Sure, you can spell OP report just like that unless you have an account that does not like abbreviat
Posted By: MT50 on 2007-11-14
In Reply to: Thank you!! But I would spell "OP report" just like that? - anyone up?
Subject: Sure, you can spell OP report just like that unless you have an account that does not like abbreviations.
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alk phos is slang, fine if verbatim account, otherwise spell it out. nm
Subject: alk phos is slang, fine if verbatim account, otherwise spell it out. nm
/
Thank you!! But I would spell "OP report" just like that?
Subject: Thank you!! But I would spell "OP report" just like that?
account specifics for that particular account should state how it is to be typed. nm
Subject: account specifics for that particular account should state how it is to be typed. nm
.
Depends on the account: My verbatim account is VERBATIM and other accounts I put 3100
Subject: Depends on the account: My verbatim account is VERBATIM and other accounts I put 3100
account?
Subject: account?
NM
On the account I'm on they want us to
Subject: On the account I'm on they want us to
type out potassium chloride. Which I'm only too happy to do with a shortcut, LOL.
The account that I am on
Subject: The account that I am on
The account I type is "almost verbatim". We type subcu, but in the lab values we have to expand the workds (alkaline phosphatase, et cetera). If a word is dictated that is not a known abbreviation, we have to type it out. I think each account is different, and as the other poster said, they should have given you an client form so that you would know what the hospital expects. Sounds like your guy kinda got his tail in a crack and felt like he needed to unload on a poor, innocent MT who was just trying to do her job! Hang in there!  W'e're cheering for you!
g is okay per BOS, but I have an account
Subject: g is okay per BOS, but I have an account
where the client profile forbids it and it must be written out as grams. Maybe yours is account specific too.
I am on a new account and need some help here.
Subject: I am on a new account and need some help here.
Patient has a mild s/l list to the left. This is orthopedic. I have postural list in my Stedman's Ortho book. Could that be it?
New account for me/sm
Subject: New account for me/sm
All I know is baby had Norwood procedure on her heart. Is it some sort of monitor?
Does your account use the BOS 2?
Subject: Does your account use the BOS 2?
That's the source of the "Don't capitalize it when it stands alone" rule. My suggestion would be to follow BOS if your account uses that and to be consistent. Stedman's is (are?) notorious for inconsistency with this sort of thing.
I'd spell out at least once sm
Subject: I'd spell out at least once sm
Biventricular Implantable Cardioverter DefibrillatorsThis study provides three principal findings regarding the impact of biventricular ICD therapy compared with biventricular pacemaker therapy alone for ...
www.medscape.com/viewarticle/488736 - Similar pages
When do you spell out IV?
Subject: When do you spell out IV?
Do you not spell out all abbr. in the assessment, impression, and dx????????? I have had so many QA people change this on me so now I am lost totally.
Thank you! I could not think how to spell that at all. nm
Subject: Thank you! I could not think how to spell that at all. nm
Definitely would spell it out!
Subject: Definitely would spell it out!
I've never been a fan of slang myself, so if it's not a verbatim account, I'd transcribe hematocrit!
I myself spell them out - nm
Subject: I myself spell them out - nm
how would you spell this?
Subject: how would you spell this?
re-CT'd (as in to obtain another CT scan) Is re-CT'd correct? That is how he says it.
I would spell it out as you did. nm
Subject: I would spell it out as you did. nm
s
Spell it out.
Subject: Spell it out.
The general rule of thumb is to spell out abbreviations under diagnoses. Missed abortion.
that is how i would spell it... nm
Subject: that is how i would spell it... nm
nm
Yes spell it out nm
Subject: Yes spell it out nm
x
I spell them out ...
Subject: I spell them out ...
I spell them out (i.e., second, third, fourth) because I am old and disslike what the word processor does to the alternative. I do, however, do a suprascript for exponents (i.e., "cm2" with the "2" smaller and above), but that's just me.
I use #1 and also you do not spell out
Subject: I use #1 and also you do not spell out
numbers unless 2 are together - two 40 mg tablets or if it begins a sentence - Three days prior to admission.....
Did doc spell it that way or is it a s/l?...sm
Subject: Did doc spell it that way or is it a s/l?...sm
maybe it is one of the meds found here, hope this helps:
www.fda.gov/oashi/aids/virals.html
Normally do not spell it out - ANA 1:160.
