depends on account specifics, but I usually type 3-1/2 months NM
Posted By: sassee on 2008-01-18
In Reply to: Months ? - mt33
Subject: depends on account specifics, but I usually type 3-1/2 months NM
Complete Discussion Below:  marks the location of current message within thread
- Months ? - mt33
- depends on account specifics, but I usually type 3-1/2 months NM - sassee
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
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.
same here - depends on my account specifics nm
Subject: same here - depends on my 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
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.
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.
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.
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.
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
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).
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.
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.
I would check your account specifics...(nm)
Subject: I would check your account specifics...(nm)
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
That's what I mean by "ask your QA!" Account specifics dictate style, sm
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.
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 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
Depends on your account. nm
Subject: Depends on your account. nm
nm
Depends on account
Subject: Depends on account
My previous company had us leave the names out unless they were pertinent to the patient's care such as a caretaker. I.e. Dictated: Patient's wife, Susan, stated that. Transcribed: Patient's wife stated that. I would ask your QA about that to be sure though.
yes, depends on account
Subject: yes, depends on account
don't just go with the dictator-client may not be happy about it and you'll get in trouble. ask supervisor
It depends on account....sm
Subject: It depends on account....sm
I have been specializing in OPs for several years, (done everything else!), and love it, but we have doctors (have a few hospitals), who will give related system diagnoses and went them in one paragraph form with commas, as you wrote. But then, I have others that specify everything numbered. According the BOS from long ago, in Ops when listing diffent diagnoses, number them, but our rule from our company (owned by an MD!) is that, if they dictate in paragraph form, write it so, and if they dictate "numbered diagnoses," then put in numbered list fashion. Does that make any sense to you? Do you have account specifics for this doctor?? 
Honestly, it depends on your account....
Subject: Honestly, it depends on your account....
If it is strictly verbatim, then yes.
Depends on the account contract. The TAT for sm
Subject: Depends on the account contract. The TAT for sm
the company will be longer than the TAT for the MT. In other words, the company may have 24 hours to get the report turned around, but when they give it to the MT, the MT may only have 2 hours. I've been accustomed to a 2-hour TAT with the nationals I've worked for.
Depends on whether the account is verbatim sm
Subject: Depends on whether the account is verbatim sm
Or how much they expect you to correct. I used to transcribe for a doctor who did the worst run-on sentences and sometimes I would rack my brains trying to figure out where to put punctuation without changing what she said (the account was verbatim except for obvious grammatical errors like subject-verb agreement). Finally I decided, if that's the way she wants to say it, that's what she is going to get. I just made sure that what she was saying made some reasonable kind of sense. She was also notorious for changing her mind half a dozen times in a single sentence, and for not reading her reports before approving them. She once dictated a hysterosalpingogram (test to see if the fallopian tubes are blocked) and let the following impression go out to the requesting physician:
IMPRESSION: Bilateral tubal pregnancy.
instead of
IMPRESSION: Bilateral tubal patency.
(No, I didn't type it!)
Depends if it is a verbatim account. You can do it the way you have it or if he actually used the wo
Subject: Depends if it is a verbatim account. You can do it the way you have it or if he actually used the word "as" 93 then it could be 100-7 as 93 or just minus equal signs. Depends on your client.
Again depends on account; don't think MQ ever uses the symbol. nm
Subject: Again depends on account; don't think MQ ever uses the symbol. nm
nm.
depends on whether your account is verbatim (sm)
Subject: depends on whether your account is verbatim (sm)
It's slangy, but depending on the account, I might or might not edit.
I guess it depends on your account. sm
Subject: I guess it depends on your account. sm
I have always typed it RBCs per high-power field.
Depends on whether the account requires verbatim sm
Subject: Depends on whether the account requires verbatim sm
If they don't, I would change the tense to whatever is the norm for that account or that doctor.
If they do require verbatim, I would type it verbatim but let the QA preson know that the doctor had shifted tenses.
But that's just me....
they are the same.My doc mostly says drawer. Maybe depends on your account preference
Subject: they are the same.My doc mostly says drawer. Maybe depends on your account preference
I use tib-fib, but I would say it depends on the account. Some verbatim accounts do not like abbrevi
Subject: I use tib-fib, but I would say it depends on the account. Some verbatim accounts do not like abbreviations, others want it strictly verbatim. The rest seems appropriate to me, but I would say it is dorsiflex the ankle.
Depends on the type of letter
Subject: Depends on the type of letter
If it is business correspondence, I would use the person's "official" first name. If it is a personal letter, I would use the nickname.
If you're not sure, I would advise leaving it blank.
