That can happen on meds for a.m. and p.m. dosages, but if you are concerned, is it possible to leave
Posted By: MT50 on 2008-01-16
In Reply to: What would QA do? sm - maj
Subject: That can happen on meds for a.m. and p.m. dosages, but if you are concerned, is it possible to leavea a QA note just for the facility?
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- What would QA do? sm - maj
- That can happen on meds for a.m. and p.m. dosages, but if you are concerned, is it possible to leave - MT50
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Meds and dosages scare me, so when in doubt...
Subject: Meds and dosages scare me, so when in doubt...
I always blank/flag it. 
I agree with Hayseed...meds and dosages scare me, too. However...sm
Subject: I agree with Hayseed...meds and dosages scare me, too. However...sm
You might find assurance in the fact that (according to QuickLook) Lortab is only available with 500 along with the 5, so the 500 might be understood. But, I would flag if you are unsure.
Would anyone happen to know the correct way to
Subject: Would anyone happen to know the correct way to
 For example: Stage I or Stage 1 Parkinson's disease. 
Oh thank you!, At MQ and I don't think that will happen any time soon!
Subject: Oh thank you!, At MQ and I don't think that will happen any time soon!
LOL funny how accidents like that happen
Subject: LOL funny how accidents like that happen
Is anyone else old enough to remember that some typewriters had a special key for 1/2 and 1/4 (you used the shift key to get the 1/4)? I remember being thrilled that I could type it properly! I think it was the one that currently has ` and ~.
Does it happen all the time or just randomly?
Subject: Does it happen all the time or just randomly?
Does it happen all the time or just randomly?
Subject: Does it happen all the time or just randomly?
I've had occasional similar problems where it's been related to my keyboard running amok. In those cases, I have to unplug and replug in (it's a PS2 keyboard with a USB convertor) and things go back to normal. Also, occasionally, my space bar will go crazy and just insert spaces and it looks like it's wiped out all the words when in actually it has really just added 20 pages of spaces!! It only happens to me maybe once a month or so, though, and I've never lost an entire document, but that's because I've almost gotten used to it so that it doesn't startle me quite as much and I can take immediate corrective action.
Technology...gotta love it!
"breaking in to"--"in" and "to" just happen to be beside one another
Subject: "breaking in to"--"in" and "to" just happen to be beside one another
Into or In to?
"Into is a preposition that has many definitions, but they all generally relate to direction.
On the other hand, in by itself can be an adverb, preposition, or adjective (and to by itself is a preposition or an adverb). Sometimes in and to just end up next to each other.
Maybe examples will help!
He walked into the room.
(Which direction was he going? Into the room.)
We broke in to the room.
('Broke in' is a phrasal verb. What did you break in to? The room.)
(Fogarty, Grammar Girl's Quick and Dirty Tips 34-35).
It's not the docs I'm concerned about, or QA, when it comes to my...
Subject: It's not the docs I'm concerned about, or QA, when it comes to my...
work as an MT,
can't you just leave it abbreviated, or do you have to spell it out. I would leave as dictated.
Subject: can't you just leave it abbreviated, or do you have to spell it out. I would leave as dictated.
I'm concerned about "deep nucleations." What comes sm
Subject: I'm concerned about "deep nucleations." What comes sm
before and after this sentence? Also "... DIPJ of the right hallux" doesn't sound right, either. I can see why you're questioning this. ;)
I'm concerned about "deep nucleations." What comes sm
Subject: I'm concerned about "deep nucleations." What comes sm
before and after this sentence? Also "... DIPJ of the right hallux" doesn't sound right, either. I can see why you're questioning this. ;)
That's probably it. Before saying A1a, he says family is concerned about thyromegaly.
Subject: That's probably it. Before saying A1a, he says family is concerned about thyromegaly.
I think it can be. Overly concerned. Prefixes can be used on most anything.
Subject: I think it can be. Overly concerned. Prefixes can be used on most anything.
