Personally, I would put incised and drained (unless one of those really strict verbatim accounts)
Posted By: MT50 on 2007-12-13
In Reply to: Abscess was I&D'd - How would you type that?
Subject: Personally, I would put incised and drained (unless one of those really strict verbatim accounts)
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- Abscess was I&D'd - How would you type that?
- Personally, I would put incised and drained (unless one of those really strict verbatim accounts) - MT50
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Either put in quotes if it is strict verbatim or blank it.
Subject: Either put in quotes if it is strict verbatim or blank it.
Is it strict verbatim or can you tidy it up a bit? I'd be tempted just to give them
Subject: Is it strict verbatim or can you tidy it up a bit? I'd be tempted just to give them
s
That's the way I type it when the account is verbatim. Otherwise, you could correct to incised an
Subject: That's the way I type it when the account is verbatim. Otherwise, you could correct to incised and
Depends on the account: My verbatim account is VERBATIM and other accounts I put 3100
Subject: Depends on the account: My verbatim account is VERBATIM and other accounts I put 3100
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.
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.
Personally, I do a verbatim account and I have begun sentences with "CT".
Subject: Personally, I do a verbatim account and I have begun sentences with "CT".
I&D is not always "incised and drained" -- could also be /sm
Subject: I&D is not always "incised and drained" -- could also be /sm
"irrigation and debridement" so if not sure, I just use I&D'd.
Have a great day.
S/l cervical "seronix" drained?
Subject: S/l cervical "seronix" drained?
Thanks for the help!
drained a s/l keratin from his cheek
Subject: drained a s/l keratin from his cheek
incised----nm
x
Once again, just me, but if it is not verbatim I would type out hematocrit, if verbatim "give it
Subject: Once again, just me, but if it is not verbatim I would type out hematocrit, if verbatim "give it to them".
uterus was palpable, s/l ring incised-sm
Subject: uterus was palpable, s/l ring incised-sm
I don't know if he is saying something like ring incised or ring sized.
Past history says: She had four cesarean sections, laparoscopic tubal sterilization, and a laparotomy with left oophorectomy and abdominoplasty.
In pelvic exam: PELVIC: Skene, urethral, and Bartholin glands within normal limits. Vagina, good support. Cervix was closed. No lesions were seen. Uterus was palpable, ______. s/l "ring incised" or "ring sized."
Could he be saying "ring incised" meaning he feels the incision from previous surgeries. Could it be he is saying uterus is "ring sized?"
maybe "with a lauer" might be incised "subareolar"?
Subject: maybe "with a lauer" might be incised "subareolar"?
verbatim is VERBATIM....bad advice he gave you.....
Subject: verbatim is VERBATIM....bad advice he gave you.....
Pt. with colon resection. The peritoneum was incised and the lateral rectal s/l socks were
Subject: Pt. with colon resection. The peritoneum was incised and the lateral rectal s/l socks were
mobilized with the harmonic scissors. He says socks as clear as day, but never heard this said like this before. Anyone?!
the pericardium was incised and ?? mobilized off the asnb superior vena cava?????
Subject: the pericardium was incised and ?? mobilized off the asnb superior vena cava?????
no,not verbatim. if it were, i would type it verbatim. nm
Subject: no,not verbatim. if it were, i would type it verbatim. nm
zz
If it is verbatim, then type it verbatim.
Subject: If it is verbatim, then type it verbatim.
x
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
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.
Per client's wishes. I have accounts where
Subject: Per client's wishes. I have accounts where
we spell liters out - 2 liters and one we use the abbreviation 2 L.
we have PACS for radiology on my accounts (nm)
Subject: we have PACS for radiology on my accounts (nm)
incised into Gerota's capsule/fascia (renal fascia) ? nm
Subject: incised into Gerota's capsule/fascia (renal fascia) ? 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
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)
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
.
Personally, I don't see that being the
Subject: Personally, I don't see that being the
word, and if it was the word, I would think it would be fistula, not fisular. Since it came back from QA that way, I guess it has to fly, but personally...nah! Sorry. But to me, fisula is not even a word.
Personally, I would--sm
Subject: Personally, I would--sm
take out the comma between nucleations and right; I would also take out the comma between right and x 3, I would place a comma between fifth and "and". This is really a confusing sentence, as I am not sure if it means "right times 3" or right third, second, and fifth DIP joints. that would make a difference in the punctuation.
Personally, I would use the --sm
Subject: Personally, I would use the --sm
heading of CHIEF COMPLAINT: New patient with arm pain. or new patient, arm pain.
JMO
I personally
Subject: I personally
would do 1/1,000,000
Personally 3+3
Subject: Personally 3+3
I don't have anything personally against them (sm)
Subject: I don't have anything personally against them (sm)
But you're right...I have a lot of CNPs and PA-Cs who are constantly saying the wrong things. For example, the CNP who keeps saying dilution instead of deciliter for the UA, when she does an eye exam she always says the lids were averted instead of everted. She SPELLS it for me and always sounds like she's disgusted because she keeps spelling it with an A and I keep typing it with an E. It has always been Everted. Averted means to look away. I type these things up for years and years and then someone comes along like her and I start questioning myself, and maybe I'm typing it wrong...it just drives me crazy.
It could go either way, personally most
Subject: It could go either way, personally most
of the time I have heard things similar to this, the distally would go with the sensation.
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