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Depends on account

Posted By: ak on 2008-04-30
In Reply to: naming relatives in H&P? - bborton

Subject: Depends on account

My previous company had us leave the names out unless they were pertinent to the patient's care such as a caretaker. I.e. Dictated: Patient's wife, Susan, stated that. Transcribed: Patient's wife stated that. I would ask your QA about that to be sure though.


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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


Depends on your account. nm
Subject: Depends on your account. nm

nm
yes, depends on account
Subject: yes, depends on account

don't just go with the dictator-client may not be happy about it and you'll get in trouble. ask supervisor
It depends on account....sm
Subject: It depends on account....sm

I have been specializing in OPs for several years, (done everything else!), and love it, but we have doctors (have a few hospitals), who will give related system diagnoses and went them in one paragraph form with commas, as you wrote.  But then, I have others that specify everything numbered.  According the BOS from long ago, in Ops when listing diffent diagnoses, number them, but our rule from our company (owned by an MD!) is that, if they dictate in paragraph form, write it so, and if they dictate "numbered diagnoses," then put in numbered list fashion.  Does that make any sense to you?  Do you have account specifics for this doctor??
Honestly, it depends on your account....
Subject: Honestly, it depends on your account....

If it is strictly verbatim, then yes.
Depends on the account contract. The TAT for sm
Subject: Depends on the account contract. The TAT for sm

the company will be longer than the TAT for the MT. In other words, the company may have 24 hours to get the report turned around, but when they give it to the MT, the MT may only have 2 hours. I've been accustomed to a 2-hour TAT with the nationals I've worked for.
Depends on whether the account is verbatim sm
Subject: Depends on whether the account is verbatim sm

Or how much they expect you to correct. I used to transcribe for a doctor who did the worst run-on sentences and sometimes I would rack my brains trying to figure out where to put punctuation without changing what she said (the account was verbatim except for obvious grammatical errors like subject-verb agreement). Finally I decided, if that's the way she wants to say it, that's what she is going to get. I just made sure that what she was saying made some reasonable kind of sense.  She was also notorious for changing her mind half a dozen times in a single sentence, and for not reading her reports before approving them. She once dictated a hysterosalpingogram (test to see if the fallopian tubes are blocked) and let the following impression go out to the requesting physician:


IMPRESSION:  Bilateral tubal pregnancy.


instead of


IMPRESSION:  Bilateral tubal patency.


(No, I didn't type it!)


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


Depends if it is a verbatim account. You can do it the way you have it or if he actually used the wo
Subject: Depends if it is a verbatim account. You can do it the way you have it or if he actually used the word "as" 93 then it could be 100-7 as 93 or just minus equal signs. Depends on your client.


Again depends on account; don't think MQ ever uses the symbol. nm
Subject: Again depends on account; don't think MQ ever uses the symbol. nm

nm.
depends on whether your account is verbatim (sm)
Subject: depends on whether your account is verbatim (sm)

It's slangy, but depending on the account, I might or might not edit.
I guess it depends on your account. sm
Subject: I guess it depends on your account. sm

I have always typed it RBCs per high-power field.
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
Depends on whether the account requires verbatim sm
Subject: Depends on whether the account requires verbatim sm

If they don't, I would change the tense to whatever is the norm for that account or that doctor.


If they do require verbatim, I would type it verbatim but let the QA preson know that the doctor had shifted tenses.


But that's just me....


they are the same.My doc mostly says drawer. Maybe depends on your account preference
Subject: they are the same.My doc mostly says drawer. Maybe depends on your account preference


I use tib-fib, but I would say it depends on the account. Some verbatim accounts do not like abbrevi
Subject: I use tib-fib, but I would say it depends on the account. Some verbatim accounts do not like abbreviations, others want it strictly verbatim. The rest seems appropriate to me, but I would say it is dorsiflex the ankle.


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


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.
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.



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

.
Depends....
Subject: Depends....

I have an ortho doc that insists on using it the way the dictionary shows it, follow-up. He is not of old school, very young and a professor. Says it is his biggest pet peeve to see it ever used without the hyphen, and doesn't care much for BOS rules.

So, when in doubt, I do it exactly the way the dictator wants it no matter what I think.
think it depends on where you are...sm
Subject: think it depends on where you are...sm

like colour/color, theatre/theater, etc. i think "hiccups" is more common in usa.
Depends...sm
Subject: Depends...sm

It honestly depends on your employer's guidelines. Check with your Editor/QA staff. Sometimes there is just no way to make a doc make sense on paper without changing everything around and so it's easier just to really type verbatim; some docs only need a tweak here and there, so you really need to find out what 'verbatim' means as applied to the account you are working on.
Depends
Subject: Depends

One nurse's notes
Two (or more) nurses' notes
depends on the doc
Subject: depends on the doc

I worked for a chiropractor who wanted it disc but every other type of doc I've done wanted it disk
depends on how much.....
Subject: depends on how much.....

leeway you have.  With the comma there, it looks strange.  If you have to transcribe verbatim, I would put a hyphen....thus, * New patient - arm pain...*  If you have more leeway you could make a sentence * This is a new patient with a chief complaint of arm pain *.  If that is too much and looks like you are padding lines, then you could try just * New patient with arm pain *
depends on what it is...
Subject: depends on what it is...

a stroke could be evolving or completed....
Depends -- sm
Subject: Depends -- sm

I think it depends on the state where you want the information.

type for a hospital in Washington state, and they have a state licensure site with just about everything in the same site (i.e. physicians and physical therapists, nurses, etc. )

On the other hand, Arizona has only the doctors in its doctor database, and you have go to the Arizona physical therapist site to search for them.

