Trust us. Docs never give dosages with the word sm
Posted By: nm on 2006-01-29
In Reply to: Thanks - Tam
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.
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I don't trust word books any more.
Subject: I don't trust word books any more.
Like you, I have been running into this situation more and more lately. The Internet may not solve much, but it sure points out how unreliable all those word books are that we've been trusting all these years.
It's gotten so I don't trust any eponym reference unless it gives me first & last name with bio (hey, why not shoe size and zodiac sign while we're at it!)
Docs do it all the time, though. I give them what they say. nm
Subject: Docs do it all the time, though. I give them what they say. nm
f
MOST places, not all. Some still give the docs whatever they want, dangerous or not. nm
Subject: MOST places, not all. Some still give the docs whatever they want, dangerous or not. nm
s
But if you're doing verbatim, you don't have that choice. Give the docs what
Subject: But if you're doing verbatim, you don't have that choice. Give the docs what
s
I have docs who almost never pronounce any medications well enough to give me a clue. :-)
Subject: I have docs who almost never pronounce any medications well enough to give me a clue. :-)
Good info, but your docs aren't going to give a flying fig whether there's an 'a' or an
Subject: Good info, but your docs aren't going to give a flying fig whether there's an 'a' or an 'o'
s
How about a full sentence? Docs do give patients a "holiday" off a drug to check for other
Subject: How about a full sentence? Docs do give patients a "holiday" off a drug to check for other
s
No such word. Docs make up their own. This is where the MT comes in. :) nm
Subject: No such word. Docs make up their own. This is where the MT comes in. :) nm
:)
docs i type for do use this word
Subject: docs i type for do use this word
/
No such word but again docs make up as they go.. sm
Subject: No such word but again docs make up as they go.. sm
pallor = pale
Oh, and NEVER trust their spelling.
Subject: Oh, and NEVER trust their spelling.
No! It's orthotopic. Trust me.
Subject: No! It's orthotopic. Trust me.
Thanks for your help! I should have gone by my s/l, but didn't trust myself.
Subject: Thanks for your help! I should have gone by my s/l, but didn't trust myself.
You can't always trust Google
Subject: You can't always trust Google
There were only 551 hits on Google for hydroxycodone which means this is not an accurate spelling. Before you even think of trusting Google's info, you need to check the number of hits. If there is not a VERY large number of hits, do not trust the results. When in doubt, check you books. I have all updated drug books, and this is not any. Call a local pharmacy if you still think this could be a very recent drug. The doctor probably made a mistake. It is better to question than to guess and make that mistake. My doctors make up words all the time or just get confused themselves. Let the doctor make the final decision or QA if you have to go that route. I had to learn this the hard way in the beginning.
I'd trust that one more! I'm no patent expert!
Subject: I'd trust that one more! I'm no patent expert!
Hahahaha
Trust Txczech! Doc is probably mispronouncing it. nm
Subject: Trust Txczech! Doc is probably mispronouncing it. nm
s
from Merck never trust Google
Subject: from Merck never trust Google
Title and Description |
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gastric s. linitis plastica.
I trust Tessier before Stedman's and for 25 yrs
Subject: I trust Tessier before Stedman's and for 25 yrs
Back in the early 80s I loved Stedman's but I found way too many discrepancies, even called them once and they said if we find any other discrepancies to feel free to call them and let them know because WE are the MTs and they need our input.
However, I prefer Claudia Tessier's Surgical Word Book, Vera Pyle's Medical Terminology book, and then the internet where you can find the manufacturer's website and see the CORRECT spelling.
Just my humble opinion....JMHO....
and we all can agree to disagree too....
I agree - I still use books, too. I actually trust my
Subject: I agree - I still use books, too. I actually trust my
books - if I can't find it in my books, I go to the internet, but not before. Sometimes the internet can just give a whole lot of inaccurate info that takes a long time to go through (not that it isn't helpful in a lot of cases - I just don't always trust it).
He's making the whole resp. tract 1 word. Give him what he wants! nm
Subject: He's making the whole resp. tract 1 word. Give him what he wants! nm
s
Can you give the whole sentence so that we can hear the word prior to that one?
Subject: Can you give the whole sentence so that we can hear the word prior to that one?
I think he's making up a word for the part that was actually incarcerated. Give
Subject: I think he's making up a word for the part that was actually incarcerated. Give
s
disrespectful is a word. I would give it him, meaning is clear. nm
Subject: disrespectful is a word. I would give it him, meaning is clear. nm
Thanks. I saw there was a lot on Google, but I don't always trust that as a reliable source. nm
Subject: Thanks. I saw there was a lot on Google, but I don't always trust that as a reliable source. nm
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.
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
Meds and dosages scare me, so when in doubt...
Subject: Meds and dosages scare me, so when in doubt...
I always blank/flag it.
That can happen on meds for a.m. and p.m. dosages, but if you are concerned, is it possible to leave
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?
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.
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!
Please give the entire sentence/context of the word, have lost of Ortho/Surgical/Rad accounts...nm
Subject: Please give the entire sentence/context of the word, have lost of Ortho/Surgical/Rad accounts...nm
nm
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
You hear trialed all the time. Give 'em what they give you! Can't drive yourself friggin'
Subject: You hear trialed all the time. Give 'em what they give you! Can't drive yourself friggin'
s
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
Does it give the dosage? Could you give more of the sentence? nm
Subject: Does it give the dosage? Could you give more of the sentence? nm
d
Yep, it's okay. Docs say that often. nm
Subject: Yep, it's okay. Docs say that often. nm
x
Thanks...sometimes I think these docs should...
Subject: Thanks...sometimes I think these docs should...
type themselves for once and listen to some of the things they say. I bet they would think twice after that...:-)
Some docs
Subject: Some docs
actually dictate ABGs in this manner. They say a number then slash then another number then slash, etc. That is how they want it transcribed. Just make sure your numbers are correct and you are set to go!
should say *my* docs
Subject: should say *my* docs
like the docs who are always ...
Subject: like the docs who are always ...
... putting "metatarsal" in the hand dictations. Plantar may be technically okay, but it seems like if he were more careful he would say palmar.
Our docs
Subject: Our docs
usually say normocephalic.
I have docs that use it
Subject: I have docs that use it
but my account is not crazy weird picky, either. I haven't heard of it being unacceptable. If it's worth your time, I'd question QA about it and ask her why she changed it.
I have docs
Subject: I have docs
who add extra letters to lots of words, if it make them easier to pronounce. Kind of weird, but it happens.
Docs
Subject: Docs
make up lots of words...they make lots of mistakes (ergo malpractice insurance)...they even misspell lots of words. If we have to deal with their ineptness, they can deal with blanks. JMHO. :-)
With some docs..
Subject: With some docs..
that wouldn't be a stretch at all but a very good guess. :-)
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