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I expand CC to cubic centimeters or milliliters depending on which is correct.

Posted By: OP MT on 2008-01-04
In Reply to: how would you type this? - Tracey

Subject: I expand CC to cubic centimeters or milliliters depending on which is correct.

I always spell abbreviations out such as this one that follows a vague number , i.e., few, several, many, etc. It just doesn't look right having the abbreviation in that sort of sentence to me. If you adhere to the BOS, it suggests spelling them out in this instance as well.


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True, but some of the client profiles want cubic centimeters, so be careful.
Subject: True, but some of the client profiles want cubic centimeters, so be careful.


Probably saying "respiratory rate 20" and T-max would be correct or could expand to temperatur
Subject: Probably saying "respiratory rate 20" and T-max would be correct or could expand to temperature max.

x
If verbatim then that is correct. If you have to expand (as in my account) it is maximum temperature
Subject: If verbatim then that is correct. If you have to expand (as in my account) it is maximum temperature. (nm)

x
Do you guys expand AIDS/HIV in admit or discharge diagnoses? Normally I expand COPD, CAD, etc.. sm
Subject: Do you guys expand AIDS/HIV in admit or discharge diagnoses? Normally I expand COPD, CAD, etc.. sm

not sure in this case.  Account goes by BOS, not super nitpicky, but I'm wondering what y'all do. 
You can either type Five milliliters (cc is a
Subject: You can either type Five milliliters (cc is a

dangerous abbreviation) or recast the sentence. Lidocaine 5 mL, or We infiltrated 5 mL of lidocaine, etc.
cubic centimeter(s)
Subject: cubic centimeter(s)

I believe it is singular and also pleural, either way it is typed "cc of fluid"...I think.
Yes, frequently. And it IS centimeters. nm
Subject: Yes, frequently. And it IS centimeters. nm

x
height is 157 and 3/8 centimeters
Subject: height is 157 and 3/8 centimeters

is that possible?
Did the doc say "cubic centimeters" or "cc"? In this case....sm
Subject: Did the doc say "cubic centimeters" or "cc"? In this case....sm

transcribe what he actually says. (Most docs don't say cubic centimeters). More common for me is the doctor saying "several millimeters", in which case I type the word out.
Depending on where it is...(sm)
Subject: Depending on where it is...(sm)

could possibly be:


pilon fracture:  fracture of the distal metaphysis of the tibia extending to the ankle joint


or


ping-pong fracture:  regular cranial concavity in infants; may or may not be associated with fracture (also known as derby hat fracture)


maybe 2 through 8, depending on where it's being given? nm
Subject: maybe 2 through 8, depending on where it's being given? nm

s
Depending
Subject: Depending

on the context...could be saying negative log roll.
Depending
Subject: Depending

on where the patient is, it could be referring to The Neuroscience Institute ??
depending on what type of PEG it is sometimes
Subject: depending on what type of PEG it is sometimes

they can just "pop" it out without actually doing a surgery.
It is actually both, depending on the situation sm
Subject: It is actually both, depending on the situation sm

The patient has Alzheimer's. That is correct.
The patient has Alzheimer disease. That is correct.

You add the 's only if it stands alone.

I used Kocher clamps.
I used the Kocher's.

See what I mean?
depending on what doc says prior to this, could the
Subject: depending on what doc says prior to this, could the

first one be ..."similarly" show marked congestion ??
depending on hx, maybe "..has had no..." or "has
Subject: depending on hx, maybe "..has had no..." or "has

had known..."
Maybe plexus for box, depending on how mangled it's getting? nm
Subject: Maybe plexus for box, depending on how mangled it's getting? nm

s
Probably either, but would make a choice depending on the
Subject: Probably either, but would make a choice depending on the

s
I think the patient's dosage is just different depending what problem it's being used for.
Subject: I think the patient's dosage is just different depending what problem it's being used for.

.
or even 0023 and 0158 depending on when they were admitted? nm
Subject: or even 0023 and 0158 depending on when they were admitted? nm

s
Depending on surgical site there is "seton."
Subject: Depending on surgical site there is "seton."

 A cutting seton (usually a silk ligature)
how about "attempts at" ? (depending on rest of sentence)
Subject: how about "attempts at" ? (depending on rest of sentence)


another possibility - Zaroxolyn, depending on dialect?
Subject: another possibility - Zaroxolyn, depending on dialect?


Depending on age of patient,, maybe anxiety about world issues
Subject: Depending on age of patient,, maybe anxiety about world issues

xx
Yep, shiny Schultz or dirty Duncan, depending on placental
Subject: Yep, shiny Schultz or dirty Duncan, depending on placental

s
Or, depending, could be forward flexion. Have to listen carefully and keep in context.
Subject: Or, depending, could be forward flexion. Have to listen carefully and keep in context.


