Rules change over the years
Posted By: Patty on 2009-04-08
In Reply to: Thank you - Mark
Subject: Rules change over the years
but some rules are that way just because it sounds right. 5 centimeters were injected just sounds ignorant and I don't care who you are, as Larry the Cable Guy would say. ;-)
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
It is not 'erroneous', only add to the AAMT rules, which change every year!
Subject: It is not 'erroneous', only add to the AAMT rules, which change every year!
To say that the plural form decubiti for the singular of decubitus is
'erroneous' is plain BS !
And it is known that the AAMT, now it has another name, 'makes up' its own grammar rules for the MTing.
This issue has been discussed numerous times on this board and causes a lot of confusion for the MTs and arguments between MTs, QAs and the clients.
EVERY year the BOS rules are changed. We just got used to the BOS 2 and in December 08 the BOS 3 was issued, again with new rules to adhere. The price is around $ 90.--.
I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg)
Subject: I learned 27 years ago to use q.4h. (no spaces), past few years q.4 h. (see msg)
Now some are saying it's q. 4h.?? UGH, YUCK!! I have also worked on accounts where it had to be "every 4 hours," and we had to spell out p.r.n. (as needed for). At least we got more characters.
First rule: It is all what the "client/account" wants, not always what the BOS says it is. I realize that language and its usage is constantly changing, but I've seen so many BOS and client flip-flops on so many other things in nearly 3 decades that it's laughable. What isn't laughable is when we get penalized for not knowing what they want, even when they, themselves, don't know or are wrong.
Oh, and I still prefer the old no spaces: q.4h., q.4-6h., q.12h., and so on.....
Wow, thank you. Just years, years and more years of experience
Subject: Wow, thank you. Just years, years and more years of experience
and a constant thirst for learning something new everyday. As we all know this can get to be somewhat boring, but learning from what I transcribe as well as from other transcriptionists keeps me going (money is not bad either). It becomes a challenge. But I can't thank you enough for the kind words.
Use to be younger...
Regarding AAMT rules
Subject: Regarding AAMT rules
I go with my client preference, and when I began working his account, the sample reports did not use BOS rules. I only use numerals to express drug dosage, measurements, dates, etc. I also agree with you on the appearance of it.
number rules?
Subject: number rules?
Two of my teachers taught different number rules. One, said that they should almost always be numeral form. The other said that numbers are usually spelled out.
I believe the Book of Style says numerals are usually appropriate, accept for zero, at the beginning of a sentence, drug admin. abrev's., etc..
Anyone? Numerals right? With acceptions? I'm just starting.
I do agree with you, but it seems none of the rules fit this..
Subject: I do agree with you, but it seems none of the rules fit this..
BOS says if you can put "and" between the adjectives then use a comma, which in this case you really can't until btwn telangiectatic and vascular. Just always second guessing myself.
Thank you!!!!
IF you are to follow BOS rules...sm
Subject: IF you are to follow BOS rules...sm
The patient has Alzheimer disease.
She has Alzheimer's.
Don't use the apostrophe S when 'disease' follows.
But, that is the BOS rule. Your client and/or company may prefer it's own rule.
Format rules in MT
Okay, I am an old gal working mostly ias in-hospital MT (VA, Teaching hospital), but I did also work off and on for MTSOs at home. Now going back a long time, I was always taught that in formatting Problem Lists or Hospital Course by problem list you transcribe it this way. Problem #1 - HYPERTENSION. The patient is taking lisinopril currently..... or if the doc did not say PROBLEM #1, then you transcribed it 1. HYPERTENSION. Blah, blah, blah. When did this change and become wrong? Most of the docs I am now transcribing for one of the major MTSOs now (left the hospital), actually ask that we capitalize the major problem. Is this in the so-called AHDI BOS2?
IMHO, using the capitalization on the problem is much easier to read, than this...
1. Hypertension. The blah, blah, blah..
2. Diabetes mellitus type 2. Uncontrolled. Not compliant.
Any QAers out there can answer this one for this old school nitpicker?
