Need help with how to write dosages (sm)
Posted By: cissy on 2008-04-20
In Reply to:
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.
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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.
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?
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.
Medication dosages, QA marking wrong both ways!
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! 
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
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
Thank you, I will also write this down.
Subject: Thank you, I will also write this down.
x
How do you write this....
Subject: How do you write this....
When the dictator says, "enclosure and copy cc to"...
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how to write this.....
Subject: how to write this.....
one more question for today.........
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2% Xylocaine with 1-to-100,000 epinephrine was injected subcutaneously
how to write something please....
Subject: how to write something please....
MRA: Abdominal aorta. No evidence for renal artery stenosis. OR
MRA abdominal aorta. No evidence for renal artery stenosis.
The doctor started out with the ECG findings then went to this. Or would this go under the ECG heading? Thanks
How to write it:
Subject: How to write it:
1:1,000 as a ratio
How to write Q.o.d.
Subject: How to write Q.o.d.
q. o.d. or Q.o.d. or qod?
I cannot find that one in BOS.
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How would you write this? sm
Subject: How would you write this? sm
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Not sure how to write this
Subject: Not sure how to write this
generally a one-on-one student-faculty rotation. Should I have the hyphens between all of these or just one on one? Not sure which would be correct. This is a letter of recommendation and need to be correct with it.
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Write it out per BOS II. nm
Subject: Write it out per BOS II. nm
s
Thank you. I will write that one down!! nm
Subject: Thank you. I will write that one down!! nm
Don't know how to write this...
Subject: Don't know how to write this...
Patient has had recent diagnosis of diabetes with recent hemoglobin A1c over 12.
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how to write JVP
Subject: how to write JVP
JVP is estimated at 8-10 cm of water at 90 degrees? Is this correct? I have never heard this type of description before.
how would you write this?
Subject: how would you write this?
The final diagnosis was a "grade 2 of 3" mixed glioma
Would you write "2 of 3" or would you write 2/3?
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How do you write....
Subject: How do you write....
an expression of solution such as if dictated like one to one thousand, would I write is like this 1:1000?
how do I write this?
Subject: how do I write this?
How do I write the "eight two fraction" part???
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How to write this . . . SM
Subject: How to write this . . . SM
Platelets are elevated at "twelve sixty eight"
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PSA - do you write this out?
Subject: PSA - do you write this out?
I am working on a History and Physical Examination, he dictated after the History the following: PSA, on Nilandron 150 mg daily, has been elevated but stable with last PSA 4.8. Do I need tp type it like this? Prostate-specific antigen (PSA), on Nilandron 150 mg daily, has been elevated but stable with last PSA 4.8. Since this is the first mention of the PSA or is that LAB where it should be understood?
how would you write this?
Subject: how would you write this?
She has an approximately [25 pack year history] of smoking...
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How would you write this...
Subject: How would you write this...
This just isn't sitting right with me, and I think the doctor's old service (his nurse) has been doing this wrong for awhile now. I just took over this account and have been reviewing and comparing old notes with current dictation.
"The patient was injected with "a quarter percent" Marcaine and morphine."
She was typing this as 25% - It should be 0.25% shouldn't it. I'm so tired right now I need to go to sleep, but have to turn this job in first. Thanks for helping. ME
Thanks so much! Will write it in my book. nm
x
how to write "..well-corticated..."
Subject: how to write "..well-corticated..."
Just a general question: It seems a significant percentage of radiologists will use the term "well corticated" to describe an accessory ossicle or perhaps old trauma to differentiate what may appear to be an acute fracture. Since "corticated" is not an actual word, can anyone help with an appropriate way to rephrase this? eg "At the distal tip of the fibula is a well-corticated bony lesion, likely an accessory ossicle or old trauma and not an acute fracture."
maybe "lesion with good cortical margins" or some such, but wondering if there are other suggestions.
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yes, unless you want to write herniae instead.
Subject: yes, unless you want to write herniae instead.
x.
I would write it out even if it is verbatim
Subject: I would write it out even if it is verbatim
PPD is a test for tuberculosis. You aren't just writing a document to appease the doctor. You are writing a legal document that many other people may want to read, including an insurance auditor or a lawyer, neither of which may have any clue what PPD means EVEN IN THE CONTEXT OF THE SENTENCE and will have no inclination to look it up.
That's just me, someone who audits physician records and slaps them on the wrists for this like this, but you do want you want.
i always write the word out nm
Subject: i always write the word out nm
x
I write it as such, 3490
Subject: I write it as such, 3490
is the doc saying 3,490? I have been told no commas.
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Subject: cardiology how to write something
LVH with TRS widening and repolarization abnormality.
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Subject: Proper way to write T. Max? nm
TIA
how to write P0313
Subject: how to write P0313
He says she is a G4 P0313. Is this correct?
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Deborah
I don't think so. You never write 8:00 o'clock. nm
Subject: I don't think so. You never write 8:00 o'clock. nm
f
Just wondering how some of you would write this.
Subject: Just wondering how some of you would write this.
He put his arm through a window and had
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Is it just as I put it above or are there hyphens? Never run into this.
Thanks!
I usually write it as one word, nm
Subject: I usually write it as one word, nm
how to write..Q waves in one and L..thank you
Subject: how to write..Q waves in one and L..thank you
what is the correct way to write qhs??
Subject: what is the correct way to write qhs??
Think I would write it out like you have it for consistency
Subject: Think I would write it out like you have it for consistency
s
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abbreviation?
How would you write Pulsavac'd?
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The wound was then Pulsavac'd or Pulsavaced with 2 liters of sterile saline containing Kantrex solution. I know this is not correct, but not sure how I can reword it without changing it too much. Have to do verbatim with slight modifications.
what is the correct way to write NPO or N.P.O. ?
Subject: what is the correct way to write NPO or N.P.O. ?
under severe QA for everything
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