I worked for an orthopedic clinic and their
Posted By: kt on 2008-10-14
In Reply to: Is it L2-L3 or L2-3? - Joanne Sears
Subject: I worked for an orthopedic clinic and their
preference was L2-L3.
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sorry, it's not the leukemia clinic. It's the lymphoma/myeloma clinic. I'm still stumped!
Subject: sorry, it's not the leukemia clinic. It's the lymphoma/myeloma clinic. I'm still stumped!
when I worked
Subject: when I worked
at a hospital in-house, they required 4-year-10-month-old...
Where I have worked, this has been
Subject: Where I have worked, this has been
called a dangerous abbreviation or a doctorism (or nurse practitionerism) or something like that. How to handle it is often account specific, but I would always type out the words three times weekly or else 3x a week, or something that couldn't be misunderstood like that.
everywhere I have worked it is x2.
Subject: everywhere I have worked it is x2.
x
I once worked for a national that had such bad QA, sm
that I emailed the supervisor requesting that any document of mine that QA made "alterations," that that QA person's initials be placed alongside mine on the report. Hopefully, I made my point.
What's the patient being worked up for? nm
Subject: What's the patient being worked up for? nm
s
Don't think so, but what condition is being worked up? nm
Subject: Don't think so, but what condition is being worked up? nm
s
woo hoo! glad it worked!
Subject: woo hoo! glad it worked!
...especially before you hit the "send" button!
Not where I've worked
Subject: Not where I've worked
The places I work at make it real clear. If the doctor states Synthroid 100 mg and you type it and leave it that way, that is a patient care error which is the highest number of points I've ever seen taken off. We have to have 98% or above accuracy and if you mess up and drop below that, you either get correction action (at one place) or get 5% of your pay reduced (at current place). Now I agree with you that it shouldn't be that way. My sister-in-law is a nurse and is appalled that we have to do that since we are not in the chain of responsibility regarding medication distribution. Unfortunately, at least where I've worked, we are responsible for knowing all meds and proper dosages which is why my former employer gives Quick Look to all its employees.
That question has come up everywhere I have worked, and -- sm
Subject: That question has come up everywhere I have worked, and -- sm
... the consensus, across the board, has always been to use KCl unless specifically told by the dictator in some way that the other was intended (which, so far, has never happened in my experience).
On the other hand, lots of our dictators routinely say s/l "cipro" and we always give them Cipro as a result, but I suspect that many of them intend ciprofloxacin and are just doing their lazy thang....
So go figure.
What has worked for me over the years - sm
Subject: What has worked for me over the years - sm
I use all the methods the other poster suggested. I also begin thinking to myself "what could he/she be saying" here that would fit in with the context? Can I actually hear anything that is pertinent? Think in terms of what is being done to the patient, would they have a reason to be using a particular med, technique, test, whatever. You sometimes just cannot make sense out of garbage no matter what methods you use and even QA will give them big, fat blanks.
Huh? I worked for an osteophathic doc for 11 years
Subject: Huh? I worked for an osteophathic doc for 11 years
Who specialized in osteopathic manipulative treatment and I've never heard of "pub".
Does dictator pronounce it "pube" as in "tube" or "pub" as in "let's go get a pitcher of beer? :)
I worked on an account that wanted us to use pus-like, but you are right. nm
Subject: I worked on an account that wanted us to use pus-like, but you are right. nm
xxxx
I can only speak for the ones I've worked for...
Subject: I can only speak for the ones I've worked for...
Only 1 company wanted "disc". The rest wanted "disk".
I worked in insurance for 8 years before being an MT and.....
Subject: I worked in insurance for 8 years before being an MT and.....
We were told it was Worker's Comp. That was the way the insurance company I worked for at the time wanted it. I think it is just a matter of preference.
April - I was the exact same but worked a dept....
Subject: April - I was the exact same but worked a dept....
I worked in radiation oncology and then helped develop surgical oncology for a local hospital all during the 80s and got very familiar with all the terminology (but admit that I have trouble with all the new combo drugs that are always coming out).
It gets easier the longer you do it!!! 
I've worked on site with radiologists
Subject: I've worked on site with radiologists
at both hospitals and an outpatient center. AND I worked in the operating room.
So I offered the OP my best ideas, and all I got for attempting to help was sarcasm.
You're welcome. Dang.
Glad to help - worked for ENT group for 20 years!
Subject: Glad to help - worked for ENT group for 20 years!
nm
Hm, maybe he's just saying that one conversion was positive, meaning, it worked.
Subject: Hm, maybe he's just saying that one conversion was positive, meaning, it worked.
That's my best guess.
I typed it for years as 1 word, then worked
Subject: I typed it for years as 1 word, then worked
for an ortho clinic for a while and was told it was 2.
hope the link worked, it was loooong
Subject: hope the link worked, it was loooong
The companies I've worked for favor writing it out, sm
Subject: The companies I've worked for favor writing it out, sm
but it depends on if your account is strict "type what they say" and abbreviations like this are okay. I'm not in my office so I can't check BOS, but I'd bet the BOS says write it out unless you have strict rules about typing what is dictated.
