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Stedman's 3rd abbreviations has it both ways.

Posted By: nm on 2007-09-13
In Reply to: I typed CA 125 on a report, QA sent it back with CA-125, SM - confused

Subject: Stedman's 3rd abbreviations has it both ways.

nm


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Stedman's Abbreviations has it as
Subject: Stedman's Abbreviations has it as

T-MAX, Tmax, or T-max. but don't take my word for it. Ask the others on this site who know everything.
According to the Stedman's abbreviations
Subject: According to the Stedman's abbreviations

& Acronyms it is

geriatric assessment unit
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 checked my Stedman's Abbreviations
Subject: I checked my Stedman's Abbreviations

book on this and it was not in there (surprise!) but I put the abbreviations into google and it came right up. Maybe I had better get a newer book. lol
"Metastases" according to Stedman's Abbreviations
Subject: "Metastases" according to Stedman's Abbreviations


Per Stedman's Abbreviations - PAR-Q is Physical Activity Readiness Questionnaire...nm
Subject: Per Stedman's Abbreviations - PAR-Q is Physical Activity Readiness Questionnaire...nm


I have Stedman medical & surgical equipment and words and find that out of my Stedman books (have 4
Subject: I have Stedman medical & surgical equipment and words and find that out of my Stedman books (have 4 others) this is the one I use the most. Just my preference.


These are probably not abbreviations. sm
Subject: These are probably not abbreviations. sm

Is that the entire EKG interpretation? Check your BOS for help with EKG terms.
CT KUB/Abbreviations
Subject: CT KUB/Abbreviations

Check a TT SF CB DD CC....I wish they would just drop the abbreviations. All the "e" letters come across sounding alike as do the S's and F's. Then there are the B's and V's. There are about 35 abbreviations for CT,the most common of which is computerized tomography, but the list goes on and on. Cobra toxin is a good one!
Abbreviations.
Subject: Abbreviations.

2-3-day history of a pelvic pain along her bladder area. This pain is described as a constant crampy pressure pain, tender to touch, and is associated with urinary urgency and frequency. She denies any S/C/N/V/D/C.


New doctor for me. She likes to use a lot of abbreviations. Not sure what S/C/N/V/D/C is.


Also, doctor uses "MRC CUA" under plan. It is just by itself. Any clues?????


Abbreviations (sorry not much help)
Subject: Abbreviations (sorry not much help)

According to Stedman's  BSA= body surface area.  BFA abbreviations do not make sense here (BFA= baby for adoption  or  bifemoral arteriogram.)  Hope this helped a little anyway! 
abbreviations...
Subject: abbreviations...

Don't you just love them: Let's see there is:
1. continuous performance test,
2. continuous primary tests,
3. chest physiotherapy,
4. clinical pharmacokinetics team,
hmmm, I wonder, which one sounds the best to you?
There are many abbreviations that have
Subject: There are many abbreviations that have

more than one meaning, if in doubt use the abbreviation, EVEN if it is in the diagnosis.
abbreviations AS, AI, MR??
Subject: abbreviations AS, AI, MR??

I have to expand these abbrevations, but I'm having a hard time finding which ones are the right ones. The sentence is "multiple murmurs of AS, AI, and MR"
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
also in Stedmans abbreviations nm
Subject: also in Stedmans abbreviations nm


What abbreviations are and are not appropriate will be different for each account sm
Subject: What abbreviations are and are not appropriate will be different for each account sm

Go with what your QA tells you.  It may be acceptable but the doctor may not like/want it done that way.  I've found every account has different rules and preferences.
metric abbreviations- sm
Subject: metric abbreviations- sm

Is one form correct over another when abbreviating the measurement 'microgram?'  I know I've seen it abbreviated as mcg, but in my chemistry background, we always used the symbol that looks like a funny letter 'u.'  I can type that symbol in Word, but I'm not sure if it's necessary or preferred.  This is the first time I've had the term 'microgram' dictated. 


Side note, do you use upper or lower case 'L' to represent a liter?  I've seen both used. 


In the diagnosis, I would (no abbreviations)
Subject: In the diagnosis, I would (no abbreviations)


Unless you are to expand abbreviations
Subject: Unless you are to expand abbreviations

you transcribe it as dictated.
Unless you have to expand all abbreviations
Subject: Unless you have to expand all abbreviations

don't waste your time worrying about it, just type it.
no, This dictator is big on abbreviations, but I just can't get it, nm
Subject: no, This dictator is big on abbreviations, but I just can't get it, nm

x
Expanding abbreviations
Subject: Expanding abbreviations

Are there any abbreviations that should NEVER be expanded on the diagnoses section of a hospital record?  I was told that T-spine should never be expanded to thoracic spine; however I learned that ALL abbreviations are to be expanded and dont agree.  Please help. 
even though I, too, avoid using abbreviations in dx, I
Subject: even though I, too, avoid using abbreviations in dx, I

would have used the "B" - mainly because you just don't often see the term "beta" strep used - you always see "group B strep," so I think that's why they changed it.


dangerous abbreviations
Subject: dangerous abbreviations

Now please do not flame me for asking, but I am getting confused about some of these.  The one for today is hs.  Is it used at all?  If so, is it hs or h.s.?  I thought it was not used, but substitute "bedtime", but I do not find it in BOS and on page 463 of BOS 2 it lists "BT" as to not use but substitute "hs."  Can anyone give me a definitive reply with citation of source?  Thanks.
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
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??


 


lung exam abbreviations
Subject: lung exam abbreviations

On lung exam is sound like he is saying "BS equals BO" or "PS equals PO."  Anyone have any idea?
But cc is on the dangerous abbreviations list
Subject: But cc is on the dangerous abbreviations list

Most places want you to change to mL (or sometimes even milliliters).



Discharge Summary Abbreviations
Subject: Discharge Summary Abbreviations

Must we expand all abbreviations in the Discharge Summary (as you would in a diagnosis/impression), or type verbatim?
Page 8 under Abbreviations in BOS II, says to keep the periods
Subject: Page 8 under Abbreviations in BOS II, says to keep the periods

s
With the dots as in b.i.d. but q.d. is now on Dangerous Abbreviations
Subject: With the dots as in b.i.d. but q.d. is now on Dangerous Abbreviations

s
Breakdown of ABG: Correct abbreviations? sm
Subject: Breakdown of ABG: Correct abbreviations? sm

When transcribing results of arterial blood gas tests, which abbreviation is correct:  PAO2 or PaO2?  Each of these has different meanings, according to the website I use for acronyms/abbreviations.  Actually, I have always typed PAO2, don't know if this is correct, and have never heard otherwise.


Thanks. Duh. I have to spell out abbreviations in impression. Just could not think. NM
Subject: Thanks. Duh. I have to spell out abbreviations in impression. Just could not think. NM

ss