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Don't think so, but what condition is being worked up? nm

Posted By: wanderer on 2007-09-16
In Reply to: is there a CBMP???? says CBMP and convalescent serologies - Lab question

Subject: Don't think so, but what condition is being worked up? nm

s


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when I worked
Subject: when I worked

at a hospital in-house, they required 4-year-10-month-old...
Where I have worked, this has been
Subject: Where I have worked, this has been

called a dangerous abbreviation or a doctorism (or nurse practitionerism) or something like that. How to handle it is often account specific, but I would always type out the words three times weekly or else 3x a week, or something that couldn't be misunderstood like that.
everywhere I have worked it is x2.
Subject: everywhere I have worked it is x2.

x
I once worked for a national that had such bad QA, sm
that I emailed the supervisor requesting that any document of mine that QA made "alterations," that that QA person's initials be placed alongside mine on the report.  Hopefully, I made my point.
What's the patient being worked up for? nm
Subject: What's the patient being worked up for? nm

s
woo hoo! glad it worked!
Subject: woo hoo! glad it worked!

...especially before you hit the "send" button!
Not where I've worked
Subject: Not where I've worked

The places I work at make it real clear.  If the doctor states Synthroid 100 mg and you type it and leave it that way, that is a patient care error which is the highest number of points I've ever seen taken off.  We have to have 98% or above accuracy and if you mess up and drop below that, you either get correction action (at one place) or get 5% of your pay reduced (at current place).  Now I agree with you that it shouldn't be that way.  My sister-in-law is a nurse and is appalled that we have to do that since we are not in the chain of responsibility regarding medication distribution.  Unfortunately, at least where I've worked, we are responsible for knowing all meds and proper dosages which is why my former employer gives Quick Look to all its employees.
That question has come up everywhere I have worked, and -- sm
Subject: That question has come up everywhere I have worked, and -- sm

... the consensus, across the board, has always been to use KCl unless specifically told by the dictator in some way that the other was intended (which, so far, has never happened in my experience).

On the other hand, lots of our dictators routinely say s/l "cipro" and we always give them Cipro as a result, but I suspect that many of them intend ciprofloxacin and are just doing their lazy thang....

So go figure.
What has worked for me over the years - sm
Subject: What has worked for me over the years - sm

I use all the methods the other poster suggested.  I also begin thinking to myself "what could he/she be saying" here that would fit in with the context?  Can I actually hear anything that is pertinent?  Think in terms of what is being done to the patient, would they have a reason to be using a particular med, technique, test, whatever.  You sometimes just cannot make sense out of garbage no matter what methods you use and even QA will give them big, fat blanks.
Huh? I worked for an osteophathic doc for 11 years
Subject: Huh? I worked for an osteophathic doc for 11 years

Who specialized in osteopathic manipulative treatment and I've never heard of "pub". 


Does dictator pronounce it "pube" as in "tube" or "pub" as in "let's go get a pitcher of beer? :)


I worked on an account that wanted us to use pus-like, but you are right. nm
Subject: I worked on an account that wanted us to use pus-like, but you are right. nm

xxxx
I can only speak for the ones I've worked for...
Subject: I can only speak for the ones I've worked for...

Only 1 company wanted "disc". The rest wanted "disk".
I worked for an orthopedic clinic and their
Subject: I worked for an orthopedic clinic and their

preference was L2-L3.
I worked in insurance for 8 years before being an MT and.....
Subject: I worked in insurance for 8 years before being an MT and.....

We were told it was Worker's Comp. That was the way the insurance company I worked for at the time wanted it. I think it is just a matter of preference.
April - I was the exact same but worked a dept....
Subject: April - I was the exact same but worked a dept....

I worked in radiation oncology and then helped develop surgical oncology for a local hospital all during the 80s and got very familiar with all the terminology (but admit that I have trouble with all the new combo drugs that are always coming out).


It gets easier the longer you do it!!! 


I've worked on site with radiologists
Subject: I've worked on site with radiologists

at both hospitals and an outpatient center. AND I worked in the operating room.

So I offered the OP my best ideas, and all I got for attempting to help was sarcasm.

You're welcome. Dang.
Glad to help - worked for ENT group for 20 years!
Subject: Glad to help - worked for ENT group for 20 years!

nm
Hm, maybe he's just saying that one conversion was positive, meaning, it worked.
Subject: Hm, maybe he's just saying that one conversion was positive, meaning, it worked.