What kind of surgery, there are a few sound alikes depending on procedure????NM
Subject: What kind of surgery, there are a few sound alikes depending on procedure????NM

nm
If that's what was said, yes. You'd expand the second one to 42,800 IF your QA allows it. If n
Subject: If that's what was said, yes. You'd expand the second one to 42,800 IF your QA allows it. If not,

s
if CP says to expand, I certainly do expand
Subject: if CP says to expand, I certainly do expand


Expand IV????
Subject: Expand IV????

How would I expand IV?  "Plan is to discontinue his IV."  When I look it up I get intravenous.  That does not sound right...... 


 


THANKS!!!


Expand LVH
Subject: Expand LVH

Not sure whether to expand LVH in assessment.  It does not appear expanded elsewhere in report.  Left ventricular hypertrophy or left ventricular hyperplasia??  Leave as is?
Unless you need to know it to expand it in
Subject: Unless you need to know it to expand it in

the report, I wouldn't waste time over it. If you need to know, ask your supervisor to find out for you.
how do you expand L5-S1 in a DS?
Subject: how do you expand L5-S1 in a DS?

How would you expand this sentence in the Diagnosis section of a Discharge Summary. 


Do I replace L5-S1 with lumbosacral joint? 


My account gives examples that we should expand "Fracture, L2" out to "Fracture, second lumbar" ....  so that is why I'm thinking I need to expand the L5-S1...


DIAGNOSES:


1.  Right-sided L5-S1 herniated nucleus pulposus.


 


I never expand
Subject: I never expand

Because abbreviations can mean so many things, I never expand abbreviations even in a diagnosis. Our hospital determined it is the dictators job to edit before signing if they want it expanded.
expand HPI?
Subject: expand HPI?

Forgive my newbiness (that WILL become a word someday, I'm sure of it!) that will clearly be seen in this question!

When the doctor dictates "as stated in the HPI" , should I expand that to History of Present Illness - with those caps in place or only capitalizing the H?

Thanks!
should expand
Subject: should expand

I'm told to expand all those that are not common. (How gloriously vague!) Seems to me that "HPI" is pretty common. But I think I'll go ahead and expand.

So should I capitalize all of it?
I would expand
Subject: I would expand

ANY abbreviations the client wants expanded. Everyone has a preference.
Dictated: One and a quarter by one and a quarter centimeters
Subject: Dictated: One and a quarter by one and a quarter centimeters

or 1 1/4 x 1 1/4 cm.  TIA


 


 


If you expand it (and you should if your account allows), sm
Subject: If you expand it (and you should if your account allows), sm

it should be "cardiac catheterization," not "cardiac catheter." 
only expand it out to metastasis if.....sm
Subject: only expand it out to metastasis if.....sm

Client profile dictates whether or not to give this dictator mets or metastasis.....his saying *met* was wrong.  I would've given him *mets* unless the client profile allows expanding of words, and in that case I would've given them *metastasis*
I would expand all as you stated...
Subject: I would expand all as you stated...

I am not on a verbatim account and I do expand those types of abbreviations, but I would be interested in hearing others' opinions as well.

By the way, why are you "dubious"? Just curious!
I wouldn't expand it.
Subject: I wouldn't expand it.

Considering the context in which IV is used, it is its own entity.  I would leave it as is.
I think I would just expand this nonsense to have it be
Subject: I think I would just expand this nonsense to have it be

s
I always expand it to saturating. (nm)
Subject: I always expand it to saturating. (nm)

xx
How to expand UBJ obstruction
Subject: How to expand UBJ obstruction

Hi!  Need to type UBJ obstruction in an op note. Can't find anywhere in acronyms.  Anyone know?  Thanks in advance.
Unless you are to expand abbreviations
Subject: Unless you are to expand abbreviations

you transcribe it as dictated.
I always expand everything if CP says so, even lab tests..
Subject: I always expand everything if CP says so, even lab tests..

xx
Unless you have to expand all abbreviations
Subject: Unless you have to expand all abbreviations

don't waste your time worrying about it, just type it.
Expand BMI in op title? sm
Subject: Expand BMI in op title? sm

I couldn't resist putting Guess, since that's what I've had plenty of today.  Guess who dictated this report and put in ? maybe the wrong ID?  Or is it Dr. ??, or his/her (seriously, I can't tell) PA, or assistant... 


Okay, I had to gripe.  This is all I get lately.  I have actually broken my own record for finding someone who stutters more than someone I used to work for.  That's a terrible comparison, as everyone loved thiss doc and doc's dictation.


Thanks..


How do you expand DDAVP?
Subject: How do you expand DDAVP?

DDAVP is dictated in the assessment, in which no abbreviations are allowed. What is the expansion for DDAVP?