pain in his right upper quadrant, started having some nausea *** to upper fever of way over 102. (after nausea is sounds like he says general ways to upper fever..."can that be right)? thanks
3 ways in Stedman's
Subject: 3 ways in Stedman's
CAM Walker
Cam Walker
Cam walker
I personally go with CAM (controlled ankle motion) Walker.
I've seen it both ways, but I have
Subject: I've seen it both ways, but I have
typed it as gastrocsoleus as well for many, many years.... in case it matters....
I think both ways are acceptable, but I would not
Subject: I think both ways are acceptable, but I would not
Either do May 10 or May 10th, but do not assume this means the current year. My 2 cents, for what it is worth.. LOL
And yet again 3 very simple ways...
Subject: And yet again 3 very simple ways...
ALT L with start numbered list lining them up and ALT L will shut it off.
Or start typing without the numbers, returning as needed and then block listings and ALT L.
Or, type 1, tab and type and when you return for #1 it will give you the number. If it indents, back up to the beginning of one of #1 sentences and SHIFT TAB to move it back the margin.
Just found both ways 6 and VI
Subject: Just found both ways 6 and VI
so totally confused. Any help??? Please. Thanks
Thanks. Google has it both ways
Subject: Thanks. Google has it both ways
I was going with white-white anyway. Thanks for your help.
There are several correct ways
Subject: There are several correct ways
I agree with using periods instead of semicolons to declutter the whole thing.
In the 2nd sentence I would put the comma before "and" as a complete sentence follows = ....during the day, and subsequently,.... In the final sentence = Therefore, one dose of Brethine was administered, and Stadol was given and subsequently it subsided. According to the BOS, you may join closely related sentences without commas. That is why I left out the commas in the final sentence. If you use too many commas, it becomes cluttered.
Well, now I see they have it listed both ways?
Subject: Well, now I see they have it listed both ways?
x
Ok, could be. I have seen it both ways. I had looked this up before on..
Subject: Ok, could be. I have seen it both ways. I had looked this up before on..
the Mayo Clinic website. Here's where it was.
http://www.mayoclinic.com/health/signs-of-labor/PR00083
Thanks! I've seen it both ways too!
Subject: Thanks! I've seen it both ways too!
Seen it spelled both ways...
Subject: Seen it spelled both ways...
???
If you google it, you see it both ways.
Subject: If you google it, you see it both ways.
x
I think there are a few "correct" ways of doing it
Subject: I think there are a few "correct" ways of doing it
I work for oncologists, and they prefer HER2/neu
Stedman's Oncology Word Book has HER-2/neu
Vera Pyle Silver book has HER-2-neu
The only one I would not use that is mentioned is her2nu??
Can find Nitro CR and Nitro-Bid Plateau in 6.5 mg dosages. They MIGHT be saying the generic form
Subject: Can find Nitro CR and Nitro-Bid Plateau in 6.5 mg dosages. They MIGHT be saying the generic form
s
4 correct ways in stedmans...
Subject: 4 correct ways in stedmans...
i've used the lower case p, but that's not in stedmans:
PCO(subscript 2)
PCO2
P(co2 subscript)
Pco2
I have seen it both ways, but I prefer gray. SM
Subject: I have seen it both ways, but I prefer gray. SM
BTW, when I worked in house that happened to me also, I had to train 2 people. I quit.
Una or Unna boot? I have seen it both ways..
Subject: Una or Unna boot? I have seen it both ways..
I need to know which way is correct, or if both are acceptable(since I have seen both used online)- una boot or unna boot?? Thanks in advance!!
I found it both ways on google. nm
Subject: I found it both ways on google. nm
Stedman's 3rd abbreviations has it both ways.
Subject: Stedman's 3rd abbreviations has it both ways.
nm
I have heard it dictated both ways sm
I have always, always typed HEENT, no matter what, and it was changed to HENT. Now, I am paranoid that I am missing something - are the ears and eyes sharing one E now? ARRRGH!
|