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By AAMT rules, need help with period with drug values. (sm)

Posted By: cissy on 2008-04-20
In Reply to:

Subject: By AAMT rules, need help with period with drug values. (sm)

Is this right?


1 gm


0.1 mg


1 mg


 


I was taught that it was 1.0 mg but doc wants it to be just 1 mg and 1 gm.


 


Help.  Thanks.




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Regarding AAMT rules
Subject: Regarding AAMT rules

I go with my client preference, and when I began working his account, the sample reports did not use BOS rules. I only use numerals to express drug dosage, measurements, dates, etc. I also agree with you on the appearance of it.
ALS is correct per AAMT rules. See cite.
I don't care whether the BOS is right or wrong on the issue. I have to use it and so do others. Here's what it says.

As per AAMT BOS 2nd edition page 189: Always capitalize genus names and their abbreviated forms when accompanied by species name. Lowercase genus names used in plural and adjectival forms and when used in the vernacular; for example, when they stand alone without a species name.
Ringer. AAMT BOS2 rules on eponyms.
Subject: Ringer. AAMT BOS2 rules on eponyms.


It is not 'erroneous', only add to the AAMT rules, which change every year!
Subject: It is not 'erroneous', only add to the AAMT rules, which change every year!

To say that the plural form decubiti for the singular of decubitus is
'erroneous' is plain BS !

And it is known that the AAMT, now it has another name, 'makes up' its own grammar rules for the MTing.

This issue has been discussed numerous times on this board and causes a lot of confusion for the MTs and arguments between MTs, QAs and the clients.

EVERY year the BOS rules are changed. We just got used to the BOS 2 and in December 08 the BOS 3 was issued, again with new rules to adhere. The price is around $ 90.--.


Rule ot thumb: When lab values/drug doses are less than 1, add a zero before the decimal point.
Subject: Rule ot thumb: When lab values/drug doses are less than 1, add a zero before the decimal point.


could she possibly be saying "Shingles, period. Dormant, period"?
Subject: could she possibly be saying "Shingles, period. Dormant, period"?


Per AAMT-BOS2 it says to "use the complete spelling for drug names" (sm)
Subject: Per AAMT-BOS2 it says to "use the complete spelling for drug names" (sm)

nitroglycerin paste
Page 462
number rules?
Subject: number rules?

Two of my teachers taught different number rules. One, said that they should almost always be numeral form. The other said that numbers are usually spelled out.
I believe the Book of Style says numerals are usually appropriate, accept for zero, at the beginning of a sentence, drug admin. abrev's., etc..
Anyone? Numerals right? With acceptions? I'm just starting.
I do agree with you, but it seems none of the rules fit this..
Subject: I do agree with you, but it seems none of the rules fit this..

BOS says if you can put "and" between the adjectives then use a comma, which in this case you really can't until btwn telangiectatic and vascular.  Just always second guessing myself. 


 


Thank you!!!!


IF you are to follow BOS rules...sm
Subject: IF you are to follow BOS rules...sm

The patient has Alzheimer disease.
She has Alzheimer's.

Don't use the apostrophe S when 'disease' follows.
But, that is the BOS rule. Your client and/or company may prefer it's own rule.

Format rules in MT

Okay, I am an old gal working mostly ias in-hospital MT (VA, Teaching hospital), but I did also work off and on for MTSOs at home.   Now going back a long time, I was always taught that in formatting Problem Lists or Hospital Course by problem list you transcribe it this way.   Problem #1 - HYPERTENSION.  The patient is taking lisinopril currently.....  or if the doc did not say PROBLEM #1, then you transcribed it 1.  HYPERTENSION.  Blah, blah, blah.   When did this change and become wrong?  Most of the docs I am now transcribing for one of the major MTSOs now (left the hospital), actually ask that we capitalize the major problem.  Is this in the so-called AHDI BOS2? 


IMHO, using the capitalization on the problem is much easier to read, than this...


1.  Hypertension.  The blah, blah, blah..


2.  Diabetes mellitus type 2.  Uncontrolled.  Not compliant.


Any QAers out there can answer this one for this old school nitpicker?


Well, CLIENT PREFERENCE rules.....sm
Subject: Well, CLIENT PREFERENCE rules.....sm

Always, always it's client preference.  I was just speaking in a BOS/AAMT ruling about numbers.  Client preference most definitely IS the bottom line. 
Help, I can't remember the hyphen rules.
Is there a hyphen with non-radiating and non-icteric, or all one word, or separated?  Thanks.  I'm an old dog and I don't want to learn new tricks. 
Rules for tense in a report?
I always thought it was past tense.  I have a doc who started the first 2 sentences using past tense and then suddenly switched to present test.  IV sedation IS administered, Patient IS positioned.  Do you change present to past or type as is?  Nothing in the CP about it.
Rules here per admin is No Testing..sm
Subject: Rules here per admin is No Testing..sm

hope you have a happy happy new year and good luck in your studies/testing 
thanks....lots of rules with numbers!
Subject: thanks....lots of rules with numbers!


Rules change over the years
Subject: Rules change over the years

but some rules are that way just because it sounds right. 5 centimeters were injected just sounds ignorant and I don't care who you are, as Larry the Cable Guy would say. ;-)
If your account doesn't have specific rules about it, sm

the correct way would be to write it out in full (Escherichia coli) whether or not it was dictated in full.  Then, if the dictator says E. coli after that, then it is correct to transcribe it that way.  If the dictator says it in full the next time, then transcribe it in full.  Check your account's guidelines for their preference. 


as poster above stated, I was going with BOS rules...relax! :) nm
Subject: as poster above stated, I was going with BOS rules...relax! :) nm


I think just the normal rules of English would apply
Subject: I think just the normal rules of English would apply

Whenever adding *ing* to a word that ends in t, you add an extra t.
A couple of grammar rules are at play here
Subject: A couple of grammar rules are at play here

First of all, both got and gotten are correct forms of the verb get.  However, got is a past tense or past participle depending on whether or not the word "has" or "have" is used in front of it.  Gotten, however, is past participle and should be used with the word "has" or "have" in front of it.


