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Patient will start s/l prom-a-pin 2 mg at bedtime. SM

Posted By: lea on 2007-10-31
In Reply to:

Subject: Patient will start s/l prom-a-pin 2 mg at bedtime. SM

Patient has abdominal pain and insomnia.  Thanks :-)


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Was there PROM or other type of infection? If not Pitocin, then maybe Kefzol for
Subject: Was there PROM or other type of infection? If not Pitocin, then maybe Kefzol for

s
might just be PROM, premature rupture of membranes. Is she early? nm
Subject: might just be PROM, premature rupture of membranes. Is she early? nm

s
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
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. 


No. Clearly trazodone. Taking at bedtime to help with sleep.. nm
Subject: No. Clearly trazodone. Taking at bedtime to help with sleep.. nm

x
bellergal-S at bedtime-I feel foolish
Subject: bellergal-S at bedtime-I feel foolish


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.


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

xx
It would start out with
Subject: It would start out with

Resumption of atenolol rather than redemption, right?


TY - I think I need to start this day over. = )
Subject: TY - I think I need to start this day over. = )


Thank you so much. I really did not know where to start looking.
Subject: Thank you so much. I really did not know where to start looking.


Okay, let's start with the first thing. sm
Subject: Okay, let's start with the first thing. sm

Can you hear "1+ swelling?"

For the second, she might have misspeaked. It looks as if she took a stool sample for Hemoccult while doing the rectal exam. I'm thinking she might be saying (or meant to say) "Stool negative for Hemoccult." Then she goes into the urine dip.




I would put C4, C5, C6 quadriplegic just as you had at the start.
Subject: I would put C4, C5, C6 quadriplegic just as you had at the start.


since when did it start being x2 with no space?
Subject: since when did it start being x2 with no space?

I have just started using this as well with my hospital "alert and oriented x4"
Is this a new rule in the AAMT book?
Sorry Strattera (I need to go to bed and start over!)
Subject: Sorry Strattera (I need to go to bed and start over!)


have no idea where to start looking

1) Abdominal discomfort, especially over the epigastrium with some radiation to the upper chest.  Differentials include gastric etiology such as reflux disease, gastritis, (s/l wildair, wild bear, wilder) disease and a remote possibility of cardiac etiology.  


I really can't find anything close to this one.  Can you help?


In your dictionary, start with phal -
Subject: In your dictionary, start with phal -

x
It is great. you can just start typing a name
Subject: It is great. you can just start typing a name

in the search and pause, and a list pops down instantly. How quick is that?

Thank you!
Just start the sentence with "Vicryl 4-0." nm
Subject: Just start the sentence with "Vicryl 4-0." nm

x
Debbie, you don't need to start a new thread sm
Subject: Debbie, you don't need to start a new thread sm

each time you add something to a former post. Just "post quick reply" under the thread you wish to clarify or comment.
debbie-you don't have to start new thread for same
Subject: debbie-you don't have to start new thread for same


medication: start chlor-fal-don 100 mg per day.
Subject: medication: start chlor-fal-don 100 mg per day.

chlor-fal-don 100 mg per day with potassium 20 mEq per day. 
Psych pt on s/l "ditalozam". Definitely a "d" start. nm
Subject: Psych pt on s/l "ditalozam". Definitely a "d" start. nm


Since they start out on the left side,
Subject: Since they start out on the left side,

I don't think this is logical. They start at the rectum, then meet the sigmoid (left colon), next transverse, then right (descending) colon, then cecum last.

But I'd be more comfortable with the term rigid sigmoidoscope than colonoscope. No way can a rigid instrument get all the way around, right?
I am not positive that it is, but I thought it was a start.
Subject: I am not positive that it is, but I thought it was a start.


Never in my experience unless at start of a sentence. nm
Subject: Never in my experience unless at start of a sentence. nm

s
Thank You!! (gives me a good place to start)
Subject: Thank You!! (gives me a good place to start)


Here is the physical for for Head Start
Subject: Here is the physical for for Head Start

It is very short. Lead and HCT or HBG are the things assessed for. I would take a second listen to it and see if you hear lead.

http://www.davis.k12.ut.us/district/earlychildhood/files/F978B88EA5384727A44818C361D9BB48.pdf
Start sentence with "The"
Subject: Start sentence with "The"

x
After a colon (:) you can start with a numeral.
Subject: After a colon (:) you can start with a numeral.

x
LOL! I did not start the 'negative' thingee,
Subject: LOL! I did not start the 'negative' thingee,

I was amazed too, I just commented on it, saying that the right term would be 'opposing opinion', not negative.'
But Patty is back, that's all what matters.
Yes, we are emotional and impulsive, too. That's when the typos come in!

thanks to both....good start and ideas
Subject: thanks to both....good start and ideas


You're welcome, Christa. Gyn is tough when you start out. nm
Subject: You're welcome, Christa. Gyn is tough when you start out. nm

x
The AAMT BOS is a good place to start, sm
Subject: The AAMT BOS is a good place to start, sm

though it's time consuming to look things up in there but it does have a lot of information in it. (Get the 2nd edition--1st is pretty much obsolete). I'm sure others will come up with some good leads for you, too.

L is pretty clear at start - but thank you for reply
Subject: L is pretty clear at start - but thank you for reply

x
No need to post in a condescending manner. We all had to start somewhere.
Subject: No need to post in a condescending manner. We all had to start somewhere.


You don't have to capitalize it. It is not meant to start with a capital.
Subject: You don't have to capitalize it. It is not meant to start with a capital.

There may be other opinions out there, but since it is supposed to be pH, keep it that way even if it does start the sentence. I like the idea of adding the word THE to the front, though. That works too and solves the problem! Good thinking!!!
can you hear "story is" one of mine start every doc with this.
Subject: can you hear "story is" one of mine start every doc with this.

.
It could be. With a lot medications, you start at the lowest dose. sm
Subject: It could be. With a lot medications, you start at the lowest dose. sm

You then titrate up to a higher dose. Titration is increasing in increments rather than giving a big dose all at once. Hope this helps.
I was always taught to start with "Sutures of 0 Prolene," since it does not....sm
Subject: I was always taught to start with "Sutures of 0 Prolene," since it does not....sm

change context or meaning of sentence at all, just grammatically correct; but as always it is good to check with your own QA, some companies have their own weird little rules whey want to go by.....been doing mostly OPs for years, so hope I can help!
I woulld not start a new sentence after configuration. sm
Subject: I woulld not start a new sentence after configuration. sm

leave it as one sentence withour a period.

The comma after compression is right, but take the second comma out after elicited.

And I think you should type 3rd and 4th as numbers.