using mg for "Zofran 4 mg" isn't an issue, I just question it's dictated as
Posted By: vn on 2009-04-20
In Reply to: Most places want mg abbreviated, as - jd
Subject: using mg for "Zofran 4 mg" isn't an issue, I just question it's dictated as
"4 mg of Zofran"
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This is not a BOS issue ...
Subject: This is not a BOS issue ...
... where there are mistakes, but an English grammar issue. Since most companies use the BOS as a guide, though, if QA says to do it with "was" unless you want to get points off, use "was."
In English, if you have a plural (5 mL) expressing measurement, quantity, etc., that plural subject is considered a single unit, not 5 separate mL.
The grammar link you provided was a different thing entirely. It was talking about "each" I believe. I really didn't get how that applied, but maybe I missed something.
Just trying to help out.
It's a "preference" issue (sm)
Subject: It's a "preference" issue (sm)
In Dorland's, "venostasis" gives you "venous stasis" as a definition. It refers you to another term, rather than just giving you the definition right there, which is an indication that Dorland's finds venous stasis preferable to venostasis, although it allows that they mean the same thing.
Stedman's entry for venostasis simply gives you a synonym, which is "phlebostasis." Upon looking that up, you find two definitions. First, slow motion of blood in veins, as you were using it. Second, treatment of CHF by compressing proximal veins of the extremities with tourniquets. And, it says that venostasis is a synonym for phlebostasis.
Checking phlebostasis in Dorland's, we find those same two definitions, but no mention of venostasis as a synonym.
What does this mean? You and your QA person are both correct, but probably, she just thinks venostasis looks odd, because it kind of does look odd. Usually, you see it written as venous stasis and most people say it as venous stasis.
Venostasis isn't wrong, by far, but the fact that Dorland's tells you it's venous stasis communicates that venous stasis is the more expected form.
If you show her the dictionary entries, she'll kind of have to accept that you're correct, but that still won't make "venostasis" look any better. My concern would be that clients will think it is incorrect, causing them to focus on it unnecessarily. It's often best to go with a neutral choice that won't cause excitement.
My preference would be to use venous stasis for the abnormally slow movement of blood in veins.
current not an issue?
Subject: current not an issue?
Just as you have it if that's what was dictated. If "one fourth" was dictated, sm
Subject: Just as you have it if that's what was dictated. If "one fourth" was dictated, sm
it would be 1/4 pill or one fourth of a pill.
Def an 'N' dictated - Diabetes unsure of - no PMH dictated
Subject: Def an 'N' dictated - Diabetes unsure of - no PMH dictated
ahh, it is a personal issue - then take it private!
Subject: ahh, it is a personal issue - then take it private!
XX
agree with you, but for a different reason on the ST issue
Subject: agree with you, but for a different reason on the ST issue
crashing. On the other hand, BOS says non is a word that in most cases does not need a hypen, so it does vary in many instances. Non can be combined with the word being used. Noncommental is an example, but there is no hyphenated statement following it.
Possible risk management issue
Subject: Possible risk management issue
I think the proper form would be to type it verbatim and then flag the report for possible risk management.
aaah, meant currently not an issue
Subject: aaah, meant currently not an issue
AAMT follows AMA's style guide on this issue
Subject: AAMT follows AMA's style guide on this issue
x
It's a 'per the facility' issue as both are acceptable. Just use what QA says to keep them
Subject: It's a 'per the facility' issue as both are acceptable. Just use what QA says to keep them happy. nm
s
is this a shoulder issue? Could be "ends" as in tendon ends..sm
Subject: is this a shoulder issue? Could be "ends" as in tendon ends..sm
for example, as in a labral tear of the shoulder.
She has lost some weight, but she has been reading up on s/l “pekos”, and understands the issue with
Subject: She has lost some weight, but she has been reading up on s/l “pekos”, and understands the issue with
.........insulin resistance and problems with obesity and hyperlipidemia, as well as her elevated blood pressure and so she would like to go over issues with her diet today.
The patient has a diagnosis of polycystic ovarian syndrome with glucose intolerance. Under the plan the doc again says, reviewed "pekos" in detail......
TIA!!!
We type it as dictated, if dictated
Subject: We type it as dictated, if dictated
c spine we transcribe C-spine, if cervical then cervical spine.
for PA- DICTATED BY PA's name...nm
Subject: for PA- DICTATED BY PA's name...nm
x
Dictated 427 rbc's and 58 rbc's
Subject: Dictated 427 rbc's and 58 rbc's
what was dictated; if not, do it your way...NM
Subject: what was dictated; if not, do it your way...NM
x
what was actually dictated?
