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Per client's wishes. I have accounts where

Posted By: kt on 2008-10-04
In Reply to: oxygen 2 Liters per nasal cannula - PRiddy

Subject: Per client's wishes. I have accounts where

we spell liters out - 2 liters and one we use the abbreviation 2 L.


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according to client profile/wishes. My acounts have it, DNR, etc. all caps (nm)
Subject: according to client profile/wishes. My acounts have it, DNR, etc. all caps (nm)

x
I apologize. Best wishes to you!
Subject: I apologize. Best wishes to you!


I have two accounts..
Subject: I have two accounts..

One actually wants "same" as the post op dx and one wants the preop dx.
I also have two accounts that want it different.
Subject: I also have two accounts that want it different.

Characters would be less for 1-9 as opposed to one through nine.  It also depends on client preference.  It is hard to train your fingers to do one or the other.  I am old-school and have always done one through nine, 10, 11, 12, and so on.  I have to retrain my fingers.  I also have an account that requires I type the 1st the time the patient came in, and the other requirest the first time the patient came in.
or I should say, some accounts want (sm)
Subject: or I should say, some accounts want (sm)

you to put the s on IF it is dictated. Style preference is now without s.
I have my own accounts and they want the symbol.
Subject: I have my own accounts and they want the symbol.

They could care less what BOS has to say. 
Many accounts want this expanded
Subject: Many accounts want this expanded

now because it's on the dangerous abbrev. list
I have a few former accounts that insist on cc. nm
Subject: I have a few former accounts that insist on cc. nm

b
preference of most accounts is to
Subject: preference of most accounts is to

leave off the s, except when it would make an awkward construction, e.g. the patient has Alzheimer's (in that case leave the s). But some accounts still want the s.
on my accounts, it's Cerner
Subject: on my accounts, it's Cerner

don't know if it's the same nationwide, though.
Two of my "dozens" accounts (too many!)....sm
Subject: Two of my "dozens" accounts (too many!)....sm

are private surgical hospitals, and even with laparoscopies, cystoscopies, hysteroscopies, etc., there are small 1cm incisions, but you are very correct, with either upper OR lower endoscopies (colon or sigmoid) you would have the scope directly inserted..........does anyone else get hired on for "one or two" accounts and end up with a dozen??? just wondering after all this time....


Might add I didn't do BOS on my accounts. sm
Subject: Might add I didn't do BOS on my accounts. sm

We used that abbrev all the time but I don't know if it is allowerd on BOS.  nm


I use disc myself for all accounts I transcribe for...nm
Subject: I use disc myself for all accounts I transcribe for...nm

.
not all accounts use BOS....mine don't, so don't misinform--nm
Subject: not all accounts use BOS....mine don't, so don't misinform--nm

nm
if all accounts were just that easy LOL. no such luck. xx
Subject: if all accounts were just that easy LOL. no such luck. xx

xx
The accounts that I ASR are verbatim, therefore, I put exactly what they say (within reason) and if
Subject: The accounts that I ASR are verbatim, therefore, I put exactly what they say (within reason) and if a serious question arises I stick in a QA mark with the appropriate question.


I have on my verbatim accounts without being told otherwise.
Subject: I have on my verbatim accounts without being told otherwise.


This can differ by accounts. I have been asked
Subject: This can differ by accounts. I have been asked

to use subcu, subq, and one account sub-Q (which looks really weird to me!).
Calling on anyone doing psych accounts
How can I write PEC able as a word??  PEC-able, PECable, or 2 separate words? I'm about to pull my hair out with this report. ESL whose dialect is unbelievable...on ASR.  Uggg! Any help appreciated.
Some accounts want no personal info
Subject: Some accounts want no personal info

at all in the report, others want pertinent people listed. It depends on the facility/account.
we have PACS for radiology on my accounts (nm)
Subject: we have PACS for radiology on my accounts (nm)


my accounts use BOS as a baseline, dictators override it. sm
Subject: my accounts use BOS as a baseline, dictators override it. sm

in retrospect, every account I've ever had has done it that way.
Thanks! Today I'm getting jobs on unfamiliar accounts
Subject: Thanks! Today I'm getting jobs on unfamiliar accounts

and specialties. Appreciate your help.
Ask your QA person. Accounts term their labs differently. nm
x
I use tib-fib, but I would say it depends on the account. Some verbatim accounts do not like abbrevi
Subject: I use tib-fib, but I would say it depends on the account. Some verbatim accounts do not like abbreviations, others want it strictly verbatim. The rest seems appropriate to me, but I would say it is dorsiflex the ankle.


