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Although I would double check your account specifics. SM.

Posted By: MTmom on 2008-08-04
In Reply to: Bet your confused now!!! nitro paste would be the correct one. - MTmom

Subject: Although I would double check your account specifics. SM.

Some docs might prefer you to spell it out for them or have an specific way they want it typed.


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also I should have said check your account specifics - SM
Subject: also I should have said check your account specifics - SM

Each doc and/or hospital may want classes and grades a certain way. It is a good idea to make sticky notes like Another KSMT said.
I would check your account specifics...(nm)
Subject: I would check your account specifics...(nm)


check your company's Account Specifics, if you can
Subject: check your company's Account Specifics, if you can

nm
account specifics for that particular account should state how it is to be typed. nm
Subject: account specifics for that particular account should state how it is to be typed. nm

.
Also, don't know about your account specifics but
Subject: Also, don't know about your account specifics but

I would use 1.5 cm, as in 1.5-cm "hypoechoic" mass...decimals for metric...
Account specifics - if they want 's that's what they get. SM
Subject: Account specifics - if they want 's that's what they get. SM

That's what is in AAMT BOS - Depends on client preference, so, no, she is not wrong


All according to your account specifics. Like
Subject: All according to your account specifics. Like

I said below, we do not use slang, therefore use saturating; however if verbatim, then satting is correct.
What do your account specifics say? nm
Subject: What do your account specifics say? nm

nm


Account specifics would dictate whether you sm
Subject: Account specifics would dictate whether you sm

write it out or abbreviate. The abbreviation for beats per minute is bpm. Ask your QA person for approved abbreviations for this account (accounts will differ sometimes which can make us crazy).

do you have account specifics to read?
Subject: do you have account specifics to read?

on most accounts it is acceptable to leave 1-2 blanks. If you really think it sounds like minute, then put that.
Depends on account specifics. sm
Subject: Depends on account specifics. sm

In general, we are to write out the term in full the first time it is dictated for clarification. Then, if abbreviations are dictated later on, it is okay to use the abbreviation. Again, you must abide by account specifics. Ask your QA person to be sure.
same here - depends on my account specifics nm
Subject: same here - depends on my account specifics nm


Almost depends on account specifics
Subject: Almost depends on account specifics

Some of the verbatim accounts allow for medical jargon, so if in the body of the report they said he was given 2 amps of bicarb, I would probably just leave it at amps. If this was in a medication list, as on admission or discharge, I would probably write it out as ampule(s).
depends on account specifics, whether verbatim, etc.
Subject: depends on account specifics, whether verbatim, etc.

x
First, see your account specifics or client preferences.
Subject: First, see your account specifics or client preferences.

If no mention is made about it, I would type it as a numeral for anything less than 10.


That's what I mean by "ask your QA!" Account specifics dictate style, sm
Subject: That's what I mean by "ask your QA!" Account specifics dictate style, sm

but the AAMT BOS dictates what is correct for the industry, getting its information from sources such as the Chicago Manual of Style, the American Medical Association book of style (which I own), etc. As the poster below states, Joint Commission goes by BOS and does not like "same" or abbreviations for diagnoses, impressions, op titles, etc. They will randomly choose patient charts and go through them to check things like this! It's the Joint Commission which recommends or removes hospital accreditations--a very powerful entity.

So, ask your QA what the account wants. If they want "same," give them "same." For other accounts, do it the correct way.
depends on account specifics, but I usually type 3-1/2 months NM
Subject: depends on account specifics, but I usually type 3-1/2 months NM


Got it. Thanks again. There are no account specifics, so I like to type verbatim just to be safe.
Subject: Got it. Thanks again. There are no account specifics, so I like to type verbatim just to be safe.