Subject: what was actually dictated?
This was just also dictated under sm
Subject: This was just also dictated under sm
past surgical history, but STILL sounds like dragon pack. This is going to drive me nuts!!!!
exactly as dictated.
Subject: exactly as dictated.
x
L4-5 if that is what is dictated NM
Subject: L4-5 if that is what is dictated NM
xxx
Thanks! He only dictated one N
Subject: Thanks! He only dictated one N
Thank you!
If that is what he dictated, then that is
Subject: If that is what he dictated, then that is
what you use, even though it is usually esophagogastroduodenostomy; however, maybe duodenum has been removed so therefore could be.
Just like he dictated it.
Subject: Just like he dictated it.
x
Yes, as dictated. (nm)
Subject: Yes, as dictated. (nm)
.
I'm not sure if this is one or two drugs being dictated. SM
Subject: I'm not sure if this is one or two drugs being dictated. SM
I will refill her Armour Thyroid and her s/l modratic and estrace
or maybe it s/l modratic in estrace??? any clue what this is ???
do it, regardless if dictated differently...nm
Subject: do it, regardless if dictated differently...nm
x
Whichever way it was dictated. nm
Subject: Whichever way it was dictated. nm
x
it depends on how it is dictated...sm
Subject: it depends on how it is dictated...sm
6600 (no comma) or 6.6 if they say it that way; if they say 6.6 thousand then you give them *6.6 thousand*
give them what was dictated as the pt probably...nm
Subject: give them what was dictated as the pt probably...nm
It's okay. I'd transcribe it as dictated. nm
Subject: It's okay. I'd transcribe it as dictated. nm
/
You don't add in mg or mcg, etc. unless it's dictated. The docs know
Subject: You don't add in mg or mcg, etc. unless it's dictated. The docs know
s
lasered, as dictated
Subject: lasered, as dictated
.
SGOT dictated: 4-2-6 T: 426 or 4.26
Subject: SGOT dictated: 4-2-6 T: 426 or 4.26
SGOT dictated: 4-2-6 T: 426 or 4.26. same with SGPT dictated 1-1-9 T: 119 or 1.19
I have only used galactorrhea as dictated. nm
Subject: I have only used galactorrhea as dictated. nm
I don't think that would be it because the dr who dictated it is a urologist.
Subject: I don't think that would be it because the dr who dictated it is a urologist.
Earlier in the note, the dr said he did not get an s/l osbot or ozbot appt.
Complete hx not dictated
Subject: Complete hx not dictated
Thanks! Kept your info for future reference. Endo doc just dictated as part of hx; did not elaborate, so not sure.
Never heard it dictated but (sm)
Subject: Never heard it dictated but (sm)
I have heard of some hollistic remedies that include a clorox soak of the feet for yellow nails however normally the docs order Lamisil (terbafine hydrochloride). Just my two cents sorry I couldn't be more help.
five-way CABG if that is what he dictated. nm
Subject: five-way CABG if that is what he dictated. nm
xx
I use rule of 2-3 min. per dictated min. (nm)
Subject: I use rule of 2-3 min. per dictated min. (nm)
x
I always type it the way you have it if that's the way it's dictated. sm
Subject: I always type it the way you have it if that's the way it's dictated. sm
Of course, go by your account specifics. If you can change it, some do. I always just type what they say and it keeps me out of trouble. :)
I would just type as dictated. nm
Subject: I would just type as dictated. nm
That's all I can think of too, but the labs were not dictated.
Subject: That's all I can think of too, but the labs were not dictated.
It was most always dictated to me under abdomen.
Subject: It was most always dictated to me under abdomen.
Leave as dictated...sm
Subject: Leave as dictated...sm
I've seen them that high before. You might see transaminitis in the diagnosis or something like that.
No dosage dictated
Subject: No dosage dictated
He doesn't dictate a dosage. Only problems he had dictated were:
hematuria
benign positional vertigo
pancreatitis
Idiopathic thrombocytopenia purpura
I appreciate your help!
I would leave it as dictated,
Subject: I would leave it as dictated,
x
What was dictated just prior to that?
Subject: What was dictated just prior to that?
.
i would type as dictated.
Subject: i would type as dictated.
x
No - most likely means what he dictated. nm
Subject: No - most likely means what he dictated. nm
x
Type whatever he dictated.
Subject: Type whatever he dictated.
x
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