That's what I mean by "ask your QA!" Account specifics dictate style, sm
Posted By: Lifer on 2007-01-07
In Reply to: I have two accounts.. - depends
Subject: That's what I mean by "ask your QA!" Account specifics dictate style, sm
but the AAMT BOS dictates what is correct for the industry, getting its information from sources such as the Chicago Manual of Style, the American Medical Association book of style (which I own), etc. As the poster below states, Joint Commission goes by BOS and does not like "same" or abbreviations for diagnoses, impressions, op titles, etc. They will randomly choose patient charts and go through them to check things like this! It's the Joint Commission which recommends or removes hospital accreditations--a very powerful entity.
So, ask your QA what the account wants. If they want "same," give them "same." For other accounts, do it the correct way.
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Account specifics would dictate whether you sm
Subject: Account specifics would dictate whether you sm
write it out or abbreviate. The abbreviation for beats per minute is bpm. Ask your QA person for approved abbreviations for this account (accounts will differ sometimes which can make us crazy).
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
.
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...
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
All according to your account specifics. Like
Subject: All according to your account specifics. Like
I said below, we do not use slang, therefore use saturating; however if verbatim, then satting is correct.
What do your account specifics say? nm
Subject: What do your account specifics say? nm
nm
do you have account specifics to read?
Subject: do you have account specifics to read?
on most accounts it is acceptable to leave 1-2 blanks. If you really think it sounds like minute, then put that.
Depends on account specifics. sm
Subject: Depends on account specifics. sm
In general, we are to write out the term in full the first time it is dictated for clarification. Then, if abbreviations are dictated later on, it is okay to use the abbreviation. Again, you must abide by account specifics. Ask your QA person to be sure.
also I should have said check your account specifics - SM
Subject: also I should have said check your account specifics - SM
Each doc and/or hospital may want classes and grades a certain way. It is a good idea to make sticky notes like Another KSMT said.
same here - depends on my account specifics nm
Subject: same here - depends on my account specifics nm
I would check your account specifics...(nm)
Subject: I would check your account specifics...(nm)
Almost depends on account specifics
Subject: Almost depends on account specifics
Some of the verbatim accounts allow for medical jargon, so if in the body of the report they said he was given 2 amps of bicarb, I would probably just leave it at amps. If this was in a medication list, as on admission or discharge, I would probably write it out as ampule(s).
depends on account specifics, whether verbatim, etc.
Subject: depends on account specifics, whether verbatim, etc.
x
First, see your account specifics or client preferences.
Subject: First, see your account specifics or client preferences.
If no mention is made about it, I would type it as a numeral for anything less than 10.
Although I would double check your account specifics. SM.
Subject: Although I would double check your account specifics. SM.
Some docs might prefer you to spell it out for them or have an specific way they want it typed.
check your company's Account Specifics, if you can
Subject: check your company's Account Specifics, if you can
nm
depends on account specifics, but I usually type 3-1/2 months NM
Subject: depends on account specifics, but I usually type 3-1/2 months NM
Got it. Thanks again. There are no account specifics, so I like to type verbatim just to be safe.
Subject: Got it. Thanks again. There are no account specifics, so I like to type verbatim just to be safe.
It all depends on your account specifics. If they use BOS, then use mL. I've had verbatim accou
Subject: It all depends on your account specifics. If they use BOS, then use mL. I've had verbatim accounts
with no BOS wanted per the client, regular accounts who do use BOS and others that do not want it, and others that "just type what I say." So, like I said, refer to your account specifics.
Always go with account specifics, regardless of what BOS recommends. Good luck! (no message)
Subject: Always go with account specifics, regardless of what BOS recommends. Good luck! (no message)
X
Depends on your account specifics. If they allow you to expand, that's fine, but it is straight
Subject: Depends on your account specifics. If they allow you to expand, that's fine, but it is straight
hardcore verbatim you have to leave it as is, whether it looks ugly or not. I know, I really don't like it when they abbreviate left and right, leave words off sentence structures so they can speak faster and get it over with.
Both are correct, just type it according to your account specifics, some like disc and other disk.
Subject: Both are correct, just type it according to your account specifics, some like disc and other disk.
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
You should dictate what the doc says.
Subject: You should dictate what the doc says.
If he is wrong, that's his problem. You can't just go changing what he says unless you have free reign on your account.
style
Subject: style
stay home for the next two days or 2 days? or does it depend on account specifics? Thanks in advance.
Drs get what they dictate - some of us only do..S/M
Subject: Drs get what they dictate - some of us only do..S/M
brachioplexus, brachioplexopathy - what they say is what they get....client profile RULES!
How does he dictate it? Is he actually - sm
Subject: How does he dictate it? Is he actually - sm
Is he saying "CBC, MSP, and stool" because stool is not a test so just wondering if it could be the name of a stool test. If you state just how the whole sentence is dictated, it may help us figure it out for ya.
