sounds like he could be referring to a specific date....
Posted By: SDGal on 2007-10-14
In Reply to: Does this make sense? - newbie
Subject: sounds like he could be referring to a specific date....
As in, last *episode of this headache* Maybe he meant last headache was on March 6, 2007 (3/6/07) ???
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Sounds like he was caught not being specific enough.
Subject: Sounds like he was caught not being specific enough.
You should have been given account specific pages that explain what is expected. Nobody really knows what verbatim means until account specifics are spelled out. He needs to take a chill pill and put his expectations in writing, get approval from his supervisor, then run those specifics by the contact for the account. Otherwise all the MTs will change what they are doing and somebody at the hospital will object and then you'll have to change the way you do things AGAIN! JMO.
EDD = estimated date of delivery, EDC = estimated date of confinement sm
Subject: EDD = estimated date of delivery, EDC = estimated date of confinement sm
I have never heard "estimated time of delivery" but I assume that would be ETD.
Could he be giving a date? 8/15 maybe?
Subject: Could he be giving a date? 8/15 maybe?
How about expected date
Subject: How about expected date
as in EDC, expected date of confinement.
it's post-date
Subject: it's post-date
or post-dates --- past due.
It is a date. You don't spell those out. Even
Subject: It is a date. You don't spell those out. Even
if it is a quote, it is a date, 10/30/2008.
In date of injury?
Subject: In date of injury?
Sounds like he is saying -- The patient is 6 weeks status post s/l in date of injury. TIA.
I put a comma around the date:
Subject: I put a comma around the date:
LAD test, 11/20/08, etc.
post date
Subject: post date
if the patient delivered after due date.
Phyllis, look below, Jerson wants a date
Subject: Phyllis, look below, Jerson wants a date
/
If the date, May 10th is the last of the sentence,
Subject: If the date, May 10th is the last of the sentence,
then use the "th."..such as, The patient was last seen on May 10th. However, if the date falls within the sentence, such as, On May 10, the patient underwent reconstructive surgery.
EDC - expected date of confinement -NM
Subject: EDC - expected date of confinement -NM
sure that's not 10/2005 as in date of procedure?
Subject: sure that's not 10/2005 as in date of procedure?
Figured out she's giving the date of the PT/INR 01/18/08
Subject: Figured out she's giving the date of the PT/INR 01/18/08
Thinking along this line, too, with a procedure date of 1/10. nm
Subject: Thinking along this line, too, with a procedure date of 1/10. nm
s
probably just status post date of injury? nm
Subject: probably just status post date of injury? nm
xx
put the date between commas and 1 comma after ' noted'...sm
Subject: put the date between commas and 1 comma after ' noted'...sm
X-rays available from an outside source, dated 02/20/2009, indicate (indicate, not indicates!) joint effusion of the elbow with a fracture of the left humerus lateral epicondyle noted, anterior and superior displacement of the fracture fragment. Proximal radius and ulna appear to be intact.
no specific ST-T changes
Subject: no specific ST-T changes
should have been more specific
Subject: should have been more specific
It was just in the middle of a list of meds. No doses at all.
If they are looking for something specific,
Subject: If they are looking for something specific,
they will run strips for various lengths of time.
I mean specific.
Subject: I mean specific.
nm
Specific gravity 1.015.
Subject: Specific gravity 1.015.
specific gravity.
Subject: specific gravity.
nm
I would think yes since it is a specific division. IMO. nm
Subject: I would think yes since it is a specific division. IMO. nm
nm
This could be a form specific to the
Subject: This could be a form specific to the
facility being called by the abbreviation.
Do not cap. Cap only if it is a specific clinic, name given....nm
Subject: Do not cap. Cap only if it is a specific clinic, name given....nm
nm
It may be account specific -- but
Subject: It may be account specific -- but
on my accounts, we are not to abbreviate any medications, including epi, so I expand it.
Yes, the suspicion is there for a specific
Subject: Yes, the suspicion is there for a specific
x
I don't know if it is state specific or not,
Subject: I don't know if it is state specific or not,
I transcribe for clinics in Oregon and transcribe it as Workers' Comp as this is the way the state refers to it (Oregon Workers' Compensation Division).
1,022 is specific gravity, 5 is pH - nm
Subject: 1,022 is specific gravity, 5 is pH - nm
sorry - 1.022 is specific gravity, 5 is pH - nm
Subject: sorry - 1.022 is specific gravity, 5 is pH - nm
Non-specific cervicitis ?
Subject: Non-specific cervicitis ?
It is probably a dept name specific to
Subject: It is probably a dept name specific to
x
It's probably facility specific
Subject: It's probably facility specific
It's possible this is the name of a facility or something that is specific to the account you're typing. You might see if the hospital has a web page and go there and look under services/programs, and see if there is a TLC listed there.
It really could be anything. My first thought was transitional long-term care, but given that they're on pressors, that's usually not the kind of drug they send you to a SNF with.
can you be more specific? what part of exam?--sm
Subject: can you be more specific? what part of exam?--sm
what part of body is being examined? give the sentence it is in, please. Help us so we can help you.
thanks.
Not unless it is the specific name of an institution for care.
Subject: Not unless it is the specific name of an institution for care.
Specific gravity question
Subject: Specific gravity question
Been out of commission for a year or so, so have a question about how the number would be typed. If a doctor says "specific gravity 1015" how would that number be typed out. Just a little confused on where to put the decimal.
Found out it was client specific. Thanks anyway.
Subject: Found out it was client specific. Thanks anyway.
nm
Yep, in certain cases and specific activities.
Subject: Yep, in certain cases and specific activities.
x
Perhaps you have a client specific instruction there.
Subject: Perhaps you have a client specific instruction there.
Per the ISMP, JCAHO, and the BOS, "nightly" should transcribed when qhs is dictated.
http://www.usp.org/pdf/EN/patientSafety/ismpAbbreviations.pdf
prostate specific antigen?
Subject: prostate specific antigen?
I would agree with that if there hadn't been a specific
Subject: I would agree with that if there hadn't been a specific
dosage noted - that leads me to believe it's something the patient is taking.
It's likely hospital specific or the name of a local SNF. n/m
Subject: It's likely hospital specific or the name of a local SNF. n/m
If your account doesn't have specific rules about it, sm
the correct way would be to write it out in full (Escherichia coli) whether or not it was dictated in full. Then, if the dictator says E. coli after that, then it is correct to transcribe it that way. If the dictator says it in full the next time, then transcribe it in full. Check your account's guidelines for their preference.
urine specific gravity is ten thirty?
Subject: urine specific gravity is ten thirty?
How do I type this value? Thanks!
My QA likes KCl if specific poss chloride is not
Subject: My QA likes KCl if specific poss chloride is not
x
Ask your QA for this probable client-specific information. nm
Subject: Ask your QA for this probable client-specific information. nm
x
Can find other Bechert eye tools, but not your specific one. nm
Subject: Can find other Bechert eye tools, but not your specific one. nm
s
It's probably something specific to that hospital/facility. Ask your QA or Google the
Subject: It's probably something specific to that hospital/facility. Ask your QA or Google the
s
Thanks for the help:) Sorry I could not be more specific I only had pt. hist. of sinus problems.
Subject: Thanks for the help:) Sorry I could not be more specific I only had pt. hist. of sinus problems.
No ear exam was specified. But you found the answer I needed and I appreicate it, thanks again.
I don't get all the drama anyways?!! Don't the ear,nose and throat go together?
It is q.4 h. - I have to type q.4 hours, client's specific...nm
Subject: It is q.4 h. - I have to type q.4 hours, client's specific...nm
nm
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