Depends on whether the account requires verbatim sm
Posted By: Rad MT on 2007-05-04
In Reply to: Rules for tense in a report? - any QA rule for this?
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....
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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 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 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.
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.
depends on account specifics, whether verbatim, etc.
Subject: depends on account specifics, whether verbatim, etc.
x
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.
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 if verbatim sm
Subject: depends if verbatim sm
I personally do not have strict verbatim accounts, so I would not put in the word systolic. Since the doctor is putting in a range (110-120), he wants to make sure you know this is systolic. I doubt it needs to be included.
Depends on your account. nm
Subject: Depends on your account. nm
nm
Depends on account
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.
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?? 
depends on whether or not it's a verbatim acct
Subject: depends on whether or not it's a verbatim acct
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 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
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.
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).
In verbatim account... HELP PLEASE
She is sating(satting) 98% on room air?
I want to change, but on verbatim, I suppose I'm not supposed to, right? I'm relatively new to this and not sure.
Verbatim account
Subject: Verbatim account
How would you type... as I have it?
ESL help..with verbatim account..
Subject: ESL help..with verbatim account..
would you type re-meet? remeet? or change to meet again... It is vebatim, but I'm not used to that yet... need seasoned advice! Thanks!
On a verbatim account, would you
Subject: On a verbatim account, would you
actually leave this sentence as is?
She puts Neosporin on it, and she reports that in the morning it looks pussy.
TIA for any input.
Only if the account is verbatim would I
Subject: Only if the account is verbatim would I
type 5 foot. Should be 5 feet.
It is a verbatim account so I can't add the bag ;) sm
Subject: It is a verbatim account so I can't add the bag ;) sm
He just said the patient was *ambued and could not be intibated due to facial trauma*
So, looks like this is one of those that is up in the air and probably something to talk to company QA about?
Is this a verbatim account?
Subject: Is this a verbatim account?
If not, it would make more sense like this:
It would help beneficial organisms AND commensals bacteria colonize his colon and help as a first line of protection against disease.
If not, then I would type:
It would help beneficial organisms, commensals bacteria colonozie his colon and help as a first line of protection against disease.
Since they want the beneficial bacteria and commensals bacteria to colonize his colon, there is no need for a comma before colonize.
If the account is verbatim, I would say OK
Subject: If the account is verbatim, I would say OK
I use it only if my account is verbatim.
Subject: I use it only if my account is verbatim.
If you are on a verbatim account it could be 4, 80 and 0.
Subject: If you are on a verbatim account it could be 4, 80 and 0.
Verbatim account?
Subject: Verbatim account?
Valsalva maneuver. Lots of docs turn it into a verb, so I would say if it is verbatim, what you have is how to spell it, all lower case.
Unless its a verbatim account
Subject: Unless its a verbatim account
I rearrange the sentence so that it is not the beginning. If it is a verbatim account you don't want to change anything but type as both letters in caps, PH.
if verbatim account yes sm
Subject: if verbatim account yes sm
It depends on the client profile. On my non-verbatim accounts, I leave out the is and are in the vitals signs and for allergies, I just type the Demerol and Penicillin under the heading. That's just how I've been doing it for over 15 years and so far so good :)
depends, is it verbatim acct? If not, change it to
Subject: depends, is it verbatim acct? If not, change it to
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
Verbatim account, doc said "pee"
Subject: Verbatim account, doc said "pee"
Should I edit to "urinate" or type as is? If as is, should I put it in quotes?
Diagnosis is micturation syncope. Here is the sentence as dictated:
When he tried to pee he got weak, dizzy, hit the floor, did not feel right.
Thanks for any help. 
I'd leave it, especially if it's a verbatim account.
Subject: I'd leave it, especially if it's a verbatim account.
nm
Are you typing on a verbatim account?
Subject: Are you typing on a verbatim account?
If so, you will won't need to change decease to deceased. If the dictator is ESL, he probably used incorrect verbiage. Agree with other posters about lung CA.
Are you a verbatim account? Because I would rather put "undetectable" as well.
Subject: Are you a verbatim account? Because I would rather put "undetectable" as well.
nm
Same here, but now my account is verbatim so I give em what they ask for.
Subject: Same here, but now my account is verbatim so I give em what they ask for.
The second one is correct if account is verbatim; never
Subject: The second one is correct if account is verbatim; never
If not verbatim account and you are allowed
Subject: If not verbatim account and you are allowed
to add headings, I would put it under either MUSCULOSKELETAL or NEUROLOGIC.
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
Thanks...that option is not allowed as my account is verbatim...
Subject: Thanks...that option is not allowed as my account is verbatim...
I put the word in as dictated with quotes around it and then sent it off to QA. I noticed later that they just deleted it and put a blank and sent it through without the word. Yet one more reason why I hate being on verbatim accounts!
If you are on a verbatim account, type exactly what is dictated.
Subject: If you are on a verbatim account, type exactly what is dictated.
If you sense a discrepancy, you can flag it for your QA department.
I would leave it as dictated, esp if verbatim account. nm
Subject: I would leave it as dictated, esp if verbatim account. nm
x
Good question, is this a verbatim account? SM
Subject: Good question, is this a verbatim account? SM
If not, I guess para-colposcopic, para-cervical maybe?
I am on a verbatim account so I have to type it either way it is dictated L4-L5 or L4-5. As far OB/G
Subject: I am on a verbatim account so I have to type it either way it is dictated L4-L5 or L4-5. As far OB/GYN, G2, P3 or gravida 2, para 3 means with the 3-0-0-2: 3 live births, 0 preterm births, 0 miscarriages, 2 living children
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.
That's the way I type it when the account is verbatim. Otherwise, you could correct to incised an
Subject: That's the way I type it when the account is verbatim. Otherwise, you could correct to incised and
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.
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