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I need opinions on formatting. SM

Posted By: RockinMT on 2008-08-27
In Reply to:

Subject: I need opinions on formatting. SM

The patient was seen by Dr. John Smith of the cardiology service.


OR


The patient was seen by Dr. John Smith of the Cardiology Service.


This always messes me up!  I've done it the second way for many moons, but I'm training a new girl who says according to the BOS, I'm wrong.  Just wondering how everyone else does it.


 




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Formatting
Subject: Formatting

I would separate this from the social history with a new heading unless you're typing an account that is absolute verbatim and no embellishment is allowed. 


I try to think of the record from the patient's standpoint - the easier the information is to locate quickly, the faster and more efficient their treatment will be in a pinch.  I know I'd want my record treated that way! 


cc: formatting help!!!
Subject: cc: formatting help!!!

I have never come across this before...  my cc line is "Karen Arndt at Buckley Mendleson & Criscione, Attorneys-at-Law"


Problems: It wraps to the second line and I don't know how to format/word that sentence into a cc line.


Helllllllllllllllllllp!!!!???? 


formatting help
Subject: formatting help


dictated: The patient was given Aminophylin, Lanoxin .25, Lasix 40 mg, Cardizem.


is it best to list and number? commas? periods? maybe a colon after given? Just wondering what others might have to say. Thank you. :)


 


Formatting
Subject: Formatting

I would type it as follows: aminophylline, Lanoxin, 25 mg, Lasix 40 mg, and Cardizem.


Hope this helps.


Re: formatting help
Subject: Re: formatting help

Thank you for the replies. The reason I ask is because it is different with every assignment; depending on who grades my paper. It ticks me off and confuses me.
opinions please (sm)
Subject: opinions please (sm)

Wondering what most people type for dosing units in the millions:


3 million units or 3,000,000 units


From what I see in BOS II, it can be typed either way.  I just typed 3,000,000 units thinking it may be a little more clear on a medication list, but now I am second-guessing, so I am looking for opinions on this.  Thanks


I have 2 opinions on this --
Subject: I have 2 opinions on this --

1) Miralax is generally given 17 g - half would 8.5 g.  That one grabs me more than the abbreviation issue.


2) g is an acceptable abbreviation for grams, but a lot of clients prefer it written out when used alone - much like the word liter when used alone.  It can sometimes be difficult to discern in the report.  If your client has no preference, I would continue to use g and just chalk it up to the QA's preference. 


Help with label formatting
Subject: Help with label formatting

Looking for any help on formatting transcription labels in Word to print to a laser printer.  We purchased labels (3 per page)...I have tried to change settings in Create New Label; however, if we need it to continue on the next label it doesn't seem to work, the text continues, but "underneath" the next label.  How can we set it up so that it continues on the next label?  Any ideas would be greatly appreciated!


Forum Formatting
Subject: Forum Formatting

This forum doesn't bring posts to the top when they get a reply. See your original post with replies.
Question on formatting
Subject: Question on formatting

After abdomen goes into examination of left torso.  Should create new heading or can I leave it in abdomen section.  Doc describing pain in the left torso area.
Formatting questions
Subject: Formatting questions

Which is correct?

MEDICATIONS: Rantidine 150 milligrams

OR

MEDICATIONS: ranitidine 150 milligrams

note: Ranitidine is a generic medication.
Formatting question
Subject: Formatting question

What is the correct way to type these:

Diabetes mellitus non-insulin requiring.

Hypertension well controlled.
Need help with formatting a word...
Subject: Need help with formatting a word...

I can't remember anything these days!  Please jog the memory of a scatter-brained mother of 4 young children by telling her the answer to the following question:


Do you italicize the word monilia?  Does the word need to be capitalized when transcribed within a sentence?  


Thank you all you smart people out there for being wonderful, wonderful, wonderful to us "special" people like me! 


Opinions are what the board is here for..
Subject: Opinions are what the board is here for..

nm
opinions - how do you all type
Subject: opinions - how do you all type

this -  the dictator says the nodule was FNA'd or I&D'd, etc.  It just seems awkward.


 


Need opinions or facts
Subject: Need opinions or facts

Most docs dictate possesion for Hodgkin's lymphoma, Meckel's cavity, Gerota's fascia, Morison's pouch, etc.  You get the picture.  All of my references have these without possession.  What is the standard for transcribing?  I was told at one point to leave off the 's and type as referenced.  Do you agree?
Think I figured it out, but would like opinions.
Subject: Think I figured it out, but would like opinions.