Well, CLIENT PREFERENCE rules.....sm
Subject: Well, CLIENT PREFERENCE rules.....sm
Always, always it's client preference. I was just speaking in a BOS/AAMT ruling about numbers. Client preference most definitely IS the bottom line. 
Help, I can't remember the hyphen rules.
Is there a hyphen with non-radiating and non-icteric, or all one word, or separated? Thanks. I'm an old dog and I don't want to learn new tricks.
Rules for tense in a report?
I always thought it was past tense. I have a doc who started the first 2 sentences using past tense and then suddenly switched to present test. IV sedation IS administered, Patient IS positioned. Do you change present to past or type as is? Nothing in the CP about it.
Rules here per admin is No Testing..sm
Subject: Rules here per admin is No Testing..sm
hope you have a happy happy new year and good luck in your studies/testing
thanks....lots of rules with numbers!
Subject: thanks....lots of rules with numbers!
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.
ALS is correct per AAMT rules. See cite.
I don't care whether the BOS is right or wrong on the issue. I have to use it and so do others. Here's what it says.
As per AAMT BOS 2nd edition page 189: Always capitalize genus names and their abbreviated forms when accompanied by species name. Lowercase genus names used in plural and adjectival forms and when used in the vernacular; for example, when they stand alone without a species name.
as poster above stated, I was going with BOS rules...relax! :) nm
Subject: as poster above stated, I was going with BOS rules...relax! :) nm
I think just the normal rules of English would apply
Subject: I think just the normal rules of English would apply
Whenever adding *ing* to a word that ends in t, you add an extra t.
A couple of grammar rules are at play here
Subject: A couple of grammar rules are at play here
First of all, both got and gotten are correct forms of the verb get. However, got is a past tense or past participle depending on whether or not the word "has" or "have" is used in front of it. Gotten, however, is past participle and should be used with the word "has" or "have" in front of it.
It has gotten increasingly larger - okay. It gotten increasingly larger - not okay. It got increasingly larger - okay. It has got increasingly larger - okay.
So if your doc says it anyway but "It gotten increasingly larger", he is correct. It's simply a matter of preference. Brits don't generally use the word "gotten", and therefore, a lot of people think it is not a legitimate word, but it is.
Time format rules in BOS 3rd edition?
Can anyone tell me what the specific rules are for time format in the new BOS on pages 337-339. A brief description would be great or u can scan and email it to me too, whichever is easier.
I do intend to buy my own soon but I have to wait till payday and I'm starting a new company right now that uses that book :(
TIA !
Ringer. AAMT BOS2 rules on eponyms.
Subject: Ringer. AAMT BOS2 rules on eponyms.
I believe that is only if the company is compliant with JCHO rules. Not all companies are.
Subject: I believe that is only if the company is compliant with JCHO rules. Not all companies are.
By AAMT rules, need help with period with drug values. (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.
2 years' time because years is plural. One year's time because it is singular, only one year.
Subject: 2 years' time because years is plural. One year's time because it is singular, only one year.
s/l Bez or all in change
Subject: s/l Bez or all in change
shows the patient in sinus mechanism 66 beats per minute, normal intervals, normal axis. Voltage criteria for LVH and s/l Bezoiorall is change in comparison to prior EKG dated
Thanks so much to both of you. I will change to 6, 90, and -1. nm
Subject: Thanks so much to both of you. I will change to 6, 90, and -1. nm
I change that to:
Subject: I change that to:
I change elicitable (which to my knowledge has never been a "real word" to "able to be elicited." My doctor dictator thanked me for this once (I was suprised that he noticed). I checked this out with several transcripitionists that I have worked with who have lots of experience and are CMTs and they also edit this word to "able to be elicited."
I'm not CMT and I change that the same way...nm
Subject: I'm not CMT and I change that the same way...nm
 
cc to mL - do you change cc to mL
Subject: cc to mL - do you change cc to mL
according to AAMT or do you type cc
Thanks
Would you change this...
Would you change CT head to say head CT? The doctor says CT head.
