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q.h.s. should be at bedtime or at hour of sleep due to clarity. Actually I have never seen q. hs bef

Posted By: MT50 on 2008-01-15
In Reply to: Please help...q.hs or q.h.s or... - lessMT

Subject: q.h.s. should be at bedtime or at hour of sleep due to clarity. Actually I have never seen q. hs before.




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I would type q. hour of sleep or at bedtime, q.h.s. is on the dangerous abbrevation list.
Subject: I would type q. hour of sleep or at bedtime, q.h.s. is on the dangerous abbrevation list.

xx
No. Clearly trazodone. Taking at bedtime to help with sleep.. nm
Subject: No. Clearly trazodone. Taking at bedtime to help with sleep.. nm

x
q. hour of sleep
Subject: q. hour of sleep

How do you type q. hour of sleep?
q. hour of sleep
Subject: q. hour of sleep

I e-mailed AAMT with this same question about a month ago.  Their response to me was as follows:


"He may be dictating "hour of sleep" because he expects you to use the abbreviation h.s. However, this particular abbreviation is on the Dangerous Abbreviations List, and we are encouraged to transcribe this as either "nightly" or "at bedtime." If the dictator questions you about this, you can show him the appendix in your Book of Style or refer him to the Dangerous Abbreviations List under Patient Safety Goals on the JCAHO web site (www.jcaho.org)."


The actual Latin conversion for q.h.s. is every hour of sleep, but I go by the client profile for th
Subject: The actual Latin conversion for q.h.s. is every hour of sleep, but I go by the client profile for the facility that I transcribe, some want at bedtime, some do not clarify, some want at hour of sleep.


1/2-hour or one-half hour......
Subject: 1/2-hour or one-half hour......

Help....my brain is not working today!


 


That should be s/l NOT medical sleep (I need sleep)
Subject: That should be s/l NOT medical sleep (I need sleep)


Clarity
Subject: Clarity

Could you put the word in the context of the sentence for me?
Here is what I would do for clarity:
Subject: Here is what I would do for clarity:

...mixture of 2 mL of 2% Xylocaine and 1 mL of 40 mg/mL of Depo-Medrol.


But that's just me.  Others may have other opinions.


 


Yep, done for clarity, thank goodness! Now if they'd only
Subject: Yep, done for clarity, thank goodness! Now if they'd only

s
I have always typed it out for clarity.
Subject: I have always typed it out for clarity.


Either is correct, but 14,800 makes for better clarity. nm
Subject: Either is correct, but 14,800 makes for better clarity. nm

s
For clarity, trailer zeroes are acceptable in
Subject: For clarity, trailer zeroes are acceptable in

glasses have adds like
-2.00, +3.25, and it is required to use them to show how to dispense the prescription.
I type things like that with a "to" for clarity etc. nm
Subject: I type things like that with a "to" for clarity etc. nm


I do it this way for clarity, too. Forget where the docs want paragraphs! Lots of
Subject: I do it this way for clarity, too. Forget where the docs want paragraphs! Lots of

s
sorry, it's bedtime....
Subject: sorry, it's bedtime....

should be intraosseous :)
bedtime
Subject: bedtime

It states in the AAMT Book Style to use "nightly", but I recd QA feedback that this was wrong. 
I use bedtime
Subject: I use bedtime

Every hour of sleep is translation for qhs despite BOS having it as nightly. Maybe your QA was a latin scholar!! If it was something like Ambien, maybe they considered it wrong because you would take that at bedtime and not just some time at night?
s/l Qualiquin at bedtime
Subject: s/l Qualiquin at bedtime

doctor prescribed s/l Qualiquin (?) at bedtime (for a 76-year-old pt with shortness of breath, hypertension, diabetes, etc.)  Thanks for any help.


q.h.s. = at bedtime........not nightly...
Subject: q.h.s. = at bedtime........not nightly...


yes, as well as Seroquel at h.s. (bedtime)?? thanks
Subject: yes, as well as Seroquel at h.s. (bedtime)?? thanks


at bedtime or nightly
Subject: at bedtime or nightly


a.c.=before meals and h.s.=at bedtime nm
Subject: a.c.=before meals and h.s.=at bedtime nm


"a.c." before meals and "h.s." at bedtime...sm
Subject: "a.c." before meals and "h.s." at bedtime...sm

My employer considers a.c. a "dangerous abbreviation" and we have to use "before meals".
h.s. means at bedtime
Subject: h.s. means at bedtime

That might be part of it.


med s/l dosoxisin or s/l dosoxiphine 4 mg at bedtime. TIA nm
Subject: med s/l dosoxisin or s/l dosoxiphine 4 mg at bedtime. TIA nm

x
medical list - s/l DIGINAL 400 mg at bedtime.
Subject: medical list - s/l DIGINAL 400 mg at bedtime.

