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Page 8 under Abbreviations in BOS II, says to keep the periods

Posted By: out of most abbrvns, so CVA it is. nm PT on 2007-11-11
In Reply to: When did "c.v.a. tenderness" become unacceptable? For years that is how I typed it. nm - Old and out of it

Subject: Page 8 under Abbreviations in BOS II, says to keep the periods

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The exact reference is on page 196, see my post below, not page 6..nm
Subject: The exact reference is on page 196, see my post below, not page 6..nm

nm
VAC no periods...
Subject: VAC no periods...


actually, it is q.4h. (with the 2 periods)
Subject: actually, it is q.4h. (with the 2 periods)

nm
M.D. and MS-periods?
Subject: M.D. and MS-periods?

I am supposed to be typing M.D. with periods. I have M.S. in the same report. Are there supposed to be periods for Jane Doe, M.S.?
well your QA was wrong...never been w/periods
Subject: well your QA was wrong...never been w/periods


on my account can only type PRN, no periods. sm
Subject: on my account can only type PRN, no periods. sm

Everything can't come from the BOS. Some things we do have to 'wing it' so to speak. I have a verbatim account and can only type PRN, no periods, all caps, so that's how it would be done. P.r.n. Tylenol doesn't look right, so I would have to put it PRN Tylenol.
Since it's verbatim, how about w/o periods? Prn Tylenol. I don't think that looks bad. nm
Subject: Since it's verbatim, how about w/o periods? Prn Tylenol. I don't think that looks bad. nm

x
IV for intravenous (one word) therefore no periods
Subject: IV for intravenous (one word) therefore no periods


Also, with the periods it would be 3 separate words, which it is not...
Subject: Also, with the periods it would be 3 separate words, which it is not...

cerebrovascular accident always has been CVA (hard to keep up with so many new rules).
Have done it that way as it is the trademark name, but has come back from QA without the periods (go
Subject: Have done it that way as it is the trademark name, but has come back from QA without the periods (go figure).


i type them all with periods, not caps.
Subject: i type them all with periods, not caps.


guidewire is 1 word, but use the periods 0.018
Subject: guidewire is 1 word, but use the periods 0.018

nm
I would keep it as you have it, (3 diagnoses) just put periods at the end of each sentence. :)
Subject: I would keep it as you have it, (3 diagnoses) just put periods at the end of each sentence. :)


To be perfectly honest, I have never seen it with periods before and I have been transcribing for 34
Subject: To be perfectly honest, I have never seen it with periods before and I have been transcribing for 34 years, but I too still have to learn new things every day. Guess that is what keeps me motivated.


Just a guess...Could be stumbling and saying "these ummm periods...
Subject: Just a guess...Could be stumbling and saying "these ummm periods...


Pleural catheter placement - proper way to type an 018 guidewire? Any periods/dashes/etc?
Subject: Pleural catheter placement - proper way to type an 018 guidewire? Any periods/dashes/etc?


These are probably not abbreviations. sm
Subject: These are probably not abbreviations. sm

Is that the entire EKG interpretation? Check your BOS for help with EKG terms.
CT KUB/Abbreviations
Subject: CT KUB/Abbreviations

Check a TT SF CB DD CC....I wish they would just drop the abbreviations. All the "e" letters come across sounding alike as do the S's and F's. Then there are the B's and V's. There are about 35 abbreviations for CT,the most common of which is computerized tomography, but the list goes on and on. Cobra toxin is a good one!
Abbreviations.
Subject: Abbreviations.

2-3-day history of a pelvic pain along her bladder area. This pain is described as a constant crampy pressure pain, tender to touch, and is associated with urinary urgency and frequency. She denies any S/C/N/V/D/C.


New doctor for me. She likes to use a lot of abbreviations. Not sure what S/C/N/V/D/C is.


Also, doctor uses "MRC CUA" under plan. It is just by itself. Any clues?????


Abbreviations (sorry not much help)
Subject: Abbreviations (sorry not much help)

According to Stedman's  BSA= body surface area.  BFA abbreviations do not make sense here (BFA= baby for adoption  or  bifemoral arteriogram.)  Hope this helped a little anyway! 
abbreviations...
Subject: abbreviations...

Don't you just love them: Let's see there is:
1. continuous performance test,
2. continuous primary tests,
3. chest physiotherapy,
4. clinical pharmacokinetics team,
hmmm, I wonder, which one sounds the best to you?
There are many abbreviations that have
Subject: There are many abbreviations that have

more than one meaning, if in doubt use the abbreviation, EVEN if it is in the diagnosis.
abbreviations AS, AI, MR??
Subject: abbreviations AS, AI, MR??

