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Abbrev or nickname of trauma facility-s/l "true".

Posted By: Patient was intubated on arrival to the "true&# on 2007-10-18
In Reply to:

Subject: Abbrev or nickname of trauma facility-s/l "true".

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is it barro trauma or barrel trauma...thanks alot
Subject: is it barro trauma or barrel trauma...thanks alot


I would not unless there is a name to the facility such as Jones Hospital Urgent Care Facility but g
Subject: I would not unless there is a name to the facility such as Jones Hospital Urgent Care Facility but go by the client profile if you can for that report.


Sorry for those extra things !! s/l "true"
Subject: Sorry for those extra things !! s/l "true"

x
SL "true phobia," but it's hip surgery! nm. tks.
Subject: SL "true phobia," but it's hip surgery! nm. tks.

xx
NICKNAME?
Subject: NICKNAME?

Doctor dictates a nickname for the recipient of a letter, but the full name is listed in her contact info.  Non-verbatim. Should I type it as dictated or change it to the more formal, full name?


Z-pak is the nickname for Zithromax!
Subject: Z-pak is the nickname for Zithromax!

x
not a nickname, rather Brand name...
Subject: not a nickname, rather Brand name...

Brand Names: Zithromax, Zithromax TRI-PAK, Zithromax Z-Pak, Zmax


http://www.drugs.com/mtm/zithromax-z-pak.html


alm is right, skilled nursing facility, as in a short stay in a skilled nursing facility
Subject: alm is right, skilled nursing facility, as in a short stay in a skilled nursing facility


trauma
Subject: trauma

Is this patient on a vent?


trauma
Subject: trauma

penetrative trauma?
trauma
Subject: trauma

penetrative trauma?
CXR: Trauma pt. SM
Subject: CXR: Trauma pt. SM

The patient has widening of the mediastinum.  The doctor says:  Given the history of trauma, I cannot exclude mediastinal s/l ZAPOLOGY or APOLOGY.  Cannot correlate.  Help? 
track trauma
Subject: track trauma

I am not sure if he stumbles or if he actually says track trauma.  The entire line is ...No track trauma.


The patient has hamstring pain from injuring himself playing a baseball.


s/l no ventative trauma
Subject: s/l no ventative trauma

HEENT: No s/l 'ventative' trauma.
ER Trauma MVA. Does anyone know what alcohol KZP is? sm
Subject: ER Trauma MVA. Does anyone know what alcohol KZP is? sm

Second diagnosis is: ALCOHOL ABUSE. The patient will be resuscitated overnight and started on alcohol s/l "KZP" in the a.m.
head trauma
Subject: head trauma

The patient had head trauma and a few months later was found to have a s/l flabomorphit adenoma.


This is an Asian dictator who is very difficult to understand.  Any help would be appreciated.


trauma to the head?
Subject: trauma to the head?


Trauma patient with hemopneumoperitoneum.
Subject: Trauma patient with hemopneumoperitoneum.


A s/l VAS was performed that was negative initially of the heart as well as of the abdomen. 


 


Thank you! 


found Whitman on trauma site
Subject: found Whitman on trauma site


FAST scan in trauma patients
Subject: FAST scan in trauma patients

Focused Assessment with Sonography for Trauma (FAST) is a limited ultrasound examination directed solely at identifying the presence of free intraperitoneal or pericardial fluid. In the context of traumatic injury, free fluid is usually due to haemorrhage and contributes to the assessment of the circulation.


herniations possibly - not sure about 30 though unless a major trauma
Subject: herniations possibly - not sure about 30 though unless a major trauma


Found it - Trauma and Life Support Center
Subject: Found it - Trauma and Life Support Center

It's a unit at the facility the patient was transferred from.
Can sometimes get a clue from DX, infection +WBCs, stones/trauma + RBCs, etc. nm
Subject: Can sometimes get a clue from DX, infection +WBCs, stones/trauma + RBCs, etc. nm

s
IMaybe Ilizarov procedure? It's bone lengthening done after trauma, etc. nm
Subject: IMaybe Ilizarov procedure? It's bone lengthening done after trauma, etc. nm

s
in assessment says Esoteric ??? failure, blunt chest trauma
Subject: in assessment says Esoteric ??? failure, blunt chest trauma


s/l berra trauma left ear? (Patient has URI, ear pain from blowing nose) TIA
Subject: s/l berra trauma left ear? (Patient has URI, ear pain from blowing nose) TIA


It has been that way every facility I have
Subject: It has been that way every facility I have


Go by what YOUR QA says. They should know what the facility wants. (nm)
Subject: Go by what YOUR QA says. They should know what the facility wants. (nm)

x
Only if it is associated with the name of the facility, i.e.
Subject: Only if it is associated with the name of the facility, i.e.