He only says to take it for two weeks every three months.  No diagnosis is given in the dictation. 


bellergal-S at bedtime-I feel foolish
Subject: bellergal-S at bedtime-I feel foolish


Patient will start s/l prom-a-pin 2 mg at bedtime. SM
Subject: Patient will start s/l prom-a-pin 2 mg at bedtime. SM

Patient has abdominal pain and insomnia.  Thanks :-)
1/2-hour.
Subject: 1/2-hour.

nm
that should say 24-hour
Subject: that should say 24-hour

/
i would think it says 24 hour UA
Subject: i would think it says 24 hour UA

...
h. for hour
Subject: h. for hour

I would say follow the rules of the company on using q. 4 h. or not. I would also ask tech support or training (if you have it) about the capital letter after a period.
second one was clock hour
Subject: second one was clock hour


Is it a baby or someone in CHF? We used to run IVs at 100 or 125 cc per hour in the hpl. nm
Subject: Is it a baby or someone in CHF? We used to run IVs at 100 or 125 cc per hour in the hpl. nm

s
Regarding letter h (hour) per BOS...please sm

Letter h. (with a period) is the abbreviation for the Latin word hora, meaning hour.


q.6 h. (every 6 hours)


In instructions for medications, Latin abbreviations may be coupled with English terms, such as hour. These may be transcribed as dictated or the English translated to Latin.


every 4 hours or q.4 hours or q.4 h or q.4 h Copyright (c) 2002 American Association for Medical Transcription.  So does this mean we can do the q.4 h without the period at the end of h, because I am constantly having to remove capital letters from words following the h with a period.  Thanks.


THANK YOU I'm glad someone is up and able to help at this hour! I think that might be it, ,but I
Subject: THANK YOU I'm glad someone is up and able to help at this hour! I think that might be it, ,but I can't convince myself. It's repeated several times and each time is a little different. nm

x
Duragesic 12 mcg q. hour, q. 3 d. #10
Is q. hour (or q.h.) correct. Wouldn't that be "every hour"?
10 KCL per kilo per hour
Subject: 10 KCL per kilo per hour

10 mEq/kg/hr


Row checks every hour?
Subject: Row checks every hour?

This is for a patient brought into emergency after a roll over motor vehicle accident. He has a subdural hematoma and the RN states he was given what sounds like "row checks" every hour.  I am not familiar with ER procedures- can anyone interpret this for me? 
24-hour urine test... sm
Subject: 24-hour urine test... sm

Possible islet tumor in the head of the pancreas. 


Her 24-hour urine for ***BMA*** was normal. Her 24-hour urine for 5HIAA was normal. Her 24-hour urine for cortisol was normal. Her 24-hour urine for normetanephrine and metanephrine was essentially normal.


I cannot verify this or find anything close to this.  Can anyone help??


s/l ROTH HOUR TA SPOTS
Subject: s/l ROTH HOUR TA SPOTS

She had AV nicking on funduscopic exam, no hemorrhages or exudates or s/l Roth hour TA spots.


 


Later on in the report says...


She had no splinter hemorrhages or s/l J way nodes.


 


Thank you Deborah


ൠ-hour intake" maybe? NM
Subject: ൠ-hour intake" maybe? NM


I did type 23 hour observation. Really. See ref again.
Subject: I did type 23 hour observation. Really. See ref again.

Coding and Documentation - March 2001 Family Practice Management



Q: If I admit a patient for "23-hour observation" and then it is necessary to convert that to a regular admission at the 24-hour mark, what code should I ...
www.aafp.org/fpm/20010300/coding.html - 22k - Cached - Similar pages

Pt was given s/l Clinomix 30 mL per hour intravenous. TIA
Subject: Pt was given s/l Clinomix 30 mL per hour intravenous. TIA


Have one for me I have another hour... Happy Thanksgiving !
Subject: Have one for me I have another hour... Happy Thanksgiving !


2-hour s/l p.c. or PC glucose. Which is correct? nm
Subject: 2-hour s/l p.c. or PC glucose. Which is correct? nm


how to abbreviate miles per hour
What is the correct way to abbreviate miles per hour in a medical report? Is mph ok?


welcome- now get some sleep!
Subject: welcome- now get some sleep!


YES, I must need more sleep. Thanks!! nm
Subject: YES, I must need more sleep. Thanks!! nm


Thank You - I really need some sleep!
Subject: Thank You - I really need some sleep!