I have to expand these abbrevations, but I'm having a hard time finding which ones are the right ones. The sentence is "multiple murmurs of AS, AI, and MR"
Stedman's Abbreviations has it as
Subject: Stedman's Abbreviations has it as

T-MAX, Tmax, or T-max. but don't take my word for it. Ask the others on this site who know everything.
also in Stedmans abbreviations nm
Subject: also in Stedmans abbreviations nm


What abbreviations are and are not appropriate will be different for each account sm
Subject: What abbreviations are and are not appropriate will be different for each account sm

Go with what your QA tells you.  It may be acceptable but the doctor may not like/want it done that way.  I've found every account has different rules and preferences.
metric abbreviations- sm
Subject: metric abbreviations- sm

Is one form correct over another when abbreviating the measurement 'microgram?'  I know I've seen it abbreviated as mcg, but in my chemistry background, we always used the symbol that looks like a funny letter 'u.'  I can type that symbol in Word, but I'm not sure if it's necessary or preferred.  This is the first time I've had the term 'microgram' dictated. 


Side note, do you use upper or lower case 'L' to represent a liter?  I've seen both used. 


In the diagnosis, I would (no abbreviations)
Subject: In the diagnosis, I would (no abbreviations)


Unless you are to expand abbreviations
Subject: Unless you are to expand abbreviations

you transcribe it as dictated.
According to the Stedman's abbreviations
Subject: According to the Stedman's abbreviations

& Acronyms it is

geriatric assessment unit
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.
no, This dictator is big on abbreviations, but I just can't get it, nm
Subject: no, This dictator is big on abbreviations, but I just can't get it, nm

x
Expanding abbreviations
Subject: Expanding abbreviations

Are there any abbreviations that should NEVER be expanded on the diagnoses section of a hospital record?  I was told that T-spine should never be expanded to thoracic spine; however I learned that ALL abbreviations are to be expanded and dont agree.  Please help. 
even though I, too, avoid using abbreviations in dx, I
Subject: even though I, too, avoid using abbreviations in dx, I

would have used the "B" - mainly because you just don't often see the term "beta" strep used - you always see "group B strep," so I think that's why they changed it.


dangerous abbreviations
Subject: dangerous abbreviations

Now please do not flame me for asking, but I am getting confused about some of these.  The one for today is hs.  Is it used at all?  If so, is it hs or h.s.?  I thought it was not used, but substitute "bedtime", but I do not find it in BOS and on page 463 of BOS 2 it lists "BT" as to not use but substitute "hs."  Can anyone give me a definitive reply with citation of source?  Thanks.
BOS page 282
Subject: BOS page 282

x
On page 172
Subject: On page 172

Mine still reads as I quoted above, and I see no questions and answers, only examples. Still says follow-up is an acceptable alternative. Also, account preference trumps BOS, and I have accounts for which the expectation is follow-up.

Nothing new. See BOS page 16. nm
Subject: Nothing new. See BOS page 16. nm

x
please help me with page # in bos 2nd ed., where it says
Subject: please help me with page # in bos 2nd ed., where it says

to use 1, 2, 3 rather than spell out one, two, three -- I KNOW it's in here but i can't find it :(


 


(probably because I'm looking :(


 


and no, i'm not testing for anything -- i'm fighting a QA review


 


thx


Per BOS, page 200...sm
Subject: Per BOS, page 200...sm

height

Express with numerals, as indicated below.

Write out nonmetric units of measure; do not use the symbols " and ' for inches
and feet.

Note: There is no comma between units of the same dimension, so there is no
comma after feet in the following example:

Height: 5 feet 8 inches.
BOS Page 324 says...
Subject: BOS Page 324 says...

plus/minus:
Express as plus or minus or plus/minus, not +/- or + except in tables or test results.


Hope that helps! 


 


 


 


Without, page 283 of BOS II. nm
Subject: Without, page 283 of BOS II. nm

s
BOS II page 146 - says to use n.p.o. nm
Subject: BOS II page 146 - says to use n.p.o. nm

s
BOS page 370
Subject: BOS page 370

stat
BOS 2, page 196.....
Subject: BOS 2, page 196.....

gray (Gy)
The Internationaal System Unit of absorbed dose of ionizing radiation. Equal to 1 joule per kilogram of tissue.

Abbreviation: Gy (no period)
lung exam abbreviations
Subject: lung exam abbreviations

On lung exam is sound like he is saying "BS equals BO" or "PS equals PO."  Anyone have any idea?
I checked my Stedman's Abbreviations
Subject: I checked my Stedman's Abbreviations

book on this and it was not in there (surprise!) but I put the abbreviations into google and it came right up. Maybe I had better get a newer book. lol
But cc is on the dangerous abbreviations list
Subject: But cc is on the dangerous abbreviations list

Most places want you to change to mL (or sometimes even milliliters).



Discharge Summary Abbreviations
Subject: Discharge Summary Abbreviations

Must we expand all abbreviations in the Discharge Summary (as you would in a diagnosis/impression), or type verbatim?
Stedman's 3rd abbreviations has it both ways.
Subject: Stedman's 3rd abbreviations has it both ways.

nm
"Metastases" according to Stedman's Abbreviations
Subject: "Metastases" according to Stedman's Abbreviations