Generally, when I first start typing a particular state, it takes a while to build up a set of search sites, but as I find them I add them to my favorites and then create a category for that state, so I don't have to search so much the next time.

Have a great day.
it depends
Subject: it depends

It depends on if it is modifying something.

The diameter of the wound is 1 cm.

There is a 2-cm length length discrepancy.

That's how I decide whether to hyphenate or not. On plural numbers, you can something tell if it should be hyphenated if it is said singular - i.e. six centimeters = 6 cm or six centimeter difference 6-cm difference

does that help?
Depends
Subject: Depends

Depends on the client preference. Generally, cardiorenal is accepted. Otherwise, it would be cardiac renal. I think he was just tripping.
Depends where you are from.. :-)
Subject: Depends where you are from.. :-)


Depends...
Subject: Depends...

I think it would depend on the specifics for that account - the hospital I work for would want it to read: 110 to 120 over 70 systolic.


Depends
Subject: Depends

I would not number unless doc states or your MTSO allows you to number arbitrarily, but kind of touchy with diagnoses, could confuse the issue. BUT I don't think it'd be wrong to number as follows:

1. INTERNAL DERANGEMENT, RIGHT KNEE.
2. TEAR OF LATERAL MENISCUS, RULE OUT MEDIAL MENISCUS TEAR.
3. EARLY DEGENERATIVE ARTHRITIS.

OR if you don't number, I'd punctuate:
INTERNAL DERANGEMENT, RIGHT KNEE. TEAR OF THE LATERAL MENISCUS. RULE OUT MEDIAL MENISCUS TEAR. EARLY DEGENERATIVE ARTHRITIS.

or you could put semi-colons in between.

But I'd put "DIAGNOSES." These are clearly more than one issue.
depends, does he say a few or 3?...sm
Subject: depends, does he say a few or 3?...sm

if he says a few then spell it all out, a few millimeters by a few millimeters as it is not a specific measure.  Also may need to drop the .0 on 3.0, most of the time trailing zero is dropped unless verbatim.   
depends on how it is being used
Subject: depends on how it is being used


depends
Subject: depends

It depends on what the client wants
It depends...
Subject: It depends...

If it's part of the name of the clinic (i.e., "Smith Family Planning Clinic"), yes.


If not, (i.e., "The patient went to the family planning clinic."), no.


depends
Subject: depends

They are hyphenated when as a group they form an adjective, a compound modifier. So it's an "over-the-counter medication" -- but the medication was purchased over the counter.

The medication is taken as needed, but it is taken on an as-needed basis.

Think of it this way: if you can substitute the phrase with "blue" and it makes sense, it gets hyphenated.
Depends on the doc...
Subject: Depends on the doc...

Patella tendinitis refers to the patella itself. Patellar tendinitis refers to the general area of the patella. They both actually are the same. Condyle-condylar. Patella-patellar. Interchangeable. I usually use the word that the doc does. There really is no difference except sometimes one sounds better in the context of the sentence. :-)
it depends...is it before or after the noun? sm
Subject: it depends...is it before or after the noun? sm

It could be "a 2-3-mm lesion," or "The lesion was 2-3 mm in size." Generally, cardinal numbers plus unit-of-measurement adjectives are hyphenated before the noun.
it depends on how it is dictated...sm
Subject: it depends on how it is dictated...sm

6600 (no comma) or 6.6 if they say it that way; if they say 6.6 thousand then you give them *6.6 thousand*


 


just trying to be funny here, but depends --sm
Subject: just trying to be funny here, but depends --sm

on WHICH "leg" he was referring to that was "nonpeeing." (sorry. couldn't resist) lol
Depends where you work
Subject: Depends where you work

and if they go by AAMT or not.
It really depends on whether the noun being
Subject: It really depends on whether the noun being

follows:

Austin-Moore-type prosthesis
prosthese is an Austin-Moore type
Depends on who you work for....
Subject: Depends on who you work for....

some don't like you to use hyphens some don't care. I have accounts that are both ways.
Depends on who's doing the feeling
Subject: Depends on who's doing the feeling

Sorry, dirty mind. 
And that depends on what the client wants. sm
Subject: And that depends on what the client wants. sm

I really think these are questions you should ask your employer, assuming this is work related. Style and rules can vary from company to company. Most will provide you with a list of rules or specs and sample reports. If they haven't, you might ask for that. When in doubt, I follow BOS guidelines, though.
Depends on the context
Subject: Depends on the context

Sometimes it simply means after and stands alone, other times it is used as a adjective or modifier, i.e.

The patient will follow up post discharge.

The patient will have post-discharge followup and labs.

One of those things you really have to think about, unfortunately :(
I really think it depends on the work...
Subject: I really think it depends on the work...

I have worked from home and been paid both by the line and by the hour (as I am now).  Unfortunately, the company was transitioning to voice recognition with us being paid half the line rate.  The VR program had loads of bugs and I'd take as long, if not longer, to edit a report as it would for me to have simply typed it outright and my money went down drastically.  It wasn't worth it and I quit (there was literally a mass exodus of MTs from this company when this happened). 


I now happily work by the hour doing both straight transcription, as well as QA and editing.