So true. I am concerned that the MT who did the Procedure Note also used what he spelled.
Subject: So true. I am concerned that the MT who did the Procedure Note also used what he spelled.
If it was dictated like that & you can leave abbrvns in, then leave it
Subject: If it was dictated like that & you can leave abbrvns in, then leave it
s
She is also concerned about s/l ___momali 1st interdigital space of the left foot
Subject: She is also concerned about s/l ___momali 1st interdigital space of the left foot
mEq (the only way I have ever seen it and have looked also everywhere on dosages)
Subject: mEq (the only way I have ever seen it and have looked also everywhere on dosages)
DOSAGES- how to type out?
Subject: DOSAGES- how to type out?
"He will also add vitamin D to his regimen at 2 to 4,000 units per day."
How should I type this? 2-4,000? 2,000-4,000? 2 to 4,000? I want it to be right.
Need help with how to write dosages (sm)
Subject: Need help with how to write dosages (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.
She is concerned about hepatic or herpetic and thyroid side effects with the use of amiodorone. th u
Subject: She is concerned about hepatic or herpetic and thyroid side effects with the use of amiodorone. th u
no speciality. final diagnosis was uti. these meds were admit meds, only hist was hypertension
Subject: no speciality. final diagnosis was uti. these meds were admit meds, only hist was hypertension
Does not matter. All dosages are singular.
Subject: Does not matter. All dosages are singular.
All dosages are singular. 10 cc was injected...
Subject: All dosages are singular. 10 cc was injected...
drug dosages listed with no mg
Subject: drug dosages listed with no mg
Is it acceptable to type drug dosages with the number but not the unit of measure. For example Zocor 10 every night. I believe this may be confused with 10 pills instead of mg. What's acceptable on a verbatim account?
Folate dosages....high?
Subject: Folate dosages....high?
Resident says folate 100 mg via PEG and also folate 1 g via peg. That's a lot, isn't it?
Hematology - know your chemotherapy and dosages well, same anatomy. n/m
Subject: Hematology - know your chemotherapy and dosages well, same anatomy. n/m
Trust us. Docs never give dosages with the word sm
Subject: Trust us. Docs never give dosages with the word sm
"chemotherapy." It makes no sense as there are hundreds of medications (where you would hear dosages) that comprise chemotherapy. Would you rather be corrected by people who are not paid to help you, or would you rather your QA catch a blunder like this? Up to you.
Medication dosages, QA marking wrong both ways!
Subject: Medication dosages, QA marking wrong both ways!
Good afternoon everyone. I'm in need of some second opinions please. When typing medication dosages, I have always transcribed them the same way for the last 12-1/2 years. For example, Lortab 5 mg q.4h. p.r.n. pain.
I have worked for the same company for a little over two years now and have never had QA say anything about this until last month, when I got a QA audit marking it off and changing it to Lortab 5 mg q. 4h. p.r.n. (with a space between the q. and the 4h.) I thought okay, maybe I've been transcribing it incorrectly all lthis time and a new QA person picked up on it. It happens, no big deal. 
So, I started transcribing it their way with the space, as in q. 4h. and didn't think anything more about it. Yesterday, I get another audit. This time, I get dinged for typing it the way they wanted it the last audit q. 4h. with the space with a note stating it should be q.4h. with no space (the way I had been typing it).
 Now, I know they have been messing with all of the MTs big time lately, making changes daily from everything to hours, pay, policies, and procedures for vacation, days off, etc. You name it, they've been doing it, and I really think they are trying to either find a reason to fire some of us or drive us to the point of insanity until we quit, but despite the games, I still want to make sure I'm doing my job correctly. If I've been doing something wrong, I would like to correct it ASAP, except now I have no idea which one is correct.