Subject: Normally do not spell it out - ANA 1:160.
x
mcg or necessary to now spell out?
Did the abbreviation rules recently change? I am being told that we can no longer do mcg and must type out micrograms.
I'd spell it
Subject: I'd spell it
like you have it.
I always spell it out...
Subject: I always spell it out...
Depends on what the client or your employer wants.
In verbatim account... HELP PLEASE
She is sating(satting) 98% on room air?
I want to change, but on verbatim, I suppose I'm not supposed to, right? I'm relatively new to this and not sure.
Verbatim account
Subject: Verbatim account
How would you type... as I have it?
If you expand it (and you should if your account allows), sm
Subject: If you expand it (and you should if your account allows), sm
it should be "cardiac catheterization," not "cardiac catheter."
ESL help..with verbatim account..
Subject: ESL help..with verbatim account..
would you type re-meet? remeet? or change to meet again... It is vebatim, but I'm not used to that yet... need seasoned advice! Thanks!
Ask your QA what the account prefers. If it's sm
Subject: Ask your QA what the account prefers. If it's sm
verbatim, I would use T-max if that's what was actually dictated.
On a verbatim account, would you
Subject: On a verbatim account, would you
actually leave this sentence as is?
She puts Neosporin on it, and she reports that in the morning it looks pussy.
TIA for any input.
Only if the account is verbatim would I
Subject: Only if the account is verbatim would I
type 5 foot. Should be 5 feet.
Thanks. Didn't know it. New account (nm)
Subject: Thanks. Didn't know it. New account (nm)
You might want to see if you can get this clarified for your account since
Subject: You might want to see if you can get this clarified for your account since
there is a product called ZAP and I don't know what your doc was using it for. :-)
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.
Also, don't know about your account specifics but
Subject: Also, don't know about your account specifics but
I would use 1.5 cm, as in 1.5-cm "hypoechoic" mass...decimals for metric...
It may depend on the account, but I think most
Subject: It may depend on the account, but I think most
people add dosage. The doctor is only one of many people who read the chart.
It is a verbatim account so I can't add the bag ;) sm
Subject: It is a verbatim account so I can't add the bag ;) sm
He just said the patient was *ambued and could not be intibated due to facial trauma*
So, looks like this is one of those that is up in the air and probably something to talk to company QA about?
Is this a verbatim account?
Subject: Is this a verbatim account?
If not, it would make more sense like this:
It would help beneficial organisms AND commensals bacteria colonize his colon and help as a first line of protection against disease.
If not, then I would type:
It would help beneficial organisms, commensals bacteria colonozie his colon and help as a first line of protection against disease.
Since they want the beneficial bacteria and commensals bacteria to colonize his colon, there is no need for a comma before colonize.
ONLY if your QA, account, or docs want it to be so. Not everyone
Subject: ONLY if your QA, account, or docs want it to be so. Not everyone
s
Of course you first and foremost do what your account wants sm
Subject: Of course you first and foremost do what your account wants sm
and as I said, that is how I was taught. Now, every account I've done wants it that way and it is that way on the Dangerous Abbreviation list...AND that's what I said - use mL not cc.
Account specifics - if they want 's that's what they get. SM
Subject: Account specifics - if they want 's that's what they get. SM
That's what is in AAMT BOS - Depends on client preference, so, no, she is not wrong
I hear it a lot on this account.
Subject: I hear it a lot on this account.
but I have looked on previous reports and seen where MTs type Mabex but I cannot reference it so I blank it and send it on. Just wondered if anyone else heard of it.
And did you say what kind of account
Subject: And did you say what kind of account
or what the specialty is? If you hear it a lot, it is probably related to the specialty you're doing.
If the account is verbatim, I would say OK
Subject: If the account is verbatim, I would say OK
I use it only if my account is verbatim.
Subject: I use it only if my account is verbatim.
I would change it since account not
Subject: I would change it since account not
verbatim. LOL "hook up with"
Doctors are so funny.
New urology account
Subject: New urology account
 I'm being asked to help on a new account for me - urology. I have done a pelvic pain doctor who treats females so I might be familiar with some things there. Any good sites that you could recommend for research in case I get stuck?
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