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Rule ot thumb: When lab values/drug doses are less than 1, add a zero before the decimal point.

Posted By: MT50 on 2007-11-15
In Reply to: .21 mCi. Do I place a zero before the decimal? - no message

Subject: Rule ot thumb: When lab values/drug doses are less than 1, add a zero before the decimal point.




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Do not, however, insert the decimal point and zero if they are not dictated.
Subject: Do not, however, insert the decimal point and zero if they are not dictated.

That's the way I was taught - never add a zero after the decimal unless it is dictated. (Title of post copied from BOS quote above.)
Doesn't change the fact that .012 needs a zero before the decimal point, does it?
Subject: Doesn't change the fact that .012 needs a zero before the decimal point, does it?

nm
RULE OF THUMB
Subject: RULE OF THUMB

basic guideline is:
if you have a credible reference, spell it whichever way the reference spells it.
you should never be counted off for it, as long as the reference is credible. if you are, it is a valid challenge to assert.
Rule of thumb. When I was in school for
Subject: Rule of thumb. When I was in school for

my Associate Degree in MRT and BA in HCA, in transcription we were taught that any combining medical form can be combined with any other combining form for things associated in the same part of the body.
My rule of thumb is if it is in a diagnosis,
Subject: My rule of thumb is if it is in a diagnosis,

assessment, impression, procedure performed, it is spelled out.
Rule of thumb for followup/follow up

A good rule of thumb I was taught in training for followup/follow up is if you can put "a" or "the" in front of followup, it is the noun form; otherwise it is the verb form.  Ex.


...a/the followup appointment. 


...a/the followup x-ray. 


 ...will follow up.  (You can't put "a" or "the" in front of follow up, it won't work.) 


Anyway, just thought I would share something that has helped me tremendously as a newbie. 


Standard rule of thumb, (no pun intended)
Subject: Standard rule of thumb, (no pun intended)

if it sticks out in the report like a sore thumb and draws undue attendion, then capitalize the first letter not the whole word, i.e. Dermabond.
Rule of thumb--if an allergy is not clear,
Subject: Rule of thumb--if an allergy is not clear,

x
General rule of thumb for hyphenation is - sm
Subject: General rule of thumb for hyphenation is - sm

If you can't find it as one word in the Merriam-Webster dictionary, then you should hyphenate it. 
By AAMT rules, need help with period with drug values. (sm)
Subject: By AAMT rules, need help with period with drug values. (sm)

Is this right?


1 gm


0.1 mg


1 mg


 


I was taught that it was 1.0 mg but doc wants it to be just 1 mg and 1 gm.


 


Help.  Thanks.


A thumb MCP fusion and a thumb *IPE* possible capsulodesis
Subject: A thumb MCP fusion and a thumb *IPE* possible capsulodesis

x
Kocher's point is a common entry point for an intraventricular catheter to drain cerebral spinal
Subject: Kocher's point is a common entry point for an intraventricular catheter to drain cerebral spinal fluid from the cerebral ventricles.


Always typed end point. My Stedman's has end point.
Subject: Always typed end point. My Stedman's has end point.


Decimal question
Subject: Decimal question

QA here: 1.8 thousand (1.800)is typed 1,800 or you can type 1.8K (with K the appropriate approved abbrev for thousand). Personally I use 1.8K.

If it was 18,000, it would be 18K.
Never seen any that high and never with a decimal value, either. I'd
Subject: Never seen any that high and never with a decimal value, either. I'd

s
.21 mCi. Do I place a zero before the decimal?
Subject: .21 mCi. Do I place a zero before the decimal?


I would write it as a decimal - keep it consistent nm
Subject: I would write it as a decimal - keep it consistent nm


But do I have the decimal in the right place? That is what I was questioning. Sorry I was not cleare
Subject: But do I have the decimal in the right place? That is what I was questioning. Sorry I was not clearer.


Is it 4-5 doses or 4 to 5 doses?
Subject: Is it 4-5 doses or 4 to 5 doses?

Quick question; I'm just getting back into the swing of things and I'm realizing my last employer really wasn't a stickler for anything.  Now I'm worried I'm gonna mess up at my new transcription job with something small.


The physician is saying "the patient is on 4 to 5 doses of" whatever drug.  Is it transcribed as 4-5, 4 to 5, four to five...?


Help plz!!


re: 4 to 5 doses
Subject: re: 4 to 5 doses

I would go with "4 to 5" as it is easier to read and cannot be confused with 4-5 as 45 doses.
The two doses that I can find are 50 mg and 160 mg
Subject: The two doses that I can find are 50 mg and 160 mg


Can be given in 5 day doses once a month. Might mean that. nm
Subject: Can be given in 5 day doses once a month. Might mean that. nm


The doses don't match up though. but thanks for trying. nm.
Subject: The doses don't match up though. but thanks for trying. nm.

x
Prilosec can be given in large doses like that
Subject: Prilosec can be given in large doses like that

s
WAG, "over initial doses"
Subject: WAG, "over initial doses"


I listened for those for thing but that't not it. Doses do not match either.
Subject: I listened for those for thing but that't not it. Doses do not match either.