I had a doc used to dictate that
Subject: I had a doc used to dictate that
Good says it stands for keep-open-vein. So, it should fit, and it also is all CAPs. 
style
Subject: style
Use numbers unless 2 numbers in a row or beginning a sentence. Zoloft 50 mg 1 daily versus Zoloft 50 one daily.
If you don't have AAMT Book of Style, this is a good website. http://www.mtdaily.com/style.html
Which style do you use for PRN/p.r.n.? How about the same for PC/p.c.? -sm
Subject: Which style do you use for PRN/p.r.n.? How about the same for PC/p.c.? -sm
http://www.ismp.org/tools/errorproneabbreviations.pdf
Because this site re: medical abbreviations that should never be used in reports doesn't list PC/p.c., then your choice is based on your style guide, isn't it. Which style guide do you follow for tx'ing "as needed"...PRN or p.r.n.? Go with it for PC/p.c. (There's an AAMT Style Guide that some medical tx companies require MTs to follow. Does it require small letters and periods for Latin-word abbreviations?)
Resource: Abbreviations Web site,
http://www.medilexicon.com/medicalabbreviations.php?keywords=PC&search=abbreviation
[After Meals(post cibum)]
More specifics?
Subject: More specifics?
Is it a myringotomy and tube insertion? Is it being pronounced bog or b-o-g?
Need help on style board....nm...TIA
Subject: Need help on style board....nm...TIA
.
Usually if they dictate Seldinger...
Subject: Usually if they dictate Seldinger...
they will say "via Seldinger, or Seldinger technique." I don't believe they would do this en route either. Are you sure you are hearing "sandwich?" I have been transcribing ER reports for years and I have never heard this term used. Anyway, I would not guess on this one. IMO, it is better to leave it blank and have QA inform you later so you can keep it on file .
AAMT Style
Subject: AAMT Style
Anyone have any good web links to sum up AAMT BOS Second Edition - Don't have book yet...Thanks
Do it per client specifics.
Subject: Do it per client specifics.
Maybe McGhan style 133
Subject: Maybe McGhan style 133
xx
style question
Subject: style question
Is it correct to put "May 10th" or "May 10" - this is just a general question. I don't know if the "th" is supposed to be there after a date. TIA.
Have a style question here!!
Subject: Have a style question here!!
Working for a new company -- they say all meds in a paragraph be separated by semi-colons as well as semi-colon use in parts of the PE. They seem to imply that I am some kind of incompetent fool for not doing this automatically. I've been an MT for 25+ years, and a few of my accounts were for some of the most prestigious medical facilities in the U.S. and have never routinely done this. Is this a new AAMT style rule? I wouldn't be questioning this if it was a hospital preference, but it's the whole little smarmy company.....
Sorry so cranky.
per the Book of Style
Subject: per the Book of Style
Per Book of Style 2 edition page 150:
"When the generic name and brand name of a medication sound alike, use the generic spelling unless it is certain that the brand name is being referenced to."
Therefore, I would use the generic spelling levothyroxine.
Yes, that was how I was taught and most always they dictate cc nm
Subject: Yes, that was how I was taught and most always they dictate cc nm
nm
Book of Style
Subject: Book of Style
x
Style question, sm...
Subject: Style question, sm...
The provider is dicating HPV DNA in the ASSESSMENT. Normally, we never abbreviate in the assessment, but for some reason I'm wondering if an exception to this could be for DNA. Should I type it 'human papilloma virus deoxyribonucleic acid' or "human human papilloma virus DNA"?
TIA for your advice,
Vertically Challenged
Book of Style sm.
Subject: Book of Style sm.
It is the former AAMT's way of trying to standardize what each MT is doing. Many companies expect you to strictly adhere to what the BOS says for quality and if you do not it affects your QA scores.
welcome; got it from my docs that dictate it as i never could figure them all out either, lol. nm
;
Sorry, but I have had them dictate brain or beta.
Subject: Sorry, but I have had them dictate brain or beta.
nm
Did she dictate the colon after "murmur?" nm
Subject: Did she dictate the colon after "murmur?" nm
x
AAMT style question...sm
can someone please tell me what the rule is on numbers 1-10? I read they were wanting to change it to all numerals, but has that happened or do you still spell out numbers 1-10 except for clarity purposes? Have gotten myself all confused now...Thanks.
I need opinion on something from AAMT regarding style...
I know the latest from AAMT regarding using numbers is to use 2, 3, 4, etc instead of two, three, four in the body of a report. I just think it looks tacky to say "on postoperative day 2" or "after 3 days", etc. I hate doing it. It's not so bad when referring to meds or technical stuff. Does everyone follow this AAMT "law" now? Just wondering what everyone else does??? 
but then CDC Journal Style Guide says...
Subject: but then CDC Journal Style Guide says...
Gram stain, gram-negative, gram-positive
no matter what they dictate, they are wrong...nm
Subject: no matter what they dictate, they are wrong...nm
AAMT "Book of Style"? (nm)
Subject: AAMT "Book of Style"? (nm)
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