Example Hospital Anesthesia Department, otherwise it should be in small letters.
Every facility is different in this. I have one
Subject: Every facility is different in this. I have one

who wants all caps, one who wants the heading then normal case, and one who wants it on a separate line, top of report, no matter were dictated. Need to check with specific client.
Possibly decerebrating, as in decerebrate posturing. Stroke/head trauma victim? (nm)
Subject: Possibly decerebrating, as in decerebrate posturing. Stroke/head trauma victim? (nm)

x
the facility or community as there....sm
Subject: the facility or community as there....sm

There is no such diet or anything so I tend to think this may be a nutritionist or dietician/dietitian in and around the facility or area where the dictator works from/around.  Just a wild guess actually.
Sure this is not the name of the facility performed at?
Subject: Sure this is not the name of the facility performed at?

MRI at Open Imaging of Redwood?
Inside or outside facility...
Subject: Inside or outside facility...

Senior Care Center

There are Specialty Care Centers.

Surgical Care Center.
You definitely do for a JCAHO facility.
Subject: You definitely do for a JCAHO facility.

Some accounts will not tell you but cc is a big no no on the Joint Commission "Do Not Use List" See site below.  Account I type for now, MTSO was/is not even aware.  They dictate cc but I change to ml and have not had a report come back yet.
STEL facility?
Subject: STEL facility?

Sentence: Nursing home placement was secured in a 's/l STEL' OR stell' facility.

Anybody know if this is an acronym and what it may stand for?
Could he be saying SNIF facility?
Subject: Could he be saying SNIF facility?

Skilled Nursing Inpatient Facility (Unit)...
If your facility follows BOS, or your MTSO
Subject: If your facility follows BOS, or your MTSO

follows BOS, it is followup. Why not contact your QA/supervisor for clarification to be sure on your end. One facility I work for wants followup, the other follow-up. Verify to be sure for your sake.
We ust Thromboguard at our facility,
Subject: We ust Thromboguard at our facility,

compression boots/stockings for DVT prophylaxis.
That is probably a facility preference. The
Subject: That is probably a facility preference. The

abbreviations you gave examples of are standard abbreviations still in use.
That is probably a facility preference. The
Subject: That is probably a facility preference. The

abbreviations you gave examples of are standard abbreviations still in use.
If the facility does not want it expanded,
Subject: If the facility does not want it expanded,

then you don't. Could be a specific rule of a particular client. If you are told not to, then don't.
It's probably facility specific
Subject: It's probably facility specific

It's possible this is the name of a facility or something that is specific to the account you're typing. You might see if the hospital has a web page and go there and look under services/programs, and see if there is a TLC listed there.

It really could be anything. My first thought was transitional long-term care, but given that they're on pressors, that's usually not the kind of drug they send you to a SNF with.
It is probably SNF (skilled nursing facility).
Subject: It is probably SNF (skilled nursing facility).

nm
it may depend on a facility rule
Subject: it may depend on a facility rule

our facility requires a hyphen for any statement of __ to__ so for us it would "x4-5" days.
Check with your TL on the specifics of the facility.
Subject: Check with your TL on the specifics of the facility.

Most hospitals I have worked with prefer cm2. 


abbrev
Subject: abbrev

Hello,


Why is it so important to have an AAMT book of style and what does it entail?  Also, what does ESL mean?


THANKS FOR ABBREV HELP!
Subject: THANKS FOR ABBREV HELP!

thanks for the responses, I dont know what this doc is doing, but he has me abbrievating stuff that makes no sense, for instance , one spray in each nostril has now become "1 SEN" and other such things, the whole report is capitalized letters...LOL
abbrev
Subject: abbrev

It's ECCE OU. extracapsular cataract extraction, both eyes.
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
It's probably something specific to that hospital/facility. Ask your QA or Google the
Subject: It's probably something specific to that hospital/facility. Ask your QA or Google the

s