That's my best guess.
I typed it for years as 1 word, then worked
Subject: I typed it for years as 1 word, then worked

for an ortho clinic for a while and was told it was 2.
hope the link worked, it was loooong
Subject: hope the link worked, it was loooong


The companies I've worked for favor writing it out, sm
Subject: The companies I've worked for favor writing it out, sm

but it depends on if your account is strict "type what they say" and abbreviations like this are okay. I'm not in my office so I can't check BOS, but I'd bet the BOS says write it out unless you have strict rules about typing what is dictated.
Not above poster, but every place I've worked has wanted
Subject: Not above poster, but every place I've worked has wanted

s
Just comes from experience. Every job I've worked has handled it differently.
Subject: Just comes from experience. Every job I've worked has handled it differently.

s
GU History: Questionable BPH. He does have *guakisfuria**. He is being worked up for diabetes
Subject: GU History: Questionable BPH. He does have *guakisfuria**. He is being worked up for diabetes


Think it is both. I always heard repair from my husband who worked with AF guys. nm
Subject: Think it is both. I always heard repair from my husband who worked with AF guys. nm


"Ctrl, ALT, Shift" worked to switch CAPS lock OFF
Subject: "Ctrl, ALT, Shift" worked to switch CAPS lock OFF

THANK YOU.


"Ctrl, ALT, Shift" worked to switch CAPS lock OFF


Jonathan


for what condition?
Subject: for what condition?

eom
....definitely a CHF condition??? nm
Subject: ....definitely a CHF condition??? nm

s
Can you tell us for what condition it
Subject: Can you tell us for what condition it

.
any condition or dx on this pt
Subject: any condition or dx on this pt


condition - nm
Subject: condition - nm

x
correct word is sourcil....another tx worked for pedi ortho doc and he spelled it for her. Thanks
Subject: correct word is sourcil....another tx worked for pedi ortho doc and he spelled it for her. Thanks


worsening condition?
Subject: worsening condition?


rheumatologic condition?
Subject: rheumatologic condition?

xx
What condition are we treating????? nm
Subject: What condition are we treating????? nm

s
Abdomen condition
Subject: Abdomen condition

I can't figure out what he is trying to say.  Any thoughts would be appreciated !!!  There is no masses, distension, apatasclune maglite, fixed hernias.
If the condition is given a grade, then (sm)
Subject: If the condition is given a grade, then (sm)

it requires arabic numbers. For types, then it's roman numerals.

What annoys me is when the dictator mixes up types and grades. So then I have to google and look for an authoritative site to get it straight. I had a radiologist that had these confused. Drove me nuts.
There is a zig-zag collapse with this condition.
Subject: There is a zig-zag collapse with this condition.


condition or context, please.
Subject: condition or context, please.

nm
What exactly is the condition this is prescribed for?
Subject: What exactly is the condition this is prescribed for?


No problem, worked for Urologists for 8 years so I've heard the term a time or two
Subject: No problem, worked for Urologists for 8 years so I've heard the term a time or two

:)
Secondary cause of hypertension was worked up, including s/l amurin? VMA, metanephrine,free cortisol
Subject: Secondary cause of hypertension was worked up, including s/l amurin? VMA, metanephrine,free cortisol


what is the patient's condition/complaint? nm
Subject: what is the patient's condition/complaint? nm


Do you think this is a brand name or describing a condition???nm
Subject: Do you think this is a brand name or describing a condition???nm

s
What is the patient's condition or diagnosis?
Subject: What is the patient's condition or diagnosis?


Found also a CMC collapse with this condition.
Subject: Found also a CMC collapse with this condition.


Um, it could also be "general condition" - they say that more often than "degenerative"
Subject: Um, it could also be "general condition" - they say that more often than "degenerative" - nm


did they state what dermatological condition?
Subject: did they state what dermatological condition?


no dermatological condition stated
Subject: no dermatological condition stated

It is to be applied to the shin daily, then followed by Panafil ointment daily.
drugs.com will list by condition
Subject: drugs.com will list by condition


"Trigger" finger is a condition. You are
Subject: "Trigger" finger is a condition. You are

thinking of the finger that pulls the trigger of a gun.