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verbatim acct help

Posted By: stumped on 2006-05-26
In Reply to:

Subject: verbatim acct help

General surgeon talking about frozen section pathologic exam of squamous cell carcinoma lesion. First frozen section came back with positive margins so he went back to excise a second specimen which he submitted S/L "on fos" with the new margin up. This is a verbatim account and this dictator is on 100% QA (all reports) since he is so SPECIAL. I referenced the other reports in his MD data base and found "en Fos" which would have been put there by QA before the report was signed off to the hospital. I can't find this anywhere and was wondering if anybody has a clue?


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my main acct is verbatim,
Subject: my main acct is verbatim,

and we are told we can change sentence structure...however, whether i'm told that or not, i correct to proper English, including tenses, etc. Verbatim is never really absolutely verbatim, no matter what anyone says. You must use common sense. The bottom line is to be careful that you never change the intended meaning.
depends on whether or not it's a verbatim acct
Subject: depends on whether or not it's a verbatim acct


Depend if the doctor says it and it is a verbatim acct.
Subject: Depend if the doctor says it and it is a verbatim acct.

x
depends, is it verbatim acct? If not, change it to
Subject: depends, is it verbatim acct? If not, change it to


I would, but I'm a rebel. Check acct. specs re verbatim. n/m
Subject: I would, but I'm a rebel. Check acct. specs re verbatim. n/m


Once again, just me, but if it is not verbatim I would type out hematocrit, if verbatim "give it
Subject: Once again, just me, but if it is not verbatim I would type out hematocrit, if verbatim "give it to them".


verbatim is VERBATIM....bad advice he gave you.....
Subject: verbatim is VERBATIM....bad advice he gave you.....


New acct: SM
Subject: New acct: SM

Okay, been away from transcribing general practice for while.  Dictator is running a marathon here.  I have a couple of questions.


 


Patient is s/l attentionly and alert plus and cooperative. 


for the life of me I am not hearing what I want to hear...awake, alert, oriented times three.  etc. 


 


Also, in PE:  Lymphatic system s/l neither anterior and posterior cervical chain.


New doc, new acct, ideas?
Subject: New doc, new acct, ideas?

Does this sentence make sense to any of you?  This is a disability and he it sounds like he is saying jaw?  but why would that be under cardiorespiratory?


CARDIO-RESPIRATORY: He has no signs of cardiac abnormalities, no claudication, no chest pain, or numbness of the jaw. 


Could it be something else?  Please give it a try! 


New GI acct. Does anyone have any helpful links? TIA
Subject: New GI acct. Does anyone have any helpful links? TIA


Right.....it depends on the acct.....mine wants the "c"
Subject: Right.....it depends on the acct.....mine wants the "c"

xx
Only if your acct wants it changed. Not KS here, but our docs
Subject: Only if your acct wants it changed. Not KS here, but our docs

s
Thx. I am helping on new acct for holidays, and not doing too well :(
Subject: Thx. I am helping on new acct for holidays, and not doing too well :(


Depends on your acct specs. nm
Subject: Depends on your acct specs. nm

s
pin ... does your acct require you to adhere to dangerous
Subject: pin ... does your acct require you to adhere to dangerous

just asking


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


no,not verbatim. if it were, i would type it verbatim. nm
Subject: no,not verbatim. if it were, i would type it verbatim. nm

zz
If it is verbatim, then type it verbatim.
Subject: If it is verbatim, then type it verbatim.

x
s/l neruo forminal is this correct ? Sorry started a new acct today and unsure if one word or two.
Subject: s/l neruo forminal is this correct ? Sorry started a new acct today and unsure if one word or two.

x


Muffin is correct. My children's hosp. acct uses McMuffin & muffin nm
Subject: Muffin is correct. My children's hosp. acct uses McMuffin & muffin nm

nm
Verbatim
Subject: Verbatim

My primary acct is a verbatim but am allowed to make grammatical corrections as long as it does not change the meaning. One of my docs dictated *monna releaser*. After getting my laugh for the day, I typed *I am going to release her*....this one was not an ESL. Gotta getta good laugh once in a while to keep sanity....
No, it is not verbatim...
Subject: No, it is not verbatim...