JMHO
Usually depends on the type of report
Subject: Usually depends on the type of report
While account specifics vary from hospital to hospital, I don't think I've had a hospital with an H&P that didn't require that you separate out the headings; discharge summaries, on the other hand, are usually allowed to be in paragraph form, and consults are a toss-up. Clinic/office notes are totally a matter of account specifics. When you get into specialty clinics, they sometimes break it down even further; i.e., an ENT doctor may separate out HEAD: EYES: EARS:, etc., and a neurologist may do MENTAL STATUS: CRANIAL NERVES: STRENGTH: REFLEXES, etc. However, in most cases, if the doctor uses headings in an exam for some of the systems/body parts, you usually are to use the appropriate ones for all; as noted, though, that is dependent on account specifics.
on my account can only type PRN, no periods. sm
Subject: on my account can only type PRN, no periods. sm
Everything can't come from the BOS. Some things we do have to 'wing it' so to speak. I have a verbatim account and can only type PRN, no periods, all caps, so that's how it would be done. P.r.n. Tylenol doesn't look right, so I would have to put it PRN Tylenol.
it would depend on what type of an account you are
Subject: it would depend on what type of an account you are
working on. and your company specifics. if its verbatem..then you put the word "hour" whenever the dictator dictates it. if he just says something like "time seen...0600 hours" then:
TIME SEEN:
0600 hours.
Even if it is a nonverbatim account, you type
Subject: Even if it is a nonverbatim account, you type
x
I type CT head all the time but I guess it depends sm
Subject: I type CT head all the time but I guess it depends sm
on the sentence and client's preferences.
If you are on a verbatim account, type exactly what is dictated.
Subject: If you are on a verbatim account, type exactly what is dictated.
If you sense a discrepancy, you can flag it for your QA department.
I am on a verbatim account so I have to type it either way it is dictated L4-L5 or L4-5. As far OB/G
Subject: I am on a verbatim account so I have to type it either way it is dictated L4-L5 or L4-5. As far OB/GYN, G2, P3 or gravida 2, para 3 means with the 3-0-0-2: 3 live births, 0 preterm births, 0 miscarriages, 2 living children
Depends on what ports you have on laptop and type of cable you have on the screen...sm
Subject: Depends on what ports you have on laptop and type of cable you have on the screen...sm
If you have the matching ports and cables, I believe you can do this. I use my regular sized kb on my daughter's laptop all the time. Should be the same concept? If your screen has a usb cable, plug it into the laptop usb port. The laptop should recognize the new hardware and "install" it.
If you have a parallel port, the kind with the prongs that insert into the tower and then screws to tighten, you may have to install a parallel port into your laptop. Don't know if this is as easy to do as on a desktop or not.
That's the way I type it when the account is verbatim. Otherwise, you could correct to incised an
Subject: That's the way I type it when the account is verbatim. Otherwise, you could correct to incised and
type "the year" if it is a verbatim account.
Subject: type "the year" if it is a verbatim account.
SHE'S BEEN AN MT FOR ONLY 6 MONTHS!! SM
Subject: SHE'S BEEN AN MT FOR ONLY 6 MONTHS!! SM
I think you're jealous because she is getting help. She did the actual transcription herself. I didn't listen to it. If you had read my posts, and obviously you did not, I referred her to some references that would help her. I prefer books rather than links for many, many reasons.
As far as breaches in confidentiality, I don't know who NewbieMT is, where she lives, even if she is a "she," or where her account is. There is no telling by the document she presented for help. She was careful to not even leave dates of admission or discharge. Her report was presented such that it was totally untraceable, unrecognizable as far as identifying an individual, and completely generic. I give her a lot of credit for that. She has a lot of sense.
BTW, your posts are atrocious in grammar, punctuation and syntax. Tacky, tacky Stapler. I think you should focus on your own back yard.
What her QA is or is not doing is none of your business, nor mine. You didn't read older posts, and are just speaking out of an orifice. Newbie asked for help, and she got it. I don't bother with (so-called) MTs who don't give a flying you-know-what. I don't even answer their posts when it's something they could easily look up. See for yourself. I wouldn't waste my precious free time on someone who didn't care, who was out only for the money. This gal is good, and deserves a hand under the elbow THAT WE ALL HAD WHEN WE WERE LEARNING. Have you forgotten, or did you malign the people who tried to help you when you were learning?
You're not going to win this argument, so back off. If this newbie, or any other newbie (or even a not-so-newbie) wants my help, they're going to get it.
BTW, You ARE flaming. I've read some of your posts on other boards, and you are trouble. Leave this newbie alone. She's doing great and obviously is working hard.
"one does for themselves?" Really, now.
s/l ar vay in two months
Subject: s/l ar vay in two months
This is a new account. Under plan he say s/l "ar vay" in two months. We will do a stress test.....
Months ?
Subject: Months ?
Followup in 3 and a half months with A1c prior.
or
Followup in 3.5 months with A1c prior.
Which one is acceptable? Unsure.
|