It all depends on your account specifics. If they use BOS, then use mL. I've had verbatim accou
Subject: It all depends on your account specifics. If they use BOS, then use mL. I've had verbatim accounts

with no BOS wanted per the client, regular accounts who do use BOS and others that do not want it, and others that "just type what I say." So, like I said, refer to your account specifics.
Always go with account specifics, regardless of what BOS recommends. Good luck! (no message)
Subject: Always go with account specifics, regardless of what BOS recommends. Good luck! (no message)

X
Depends on your account specifics. If they allow you to expand, that's fine, but it is straight
Subject: Depends on your account specifics. If they allow you to expand, that's fine, but it is straight

hardcore verbatim you have to leave it as is, whether it looks ugly or not.  I know, I really don't like it when they abbreviate left and right, leave words off sentence structures so they can speak faster and get it over with.



Both are correct, just type it according to your account specifics, some like disc and other disk.
Subject: Both are correct, just type it according to your account specifics, some like disc and other disk.


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. 


You might want to double check that
Subject: You might want to double check that

Lumbospinal is not a legitimate term. The above posters were correct with lumbar spinal.
You're welcome! Never hurts to double-check! nm
Subject: You're welcome! Never hurts to double-check! nm

x
please double check my spelling of Zenker's...
Subject: please double check my spelling of Zenker's...

x
I think it is faucial arch with an i. Double check this one though
Subject: I think it is faucial arch with an i. Double check this one though

!
No, it was right:) I googled it to double-check the symptoms
Subject: No, it was right:) I googled it to double-check the symptoms


#1 rule, never guess and always double-check and...sm
Subject: #1 rule, never guess and always double-check and...sm

document any answer you receive on this board.
I think it is Fabere-Patrick but make sure you double check that (nm)
Subject: I think it is Fabere-Patrick but make sure you double check that (nm)

x
Adie's pupil (double check my spelling) nm
Subject: Adie's pupil (double check my spelling) nm

x
-Desamino-8d-Arginine Vasopressin but double check this!
Subject: -Desamino-8d-Arginine Vasopressin but double check this!


Thanks CL! I'll double check if it's hypo or hyper. New dictator ...
Subject: Thanks CL! I'll double check if it's hypo or hyper. New dictator ...


Double check, I thought it was Tiny Titan tubes sm
Subject: Double check, I thought it was Tiny Titan tubes sm

I googled and I don't get Tiny Tytan, so if you have a source for it, please post it so I know what I am doing! (Live and learn)

Reuter bobbin, Armstrong, Shepard, T-tube...been months since I have done much ENT.
thanks for responding. I know it is basics but sometimes you just need to double check youself duri
Subject: thanks for responding. I know it is basics but sometimes you just need to double check youself during these late night work days. nm

nm
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


More specifics?
Subject: More specifics?

Is it a myringotomy and tube insertion? Is it being pronounced bog or b-o-g?
Do it per client specifics.
Subject: Do it per client specifics.


OB.. she returns for a string check?? or Estring check?? Thanks
Subject: OB.. she returns for a string check?? or Estring check?? Thanks


...in the client specifics very clearly. Otherwise, QA should let it slide. nm
Subject: ...in the client specifics very clearly. Otherwise, QA should let it slide. nm

s
yes, but without specifics it's impossible to know if you're hearing it right
Subject: yes, but without specifics it's impossible to know if you're hearing it right


double o
Subject: double o

 She had a urine which showed positive nitrate, large leukocytes esterace with 851 50 double 0* per high powered field.  Does this ring a bell to anyone?
Double-J nm
Subject: Double-J nm

nm
Think it goes double, aa, bb, cc, etc.
Subject: Think it goes double, aa, bb, cc, etc.

x
double doc'd?
Subject: double doc'd?

What is the best way to transcribe the term double-doc'd when a patient is unable to give consent prior to surgery?

Thank you in advance!
Double welcome! ;-) nm
Subject: Double welcome! ;-) nm

.
double thickening?
Subject: double thickening?

This is a female patient who presents for cough, nasal congestion, body aches, and a minimal _____ thickening history going on for about 1 week.  She is having some sinus and chest congestion. 


s/l double?


i just double-checked myself this a.m., its
Subject: i just double-checked myself this a.m., its

x
thanks just double checking :) nm
Subject: thanks just double checking :) nm

x
Sorry about the double post!!
Subject: Sorry about the double post!!


? s/l double angina
Subject: ? s/l double angina

Is there such a thing? Thanks.