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I think it kind of depends on whether this is a case

Posted By: vn on 2009-05-26
In Reply to: Nurse's notes reviewed or nurses notes reviewed? nm - Elaine

Subject: I think it kind of depends on whether this is a case

where multiple nurses may have been making notations (long hospital stay, etc.) I usually use "nurse's" - sometimes, if it's unclear, I kind of cheat and make it "nursing" notes




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kind of depends, I think
Subject: kind of depends, I think

It sort of depends on your account specifics, I think.

If you type the whole report and still can't figure out which one it would be by using the context of the report, I personally would type the initials and then highlight them because that's what I do with my uncertain words on my account...don't know if that helps much....lol
It is upper case for stain, lower case
Subject: It is upper case for stain, lower case

x
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. 


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

nm
depends on context
Subject: depends on context

you can't have a bilateral eye, as it takes 2 to be bilateral. but, if it is followed by "surgery" then eye would be okay. I would base it on the context, there is no blanket answer.
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 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
i think it depends on the context...
Subject: i think it depends on the context...

if this is a psych report or they are questioning depression or PTSD then yes nontearful would be appropriate.
Depends on context
Subject: Depends on context

If used as a verb it's "follow up." If used as a noun or adjective it's followup (or follow-up depending on your client's preference...mine wants followup for noun and follow-up for adjective).
Could you explain what it depends on please? sm.
Subject: Could you explain what it depends on please? sm.

I have been wondering the same thing. I was always told grade in arabic numbers and stages in roman numerals. Now I am confused too. LOL.
Another "it depends" . . .
Subject: Another "it depends" . . .

It's my understanding that if you are referring, as in your example, to a specific department at a specific hospital, yes; otherwise, no.

A common mistake, for example:

He went to the Emergency Room at University Hospital.

versus

He was seen in the emergency room for this problem once in 2006. (You don't know which exact emergency room at which exact hospital.)

A weird "irregular," just for fun(?):

Vocational Rehabilitation is an actual government agency.

Arrgh!

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 the sentence and how it is used.
Subject: Depends on the sentence and how it is used.

x
It depends on the client...
Subject: It depends on the client...

If it is dictated as medications include, I would type MEDICATIONS:  Include aspirin, Prilosec etc...  If the dictator dictates medications and then starts numbering them, I would type MEDICATIONS:


                                            1. 


                                            2. 


Are there any samples of the work for you to look at?  Sometimes when in doubt, they are helpful.  Hope that helps.  This is just what I do. 


Depends - See Inside
Subject: Depends - See Inside

If it is a stand alone sentence it would be half-pack a day or half-pack per day.

If he is describing the patient, then it would be written "The patient is a half-pack-per-day smoker." or "The patient is a half-pack-a-day smoker."
Depends on the client..
Subject: Depends on the client..

Some prefer it just the way you have it and others 4/4. :-)
It depends of the doctor's
Subject: It depends of the doctor's

preference.  Some will allow for more editting than others.  I would change it to:


Possitive for smoking a half . . .


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

n/m
I think it depends on the client, but if they are
Subject: I think it depends on the client, but if they are

okay with abbreviated forms, you could do "U-tox," if not then I would type it as urine toxicology.
In this case.... c msg
Subject: In this case.... c msg

Nothing is wrong with grammer/punctuation. Therefore, I agree with verbatim and it should stay PRN Tylenol
Just so you know, in case it comes up later, sm
Subject: Just so you know, in case it comes up later, sm

The expression is "I'm at a loss" not "lost." And it should read "Mother deceased at age 71" not "decease." These just might be typos as you're probably in a hurry, but I wanted to be sure you were aware just in case.

:)


oh. in that case, I'm not sure - sorry to be of no help!
Subject: oh. in that case, I'm not sure - sorry to be of no help!