I think I have come to that conclusion, also.  There is just too much for me to try to fix it all.  I'm not sure I would even know where to begin.  There is just so much garbage...  Thanks for verifying my thoughts, though.... :)


Verbatim - is it tib/fib or tib-fib ???
Subject: Verbatim - is it tib/fib or tib-fib ???


verbatim or not?
Subject: verbatim or not?


verbatim
Subject: verbatim


is it verbatim?
Subject: is it verbatim?


if its a verbatim acc...sm
Subject: if its a verbatim acc...sm

then you must write what you hear, if not, its up to you.
Verbatim - hep c.
Subject: Verbatim - hep c.

x
verbatim help
Subject: verbatim help

hi, i need help with a verbatim account. if they say "two PM" can i type 2 PM? or should i type 2:00 PM? and for dates, if they say "o eight," can i still type 2008?
yes, there should be, unless verbatim
Subject: yes, there should be, unless verbatim

xx
Verbatim 3/10 cc or 0.3?
Subject: Verbatim 3/10 cc or 0.3?

Would this be actual "verbatim" transcription or correct, per BOS? What would vertaim be when you have to type exactly what they say even if it is not proper? I think that is what the OP was asking. Now I am curious.
In verbatim account... HELP PLEASE

She is sating(satting) 98% on room air?


I want to change, but on verbatim, I suppose I'm not supposed to, right? I'm relatively new to this and not sure.


 


Verbatim account
Subject: Verbatim account

How would you type... as I have it?


ESL help..with verbatim account..
Subject: ESL help..with verbatim account..

would you type re-meet? remeet? or change to meet again... It is vebatim, but I'm not used to that yet... need seasoned advice!  Thanks!
I would write it out even if it is verbatim
Subject: I would write it out even if it is verbatim

PPD is a test for tuberculosis.  You aren't just writing a document to appease the doctor.  You are writing a legal document that many other people may want to read, including an insurance auditor or a lawyer, neither of which may have any clue what PPD means EVEN IN THE CONTEXT OF THE SENTENCE and will have no inclination to look it up.


That's just me, someone who audits physician records and slaps them on the wrists for this like this, but you do want you want.


what is so difficult about VERBATIM....
Subject: what is so difficult about VERBATIM....

x
she said verbatim -- where's the confusion??
Subject: she said verbatim -- where's the confusion??

verbatim

adj : in precisely the same words used by a writer or speaker; "a direct quotation";

--not seeing how this leaves much room for argument.
On a verbatim account, would you
Subject: On a verbatim account, would you

actually leave this sentence as is?


She puts Neosporin on it, and she reports that in the morning it looks pussy.  


 TIA for any input.


Not on verbatim--it would be PRN tylenol
Subject: Not on verbatim--it would be PRN tylenol

/
Only if the account is verbatim would I
Subject: Only if the account is verbatim would I

type 5 foot. Should be 5 feet.
mine are all verbatim *S*........nm
Subject: mine are all verbatim *S*........nm


That's unfortunately, verbatim is so unprofessional...; )
Subject: That's unfortunately, verbatim is so unprofessional...; )

x
verbatim?--gasenous?
Subject: verbatim?--gasenous?

If doc says "gasenous indigestion" and you are supposed to type verbatim, do you leave it gasenous? It's gaseous right?
Sorry, stupid question?
verbatim?--gasenous?
Subject: verbatim?--gasenous?

When typing verbatim would you commonly use a virgule like that? This verbatim thing is new to me and its got me all turned around. I cant tell if doc is saying "gasenous (meaning gaseous) indigestion" or if he is saying two symptoms the patient had, gassiness and indigestion. He says them right in a row like that.
verbatim frustration
Subject: verbatim frustration

Yes, just using Book of Style, I know the rules so that's the best I can do.
verbatim typing
Subject: verbatim typing

It would actually be "sub cu" with a space between the two, so I just learned in the last year since doing transcription for a bit over 20 years...lol..guess what it really comes down to is whatever QA thinks it should be,...but of course...she knows better than you...yeah right...NOT
It is a verbatim account so I can't add the bag ;) sm
Subject: It is a verbatim account so I can't add the bag ;) sm

He just said the patient was *ambued and could not be intibated due to facial trauma* 


So, looks like this is one of those that is up in the air and probably something to talk to company QA about? 


 


Is this a verbatim account?
Subject: Is this a verbatim account?

If not, it would make more sense like this:

It would help beneficial organisms AND commensals bacteria colonize his colon and help as a first line of protection against disease.

If not, then I would type:
It would help beneficial organisms, commensals bacteria colonozie his colon and help as a first line of protection against disease.

Since they want the beneficial bacteria and commensals bacteria to colonize his colon, there is no need for a comma before colonize.
Verbatim if that what is called for.
Subject: Verbatim if that what is called for.


If the account is verbatim, I would say OK
Subject: If the account is verbatim, I would say OK


I use it only if my account is verbatim.
Subject: I use it only if my account is verbatim.