I've never heard this, but I've only recently started typing GYN reports.

Patient has bacterial vaginosis. Doc is saying --- MetroGel 0.75% one application s/l p.v. q.h.s. x5 nights.

Stedman's abbv lists p.v. as by way of vagina, so that makes sense? Would just like to know if anyone has heard this. Thanks.
Opinions please - This doesn't seem right...
Subject: Opinions please - This doesn't seem right...

Patient prescribed prednisone 5-mg, 6-day taper. Doesn't that seem like a low dose of prednisone to do a taper?
I'm sure there will be differing opinions..
Subject: I'm sure there will be differing opinions..

but I'm going to go out on a limb and say PL simply means posterolateral.
Grades and stages formatting
Subject: Grades and stages formatting

How should you format the following:


chronic hepatitis at grade 2 and portal fibrosis that is stage 1?


Opinions needed on my tweaking ... sm
Subject: Opinions needed on my tweaking ... sm

Here's my tweaking:   I think it looks okay except for the last sentence.  Can anyone help me make that last sentence look better?  Thank you.


 


Dear xxxx :


 


I am pleased to write a letter of recommendation for XXX who is applying to your program.  XXX spent a week with me in my internal medicine office this past summer.  He is currently a student at XXX and has decided on a career in a medicine.  In the process of starting his medical career, xxx has spent time with multiple physicians to show that he is serious about a career in medicine.  He has excellent personal skills, as you will see when you interview him. 


 


During the time I spent with xxx  he asked intelligent questions and showed a genuine interest.  His thought process seemed both logical and rational during our discussions.


 


Based on my experiences with x,  I recommend highly that he be accepted in your training to become an xxx physician.  I believe he has all the makings of good physician, intelligence hard-working, motivated, and personal. 


 


 


Opinions needed See MSSG
Subject: Opinions needed See MSSG

 


 


Question: would you put "Romberg negative.  No pronator drift.  Gait is normal." under extremities or neuro?    Thanks


 


EXTREMITIES:  No clubbing, cyanosis, or edema.  Distal pulses are 2+ and equal throughout.  Romberg negative.  No pronator drift.  Gait is normal.


 


NEUROLOGIC:  Cranial nerves II-XII are intact.  DTRs are 2+ and equal throughout.  Romberg negative.  No pronator drift.  Gait is normal.


Thanks a million. Opinions at this point even help!
Subject: Thanks a million. Opinions at this point even help!


need opinions on the correct way to type this
Subject: need opinions on the correct way to type this

The patient has no discharge drainage or pus.


Initially I thought "drainage, discharge" with the comma but does it make sense without the comma? 


opinions please attained/obtained
Subject: opinions please attained/obtained

I have a doc who keeps saying hemostasis was attained (spells it).  He is ESL - I think you OBTAIN hemostasis.  Am I wrong?
Need Help Formatting a Numbered List in MS Word
Subject: Need Help Formatting a Numbered List in MS Word

Can anyone help me do the following:


I want to do a numbered list (i.e. an IMPRESSION: section), so that:


The numbers are flush left again the margin; and -


Each entry is indented a few spaces (a few spaces to the right of the numbers in the list).  If one entry in the list goes for more than a single line, I want the second line of that entry to ALSO be indented -- so that it does not sit underneath a number and does not look good. Every time I try to use the MS Word numbering feature, it pushes the whole list (including the numbers) to the right, so that the numbers themselves are no longer flush agains the left margin.


Thank you very much. Willing to call someone too if they can help me. Very important.


David


Formatting when doctor dictates "question..."
Subject: Formatting when doctor dictates "question..."

Dictated: "Patient was prescribed question Pyridium"

How would I transcribe this? Would I type, "Patient was prescribed Pyridium?"

Thanks in advance!!!!!!
More opinions needed. 2 people are disagreeing here. TY
Subject: More opinions needed. 2 people are disagreeing here. TY


Don't be confused by dift opinions. Blank if unsure. However, docs dictate one-teens all the ti
Subject: Don't be confused by dift opinions. Blank if unsure. However, docs dictate one-teens all the time.