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

Posted By: Theresa on 2005-12-02
In Reply to: q. hour of sleep - Karen

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

xx


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


does your account follow dangerous abbrevation list?
Subject: does your account follow dangerous abbrevation list?

nm
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.


I type the abbrevation as you did
Subject: I type the abbrevation as you did

especially if verbatim account
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. 


But cc is on the dangerous abbreviations list
Subject: But cc is on the dangerous abbreviations list

Most places want you to change to mL (or sometimes even milliliters).



Wrong, b.i.d. is NOT on the dangerous list. q.d. is, though.
Subject: Wrong, b.i.d. is NOT on the dangerous list. q.d. is, though.

x
yes - they use dangerous abbreviation list
Subject: yes - they use dangerous abbreviation list


Nothing about that on dangerous abbrvns list, so keep it
Subject: Nothing about that on dangerous abbrvns list, so keep it

s
Duh! Thanks! I should have known that as I have a list of dangerous abbv. nm
Subject: Duh! Thanks! I should have known that as I have a list of dangerous abbv. nm


yes. But may be on list of dangerous abbrevs. sm
Subject: yes. But may be on list of dangerous abbrevs. sm

I used this abbrev a lot but did not do BOS.
Link for AAMT dangerous abbrevs list HTH :D
Subject: Link for AAMT dangerous abbrevs list HTH :D

Here's a link to the online AAMT Dangerous Abbreviations list. http://aamtonline.org/abbreviations.htm
We can use q.day, but q.d. must be expanded to every day or daily.
HTH!
Do you have to follow AAMT dangerous abbrevs list?
Subject: Do you have to follow AAMT dangerous abbrevs list?

We have to change 'cc' to 'mL' in nearly every instance now :( because that's listed on the AAMT Dangerous Abbreviations list. Were you able to keep it '2 cc' as above?
Just curious whether that's becoming the standard. (seems to me that most of those 'dangerous abbreviations' would only cause confusion if they were written, not when typed/transcribed...)
You'll have to search for the dangerous abbreviations list to see, but ultimately
Subject: You'll have to search for the dangerous abbreviations list to see, but ultimately

s
Med help please s/l Basorate 0.85 units per hour--just listed in med list.
Subject: Med help please s/l Basorate 0.85 units per hour--just listed in med list.


Is this drug for the sleep study or in a list of drugs?
Subject: Is this drug for the sleep study or in a list of drugs?


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

type it according to the list, then
Subject: type it according to the list, then

nm
In medication list, doc says L-thyroid...how do I type this?
Subject: In medication list, doc says L-thyroid...how do I type this?


Preferred abbrevation
Subject: Preferred abbrevation

What is the preferred way to abbreviate C-PAP?


abbrevation for meters per second?
Subject: abbrevation for meters per second?

Thanks.
Since I am unable to type today, here is the OB/GYN abbrev list for you. sm
Subject: Since I am unable to type today, here is the OB/GYN abbrev list for you. sm

http://www.healthsystem.virginia.edu/internet/obgyn-clerkship/UVA/Abbreviations.cfm
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)


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
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 :-)
Pt list of drugs s/l "thy a do laj" 120 micrograms p.o. q.d. Problem list in message. sm
Subject: Pt list of drugs s/l "thy a do laj" 120 micrograms p.o. q.d. Problem list in message. sm

1.                    Dementia of undetermined etiology.


2.                    Hypothyroidism.


3.                    Osteoporosis. 

History of depression. 
In list of meds...Full bee 1 tab q.a.m. sm for problem list :)
Subject: In list of meds...Full bee 1 tab q.a.m. sm for problem list :)

1.                    Diffuse Lewy body disease mixed with Alzheimer’s disease.


2.                    Generalized anxiety disorder.


3.                    Benign prostatic hypertrophy.

4          Gastroesophageal reflux disease. 
Med list, s/l mylar? drops. No context as in list only. Tx. nm
Subject: Med list, s/l mylar? drops. No context as in list only. Tx. nm

xx
and the reason it's on the dangerous...sm
Subject: and the reason it's on the dangerous...sm

abbreviation list is because h.s. (hour of sleep) is confused with half-strength.  *S*
how do you write Z-pac? also is qid a dangerous
Subject: how do you write Z-pac? also is qid a dangerous

abbreviation?


This is a dangerous abbreviation and should be
Subject: This is a dangerous abbreviation and should be

changed to "at bedtime" but if it is an office note or you don't have to worry about that, it does not need the space after the q. -- q.h.s.
used to be IU/mL but JCAHO says dangerous
Subject: used to be IU/mL but JCAHO says dangerous

international units per mL
Dangerous abbv?
Subject: Dangerous abbv?

I believe the list of dangerous abbreviations says not to use "&" symbol, but to use "and." D&C should be D and C; O&P should be O and P, etc. Not sure if I'm remembering this correctly.

Does anyone know if this sounds correct? Thanks.
It's not a dangerous abbreviation (sm)
Subject: It's not a dangerous abbreviation (sm)

but some platforms do not support symbols like the "&" sign and so you might not be able to type it. On my employer's platform I can't type it or it will cause an error when the report is being sent.
Per BOS - it is "nightly." Look in dangerous
Subject: Per BOS - it is "nightly." Look in dangerous

x
dangerous abbreviations
Subject: dangerous abbreviations

Now please do not flame me for asking, but I am getting confused about some of these.  The one for today is hs.  Is it used at all?  If so, is it hs or h.s.?  I thought it was not used, but substitute "bedtime", but I do not find it in BOS and on page 463 of BOS 2 it lists "BT" as to not use but substitute "hs."  Can anyone give me a definitive reply with citation of source?  Thanks.