Not above poster, but every place I've worked has wanted
Subject: Not above poster, but every place I've worked has wanted
s
Just comes from experience. Every job I've worked has handled it differently.
Subject: Just comes from experience. Every job I've worked has handled it differently.
s
GU History: Questionable BPH. He does have *guakisfuria**. He is being worked up for diabetes
Subject: GU History: Questionable BPH. He does have *guakisfuria**. He is being worked up for diabetes
Think it is both. I always heard repair from my husband who worked with AF guys. nm
Subject: Think it is both. I always heard repair from my husband who worked with AF guys. nm
"Ctrl, ALT, Shift" worked to switch CAPS lock OFF
Subject: "Ctrl, ALT, Shift" worked to switch CAPS lock OFF
THANK YOU.
"Ctrl, ALT, Shift" worked to switch CAPS lock OFF
Jonathan
Clinic name?
Subject: Clinic name?
I dont know if you can post it, but where is your acct at? I ask because I just googled steroid and Kleinert Kutz and it seems to be a hand care center. Might give it a try!
It would actually be the name of the clinic
Subject: It would actually be the name of the clinic
however, without a list of clinics in the area MTs have no way of knowing if it just a general term or the actual name. I always capitalize to be on the safe side, have not been told not to yet.
correct word is sourcil....another tx worked for pedi ortho doc and he spelled it for her. Thanks
Subject: correct word is sourcil....another tx worked for pedi ortho doc and he spelled it for her. Thanks
pain clinic
Subject: pain clinic
The patient is scheduled for a percutaneous s/l racks or rax procedure of the lumbar spine. Any ideas?
clinic note help
Subject: clinic note help
 Patient is accompanied by her husband today who is very concerned regarding recent symptoms of numbness and tingling in the lateral aspect of the left and right arm. ***This is been ongoing x 2 to 4 weeks.**** . is this the correct way to transcribe this? The last sentence is the questionable.... thanks for all your help!!
clinic note
Subject: clinic note
thanks for your help, I am a new MT and I am a little confused with some things. thanks again!!!
clinic note
Subject: clinic note
the doctor says "this has been ongoing times 2 to 4 weeks" i was not sure how to transcribe that.
clinic note
Subject: clinic note
Your a wonderful help!!!!
clinic note help
Subject: clinic note help
does a doctor usually use the word relay example: Patient mainly relays that she has trouble falling asleep at bedtime. 
Oops, clinic
Subject: Oops, clinic
s
Rare? Every clinic I do uses them. nm
Subject: Rare? Every clinic I do uses them. nm
nm
Pain clinic - need help with s/l - thank you.
Subject: Pain clinic - need help with s/l - thank you.
Patient has neuropathic pain and is on Lyrica and Zonegran.
"I suggest that he also try a nutritional supplement, s/l gama-lin-a-la-ic acid, for neuropathic pain."
clinic note
Subject: clinic note
Yep, it is a clinic report and the clinic does not want abbreviations spelled out. In samples of their reports I was given h.s. was never spelled out, however, I could not find one that stated q.h.s. so I was unsure of the space. Thanks for your help.
fertility clinic
Subject: fertility clinic
allow sperm cells to be placed on a hyaluronic _________.
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
No problem, worked for Urologists for 8 years so I've heard the term a time or two
Subject: No problem, worked for Urologists for 8 years so I've heard the term a time or two
:)
Secondary cause of hypertension was worked up, including s/l amurin? VMA, metanephrine,free cortisol
Subject: Secondary cause of hypertension was worked up, including s/l amurin? VMA, metanephrine,free cortisol
It's a GI clinic and it doesn't look like she has had cancer.
Subject: It's a GI clinic and it doesn't look like she has had cancer.
I
Duh on me. Go with Endocrine. Our clinic used the ROS I referenced. nm
Subject: Duh on me. Go with Endocrine. Our clinic used the ROS I referenced. nm
New to pain clinic tx - does this sound right.
Subject: New to pain clinic tx - does this sound right.
The examination of the cervical spine showed limited extension, which is painful, as well as limited lateral rotation, which is also painful. Flexion is very limited due to pain.
s/l Axillary is positive at approximately C5 on the right in the cervical paraspinous region.
It isn't very clear and really sounds more like axilony (does not s/l he's saying axial nerve). Axillary is the only thing that makes sense to me. Does anyone know if there's another possibility? Thanks :)
Pain clinic note - sm
Subject: Pain clinic note - sm
inpatient s/l catimmune infusions
I use to do an oncology clinic and they wanted it as T3 NX
Subject: I use to do an oncology clinic and they wanted it as T3 NX
Pain clinic help needed. please sm
Subject: Pain clinic help needed. please sm
In the past, patient has tried tramadol, Percocet, Vicodin, and Darvocet. She has never used an anticonvulsant, a tricyclic antidepressant, or s/l sympatholitic.
Rheumatology clinic labs ... psm
Subject: Rheumatology clinic labs ... psm
Patient is toddler who has had joint stiffness.
On initial blood tests, he had 4 IgG bands per line.
Does this sound correct? Thanks.
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