Patient with thoughts of self destruction without s/l suicidality

• Patient with thoughts of self destruction without s/l suicidality - A true word or made up? Thanks. nm
  • Yes, it is a word used a lot in psych reports nm - NY2
    • Thanks for confirmation. - Appreciate it! nm
  • I did find something - see message - mt12
    • Thanks for helping! - nm
  • I did find it with Google, but spellcheck doesn't recognize. - Meant to mention that! nm
    • FYI - there are a lot of medical terms that - sm
      • Yes. Thank you. I try to confirm before adding - so as to avoid problems. Thanks!
        • Link for medical dictionary - sm

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s/l mono shoot aceokema cautery. TIA

Are these really words??  They do come up on google, but they just don't seem right.  I have a resident that is absolutely driving me NUTS tonight!  Any input appreciated!  Thanks!

That's what I kept finding in doing my research, but like I said that guy needs to speak clearer English......but I guess that would be too easy.  Ha-ha!

Thanks for verifying what I had put down.  I will get this some day, but I am new and just learning.  Thanks for bearing with me.

First to address the issue of subcu - Joint Commission created a list several years ago that deals with this wording - and JC trumps BOS.  From Joint Commissions List of Dangerous Abbreviations:

Abbreviation: S.C. or S.Q. (for subcutaneous)

Potential Problem:  Mistaken as SL for sublingual, or "5 every"

Preferred Term:  Write "Sub-Q", "subQ", or "subcutaneously"

As far as what the man was trying to express to you was his opinion that truncated words (partial words used to express a complete word) should be avoided.  Trach is not a word.  Trachea, tracheostomy, etc., are words.  Alk is not a word.  Alkaline is a word.  There are also lab and other words that are commonly acceptable in their abbreviated form, such as INR, CPAP, MRI, etc.

There are acceptable abbreviations of certain words that are commonplace.  For example, lab is widely accepted to represent laboratory.  Exam is acceptable to represent examination.  HIV is another example.

If you understand the difference between the use of an abbreviation and avoiding the use of truncated words, your work will reflect a much clearer intent of the dictation.

Your company needs to decide which side of the fence it wants to sit on, and it appears there may be some changes in your QA future.  If this man is in charge of QA and you want to continue working there, you might want to begin taking note of what he is saying.

the lesion was vascular in natureand most likely _____ malformation.

S/L avio-lymphatic

Doc is dictating a test in relationship to patient's HIV.  He states s/l "firal row"is negative and T-cell count has actually risen since last visit.

Thanks for any/all help! 

. . . distal radius fracture. It s/l the doctor dictates *there is a cast and flink* to right arm.  I thought it might be *splint*, but it really does not sound like that. Any idea?

Thanks, Melissa