Sorry for the long, drawn out post, but I'm totally confused now and beyond frustrated. Now, I'm questioning myself on everything, and I have no idea which way is correct as far the space or no space with the medication dosages. Thank you for taking the time to read my question and rant. I would appreciate any and all opinions on how you all transcribe this! 
need help w/2 drugs, s/l thermadon and s/l knee-po-tir? They are just in a list no dosages or usage
Subject: need help w/2 drugs, s/l thermadon and s/l knee-po-tir? They are just in a list no dosages or usage
To effect relief - to make relief happen. SM
Subject: To effect relief - to make relief happen. SM
The patient has a pleasant affect (demeanor).
The medication may affect (change) one's memory.
This has the unpleasant effect (result)of causing nausea.
We will effect (make happen)the changes immediately.
Side effects (results) are often mild and may affect (alter) the gastrointestinal system.
Can find Nitro CR and Nitro-Bid Plateau in 6.5 mg dosages. They MIGHT be saying the generic form
Subject: Can find Nitro CR and Nitro-Bid Plateau in 6.5 mg dosages. They MIGHT be saying the generic form
s
There are no complaints but Mr. Cornelius's son is somewhat concerned. Does Mr. Cornelius's s
Subject: There are no complaints but Mr. Cornelius's son is somewhat concerned. Does Mr. Cornelius's son sm
look right with the hyphen? I always get this mixed up and it's just too early
I would leave in under PMH sm
Subject: I would leave in under PMH sm
it probably is part of what is being said. And, it is a lab value (said it was negative) not a date. l
I would leave as is - sm
Subject: I would leave as is - sm
I have heard this phrase many times, and always leave it as is. They are referring to prerenal azotemia.
I'd leave it as is. nm
Subject: I'd leave it as is. nm
x
just leave the S off
Subject: just leave the S off
nm
Then that is how I will leave it! Thanks
Subject: Then that is how I will leave it! Thanks
leave as is
Subject: leave as is
Torso is an anatomical term for the central part of the many animal bodies (including that of the human) from which extend the neck and limbs. It is sometimes referred to as the trunk. The torso includes the thorax and abdomen
I would leave it the way he says it. nm
Subject: I would leave it the way he says it. nm
I'd leave them just how you have them.
Subject: I'd leave them just how you have them.
I would leave as is
Subject: I would leave as is
i would leave as is
Subject: i would leave as is
You never know with labs, they can be tricky. If you are really concerned you could always add a marker for it to be double checked but I would leave as dictated.
I would leave it.
Subject: I would leave it.
I think you are correct. I believe they are three separate things. There is general pain that stars to localize to one spot. There is rebound pain where they press on your abdomen slowly, but then unexpectedly let go. And there is guarding pain if when they examin or stomach you they press or attempt to press and you instinctively try to guard your abdomen with your hands.
i would leave as is.......
Subject: i would leave as is.......
i would leave as is.......
Thanks, but I had to leave a QA...
Subject: Thanks, but I had to leave a QA...
nm
Leave them in (sm)
Subject: Leave them in (sm)
I would leave them in. Yes, it is redundant, but it's also what the doctor dictated. The only exception would be, in my opinion, if there were account specifics covering this and then I would follow the account specifics.
Leave it
Subject: Leave it
where it is. Put a hypen in between tib-fib and a comma after fib.
I leave them out
Subject: I leave them out
You can overdue on hyphens and commas. Well child check, well woman's visit, well baby check. Looks better without. Just my take. :-)
I would just leave it at sm
Subject: I would just leave it at sm
exacerbating the anal pain.
I would leave it as he said. He knows what it means...sm
Subject: I would leave it as he said. He knows what it means...sm
TM stands for appx 20 or more things, so you cannot guess which one. Also,the same goes for LAM. It stands for seven different things and you cannot guess which one.
I was taught in this situation to leave it as said. My account even specifies in assessment and plan to never abbreviate except in this case when you cannot 100% verify what the doc means if there is more than one meaning to the abbreviation.
Hope this helps
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