It has gotten increasingly larger - okay.  It gotten increasingly larger - not okay.  It got increasingly larger - okay.  It has got increasingly larger - okay.


So if your doc says it anyway but "It gotten increasingly larger", he is correct.  It's simply a matter of preference.  Brits don't generally use the word "gotten", and therefore, a lot of people think it is not a legitimate word, but it is.


Time format rules in BOS 3rd edition?
Can anyone tell me what the specific rules are for time format in the new BOS on pages 337-339. A brief description would be great or u can scan and email it to me too, whichever is easier.

I do intend to buy my own soon but I have to wait till payday and I'm starting a new company right now that uses that book :(

TIA !
I believe that is only if the company is compliant with JCHO rules. Not all companies are.
Subject: I believe that is only if the company is compliant with JCHO rules. Not all companies are.


that should be.....a 2- to 3-day period. nm
Subject: that should be.....a 2- to 3-day period. nm

xx
no period after the h......
Subject: no period after the h......

--
There should be a period after the h.
Subject: There should be a period after the h.


YES--there is a period after the "h" - q.6 h.
Subject: YES--there is a period after the "h" - q.6 h.

x
could he be saying period after Ddimer nmx
Subject: could he be saying period after Ddimer nmx

x
Is there definitely a period after the word less?
Subject: Is there definitely a period after the word less?

A lot of times radiologists will say interpretation is more difficult because of underpenetration but "interpretation is less" wouldn't make sense.


Another thought - if it's a chest film, could it be inspiration is less? As in, patient didn't breathe deeply?


H. pylori - I use the period
Subject: H. pylori - I use the period


BOS 1st edition has q.6h. with no period between, pg 116. nm
Subject: BOS 1st edition has q.6h. with no period between, pg 116. nm


period or comma?
Subject: period or comma?

Please help with this.  I get confused whether it should be a period or comma before "PT".


His WBC 11.0 and then 12.78 and 38.4.  PT, PTT were normal. 


thanks.


I would use a period as these labs
Subject: I would use a period as these labs

are not related to each other.
q as in q 4 hours, period or no?
Subject: q as in q 4 hours, period or no?


according to BOS 2, they put a space between 4 and h. and a period after h....sm
Subject: according to BOS 2, they put a space between 4 and h. and a period after h....sm

This is new:

BOS 2, page 146

q.h.

q.4 h. period after h.

q.i.d.
maybe go to school period if thinks that is right. nm
Subject: maybe go to school period if thinks that is right. nm

;
Well, there is a period at the end, but it's an incomplete sentence.
Subject: Well, there is a period at the end, but it's an incomplete sentence.

<>

What's the next part of the sentence? What happened when the ____ plugs were inserted?




You MUST get and USE a medical dictionary for this job. Period. nm
Subject: You MUST get and USE a medical dictionary for this job. Period. nm

x
C. difficile (period not comma, sorry)
Subject: C. difficile (period not comma, sorry)

x
Wenckebach period or cycle.
Subject: Wenckebach period or cycle.

 a sequence of cardiac cycles in the electrocardiogram ending in a dropped beat due to AV block, the preceding cycles showing progressively lengthening PR intervals; the PR interval following the dropped beat is again shortened
yes, comma or semicolon or period.
Subject: yes, comma or semicolon or period.

nm
normal in appearance (period)?
Subject: normal in appearance (period)?


Anyone doing MT should know if a period is required after postop.
Subject: Anyone doing MT should know if a period is required after postop.

Where did you get your education? If you don't know that much, you should not be in this field as you are a disgrace to the MT field.
just flex sig or flexible sigmoidoscopy. No period. nm
Subject: just flex sig or flexible sigmoidoscopy. No period. nm


Well if YOU type it, it must be right! BOS says no apostrophes on eponyms. Period. nm
Subject: Well if YOU type it, it must be right! BOS says no apostrophes on eponyms. Period. nm

x
Left fundal hemostatic period.
Subject: Left fundal hemostatic period.

Does this sound right?  It doesn't make sense to me.  Under complications:  left fundal hemostatic period.
The period goes inside the quotation marks.
Subject: The period goes inside the quotation marks.

nm
lab values
Subject: lab values

dr. dictates white blood cell count is 40.2 thousand.  this is a verbatim account, so how would you transcribe this?
lab values
Subject: lab values

* s/l Ru-Kay was slightly depressed at 3.6


This is a patient with abdominal pain. She is fairly clear in her dictation. Thank you for any help


TEE values sm
Subject: TEE values sm

On transesophageal electrocardiography: Trace mitral regurgitation was present. Proximal isovelocity surface area (PISA) mitral valve area (MVA) was calculated to be 0.9 cm sq with a Vmax of 200, **ADF/AEF/AF/AS** velocity of 16, PISA diameter of 2.3, angle of 60 degrees.

Doc has a thick Japanese accent and I cannot understand the acronym before 'velocity' and do not do a lot of ECG reports. TIA!
What about lab values as 20.0 . ..
Subject: What about lab values as 20.0 . ..

Our QA is saying BOS says to add that trailing zero.  Can you find the text to verify that for me.


Also on platelet count WBC, they say to delete the comma, i.e., 20,000 to 20000.  Need documentation for that, too, if you have it handy. Thanks.