There Qvar which is given in doses of 80 mg. I could not find any asthma medications that are given
Subject: There Qvar which is given in doses of 80 mg. I could not find any asthma medications that are given in 880 2 puff dosages. Anyone else have a suggestion?


Doses of Megace are given that high to cancer patients and others with cachexia. nm
Subject: Doses of Megace are given that high to cancer patients and others with cachexia. nm

s
List of meds w/ no doses: s/l themberol/selmbural/felmdural nm
Subject: List of meds w/ no doses: s/l themberol/selmbural/felmdural nm

nm
lab values
Subject: lab values

dr. dictates white blood cell count is 40.2 thousand.  this is a verbatim account, so how would you transcribe this?
lab values
Subject: lab values

* s/l Ru-Kay was slightly depressed at 3.6


This is a patient with abdominal pain. She is fairly clear in her dictation. Thank you for any help


TEE values sm
Subject: TEE values sm

On transesophageal electrocardiography: Trace mitral regurgitation was present. Proximal isovelocity surface area (PISA) mitral valve area (MVA) was calculated to be 0.9 cm sq with a Vmax of 200, **ADF/AEF/AF/AS** velocity of 16, PISA diameter of 2.3, angle of 60 degrees.

Doc has a thick Japanese accent and I cannot understand the acronym before 'velocity' and do not do a lot of ECG reports. TIA!
What about lab values as 20.0 . ..
Subject: What about lab values as 20.0 . ..

Our QA is saying BOS says to add that trailing zero.  Can you find the text to verify that for me.


Also on platelet count WBC, they say to delete the comma, i.e., 20,000 to 20000.  Need documentation for that, too, if you have it handy. Thanks.


UA lab values
Subject: UA lab values

On a UA, for rbc and wbc should those be in caps or lower case?
lab values
Subject: lab values

Probably 62.9 segs, 50-70 normal, total should be 100.
Help with Lab values please
Subject: Help with Lab values please

1. 'CBC shows a S/L "three piece/b's" of 5.5'

2. 'S/L "P&P" showed normal electrolytes'

THANKS in advance!
Need lab help PT/INR values
Subject: Need lab help PT/INR values

Last PT/INR was 118 08. Is this typed 118/08, or 11808, or how? Thanks
lab values
Subject: lab values

BNP 6223.  Can this be a value for BNP?
That should be thumb.
Subject: That should be thumb.

Thanks.
values for hyperlipidemia
Subject: values for hyperlipidemia

Hyperlipidemia. We will check a repeat __________ today.


I can hear value. Does this make sense? It does sound like a skip on the recording then value.


MD is dictating the ABG values. sm
Subject: MD is dictating the ABG values. sm
























listen carefully for these:


 


Normal Arterial Values

Range
pH 7.35-7.45
pCO2 35-45
pO2 80-100
O2 Sat. 95-100%
HCO3 22-26
BE +or-2

 




ABG values base x s 1?
Subject: ABG values base x s 1?

PAO2 29, bicarb 27, s/l base X S 1, O2 sat 52% on room air.  I don't know that he is saying after 27.  The base and the 1 are pretty clear.  Thank you for any help you can offer. 


Transcibing values
Subject: Transcibing values

How would I transcribe the following;


One out of twenty nodes positive. 


 


Thanks


Looks like values for pH, pCO2 and pO2...sm
Subject: Looks like values for pH, pCO2 and pO2...sm

looks okay to me, but I don't do a lot of lab values.


normal lab values
Subject: normal lab values

That's really nice that you took time to list several options for me!  Thanks!
CPH MB normal values: less than 3%-5%
Subject: CPH MB normal values: less than 3%-5%


Pulm. dictating lab values...
Subject: Pulm. dictating lab values...

Doing a pulmonologist's report - he's dictating lab values, this one s/l "b-nitrotic peptide?"   I usually do radiology so this is new territory to me...
Possibly, but seems like he should have dictated values then (sm)
Subject: Possibly, but seems like he should have dictated values then (sm)

This is the beginning of the HPI (and all the Chief Complaint said was sickle cell crisis).

The patient is a __-year-old ___ who was seen on ___06 for having sickle cell crisis. She had (s/l) enuff retty count. She was given 1 unit of blood transfusion to keep her hemoglobin up so she could go home.
help with peak flow values...
Subject: help with peak flow values...

Help... s/l peak flows were 20 and 626-10? I can't find any peak flow values that aren't percentages, except maybe just the 626? Thank you in advance!
Lab values, white count
Subject: Lab values, white count

If they say the white count is 14.8 thousand do you write it out or is it just 14.8 or is it 14,800 ???


TIA


acidotic, in blood values...nm
Subject: acidotic, in blood values...nm

s