i would not use a comma. the "and" is the connection for two complete thoughts or statements.

• Cannot find punctuation rule in AAMT BOS - aa
  • I was told NEVER to use a comma prior to the word that..sm - ks
    • That is kind of what I figured.. - aa
  • No - ml
    • Excellent - aa
  • i would not use a comma. the "and" is the connection for two complete thoughts or statements. - me
    • Please see message - aa
      • i really am not sure. i would not use a comma. - me

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The poster should not make such blanket statements.  I totally agree with you. 

Also, the ones who went through therapies (psychological, primal, gestalt, rolfing, et al, ad nauseum) NEVER get high blood pressure, I promise you that!!!!  They have learned how to *deal* and not internalize everything in life.

The poster, instead of giving free, unsolicited, generalized, and unprofessional advice (and as a probable nonmedical person, rather a paraprofessional one - one who works besides and along side the professionals, such as ourselves, MTs and coders) should, instead, I suggest, read Dr. Arthur Janov's book The Primal Scream from the 70s which would help anyone who struggles (and since we ALL struggle in the life, a good book for all!!).  That book changed my life 30+ years ago, and if I could change - I think ANYBODY could.  *lol*

I believe if one *gets it all out*, there would be no high blood pressure, and there's my free, unsolicited, generalized advice. 

That's what I kept finding in doing my research, but like I said that guy needs to speak clearer English......but I guess that would be too easy.  Ha-ha!

Thanks for verifying what I had put down.  I will get this some day, but I am new and just learning.  Thanks for bearing with me.

First to address the issue of subcu - Joint Commission created a list several years ago that deals with this wording - and JC trumps BOS.  From Joint Commissions List of Dangerous Abbreviations:

Abbreviation: S.C. or S.Q. (for subcutaneous)

Potential Problem:  Mistaken as SL for sublingual, or "5 every"

Preferred Term:  Write "Sub-Q", "subQ", or "subcutaneously"

As far as what the man was trying to express to you was his opinion that truncated words (partial words used to express a complete word) should be avoided.  Trach is not a word.  Trachea, tracheostomy, etc., are words.  Alk is not a word.  Alkaline is a word.  There are also lab and other words that are commonly acceptable in their abbreviated form, such as INR, CPAP, MRI, etc.

There are acceptable abbreviations of certain words that are commonplace.  For example, lab is widely accepted to represent laboratory.  Exam is acceptable to represent examination.  HIV is another example.

If you understand the difference between the use of an abbreviation and avoiding the use of truncated words, your work will reflect a much clearer intent of the dictation.

Your company needs to decide which side of the fence it wants to sit on, and it appears there may be some changes in your QA future.  If this man is in charge of QA and you want to continue working there, you might want to begin taking note of what he is saying.