If you are allowed to type superscripts (I cannot use that kind of symbols on my accounts) then you
Subject: If you are allowed to type superscripts (I cannot use that kind of symbols on my accounts) then you can put it also as 10 (superscript 5)


Personally, I would put incised and drained (unless one of those really strict verbatim accounts)
Subject: Personally, I would put incised and drained (unless one of those really strict verbatim accounts)


most accounts don't care (not as fussy as BOS authors). I have a shortcut that expands out. NM
Subject: most accounts don't care (not as fussy as BOS authors). I have a shortcut that expands out. NM

.
Please give the entire sentence/context of the word, have lost of Ortho/Surgical/Rad accounts...nm
Subject: Please give the entire sentence/context of the word, have lost of Ortho/Surgical/Rad accounts...nm

nm
That's right! Client's way is the right way, sm
Subject: That's right! Client's way is the right way, sm

as they're paying for it. However, when I give answers here, I go by BOS as we all work for different clients. You're right, though, the client's preference prevails, right or wrong, or in-between.

Not as far as MY client wants it..
Subject: Not as far as MY client wants it..

nm
Up to client
Subject: Up to client

I have been doing hem/onc for 7-1/2 years, and it seems as though every account I have worked on uses their own style, i.e., currently I work on M. D. Anderson Cancer Center and they want stage IA, IIB, IIIC, etc., written as stage I-A, II-B, III-C, etc., plus a few other things that are done differently than normal. The client is always right, so you have to be sure to follow their guidelines.
Nothing to do with the client. If
Subject: Nothing to do with the client. If

x
That would be per the client, but most
Subject: That would be per the client, but most

hospitals I have worked for want it under Labs.
That would entirely be per the client.
Subject: That would entirely be per the client.

We type 2 p.m. unless they say "O'clock" and for 08 per BOS I believe 2008 would be correct.
Per your client, but not normally unless in an
Subject: Per your client, but not normally unless in an

x
It is however your client wants. However,
Subject: It is however your client wants. However,

how do you know if you expand to Psychiatry or Psychology, Psychiatrist or Psychologist???
Not unless your client wants it. Where I
Subject: Not unless your client wants it. Where I

x
You do what your client wants.
Subject: You do what your client wants.

x
It is all according to the client. Some want
Subject: It is all according to the client. Some want

numbered lists, some don't. Need to check with them.
It is all according to the client. Some want
Subject: It is all according to the client. Some want

numbered lists, some don't. Need to check with them.
It is all according to how your client
Subject: It is all according to how your client

wants things done. Some want headings for everything, some want verbatim. Need to check with your supervisor and/or client.
if your company or client is using BOS
Subject: if your company or client is using BOS

as a guideline, per page 283 of 2nd ed, you DO use an apostrophe to form the pleural of single-digit numerals. In fact, they use that same example, "4 x 4's."
might depend on client
Subject: might depend on client

I have been using weightbear and weightbearing for the past two years and neither the QA or the client have every complained or requested otherwise. matter of opinion, I guess.
it's really client preference.......nm
Subject: it's really client preference.......nm

.
Definitely client preference, if they have one, but -- sm
Subject: Definitely client preference, if they have one, but -- sm

barring that, the AAMT has come out saying that "disk" is preferred over "disc" (for whatever that's worth), though both are still acceptable.

I've had some clients with a preference for "disc" with respect to the eyes, and "disk" when referring to the spine, but the vast majority (in my recent experience) have shown a preference for disk in all cases.
Best to ask your QA how the client prefers this to be done. nm
Subject: Best to ask your QA how the client prefers this to be done. nm

x
Do it per client specifics.
Subject: Do it per client specifics.


Client preference here. nm :)
Subject: Client preference here. nm :)

nm
The client will most likely let you know how they want it or your employer. sm
Subject: The client will most likely let you know how they want it or your employer. sm

Apparently BOS states both ways.  Ex.  X-rays, 2 views, blah, blah, blah.. or X-rays, two views, blah, blah, blah....  Same would apply with 1st and first.  I've had experiences where the client dictates which way they'd like it, and both are correct depending on which BOS you go by.  Hope this helps. 


Our client prefers
Subject: Our client prefers

DO NOT RESUSCITATE
and
DO NOT INTUBATE

Strangely enough, they do not want allergies capped.