Thanx
VR change
Subject: VR change
He should point it out to his supervisor because it is wrong. I don't care what QA says unless they can show me a resource where they got their information and it checks out. I would also point out to the client this fact. If they don't want to have their transcription correct and concise then I don't want their work. Right is right, wrong is wrong. I am really strong on this especially since the "new AAMT" has made all their "changes" and believe their BOS is the bible. It is not. Many of their "rules" are correct. Many of the are not. Research some of their changes and you will see just how over the top they have gone (it seems to be a control issue and they WILL cram it down your throat). I say that we all research on our own and go to reliable trusted sources that have been proven over time to be correct. The "New AAMT" definitely has not proven itself over time and incidentally they are not there for Americans anymore, they are there for the "overseas community." Humbug on them! Anyone know who could take the place of AAMT for American transcriptionits? After all, we are all Americans here and the language is English.
I would change it to this
Subject: I would change it to this
patients blood pressure readings at home daily have been 90 percent plus. Would leave as is or change........looks wrong.
Patient's daily at home blood pressure readings have been 90%+.
they can change...
Subject: they can change...
depends on what the MD hears on auscultation; that being said, it usually is 3/6, 2-3/6...etc... six is the prime as there are standard 6 heart sounds and the first number being how many of the 6 they hear.
When did p.r.n. change to p.R.n. and why?
Subject: When did p.r.n. change to p.R.n. and why?
nm
I would change it to (sm)
Subject: I would change it to (sm)
CPKs as it appears these labs were done multiple times if they are dictating MBs. I hope I'm making sense.
I'd put, CPKs were high but his MBs were normal.
I would change it to
Subject: I would change it to
Mrs. Smith is a patient on whom I performed rhinoplasty. but that is just me.
Just like you have it, why change anything?
Subject: Just like you have it, why change anything?
x
I always change that to *in regard*..sm
Subject: I always change that to *in regard*..sm
as for toward/towards, afterward/afterwards......both are acceptable as you said per the dictionary......so it depends on the MD I'm working for...I have one that is a stickler so I give him afterwards and towards as he says them.
Exactly, that is why I don't understand, QA does the same with H&H, they change it H and H. Nm
Subject: Exactly, that is why I don't understand, QA does the same with H&H, they change it H and H. Nm
x
...or 'otherwise no overall change"..??? nm
Subject: ...or 'otherwise no overall change"..??? nm
s
I would change it to ൜ mEq K/L" sm
Subject: I would change it to ൜ mEq K/L" sm
The dictator is "slanging" the order. Since what they're ordering is K (potassium) and that is measured in mEq, and since it has a unit of measurement (mEq), then the "/liter" needs to be abbreviated to /L... imho (wouldn't it be nice if they dictated PROPER medication orders?) :)
I'd change to "mg," as well, but (sm)
Subject: I'd change to "mg," as well, but (sm)
the manufacturer's site would seem to indicate it should be hyphenated, as you originally had it.
http://www.jnj.com/index.jsp?content=product/brands/NEUTRA_PHOS.htm
"Prior" change? nm
Subject: "Prior" change? nm
m
yes, but change it to "are"
Subject: yes, but change it to "are"
nm
it looks weird to me too...I always change it to...
Subject: it looks weird to me too...I always change it to...
it's not necessarily correct - but I think about pussy cats and so the *eye is crusty and has pus* is what I'd put. 
Would you change this sentence?
Subject: Would you change this sentence?
His eye contact was intermittent; most of the time his gaze was fixed on whatever toy he was playing with.
...most of the time his gaze was fixed on whatever toy with which he was playing?
Not a verbatim account.
TIA
No, I wouldn't change it because
Subject: No, I wouldn't change it because
it is a myth that there is a problem with that sentence structure.
Do I change it when he dictates cc? nm
Subject: Do I change it when he dictates cc? nm
!
I would change it since account not
Subject: I would change it since account not
verbatim. LOL "hook up with"
Doctors are so funny.
If you are safe to change it, do it.
Subject: If you are safe to change it, do it.
nm
Personally, I'd change it to, I was able to
Subject: Personally, I'd change it to, I was able to
get in touch with the patient's daughter, as I am my own QA. My doc lets me spritz up his letters all the time.
unless you change sentence
Subject: unless you change sentence
I'd leave it because he obviously means that patient had no precipitating symptoms of the chest pain, etc.
|
