Some accounts want no personal info
Posted By: see message on 2008-05-01
In Reply to: Who specifies no personal info? Type what the dictator says. SM - tulip
Subject: Some accounts want no personal info
at all in the report, others want pertinent people listed. It depends on the facility/account.
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Who specifies no personal info? Type what the dictator says. SM
Subject: Who specifies no personal info? Type what the dictator says. SM
The responsibility is in the hands of the dictator. If he or she dictates it, then give it to them... plain and simple.
what is your source? personal opinion?
Subject: what is your source? personal opinion?
x
ahh, it is a personal issue - then take it private!
Subject: ahh, it is a personal issue - then take it private!
XX
Client or personal preference
Subject: Client or personal preference
You have several choices here that are correct. You can put E:A reversal, E/A reversal, or E to A reversal. If no client preference, your pick - all are correct.
No, I cannot confirm. I have some personal notes
Subject: No, I cannot confirm. I have some personal notes
that I make and had Segund in them.
Personal History is correct
Subject: Personal History is correct
nm
My personal favorite is "aspirational pneumonia." :)
Subject: My personal favorite is "aspirational pneumonia." :)
x
Personal opinion, I hyphenate it as tib-fib fracture
Subject: Personal opinion, I hyphenate it as tib-fib fracture
Just personal for me, but I have always typed it Sitzmark study
Subject: Just personal for me, but I have always typed it Sitzmark study
D: personal history of colon polyps
Subject: D: personal history of colon polyps
That's exactly how it was dictated. While all this stuff is "personal," am I missing something here?
Can you please provide the sentence? Or is question of a personal nature?
Subject: Can you please provide the sentence? Or is question of a personal nature?
x
Personal opinion I would hyphate it as supra-SMAS
Subject: Personal opinion I would hyphate it as supra-SMAS
wild guess s/l personal synovarment syndrome
Subject: wild guess s/l personal synovarment syndrome
Right CMC joint arthrosis and s/l personal synovarment syndrome.
Personal opinion, but I would only makes this a "header" within a report if the dictator state
Subject: Personal opinion, but I would only makes this a "header" within a report if the dictator states to do so, otherwise I would just type it verbatim in paragraph format.
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.
Personal opinion but I believe it is distal as in determination (i.e. the dorsalis pedis artery puls
Subject: Personal opinion but I believe it is distal as in determination (i.e. the dorsalis pedis artery pulse can be palpated readily lateral to the extensor hallucis longus tendon on the dorsal surface of the foot, distal to the dorsal most prominence of the navicular bone which serves as a reliable landmark for palpation.)
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.
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)
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
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
more info please :)
Subject: more info please :)
nm
Just info
Subject: Just info
This can be very crippling disease. I have a friend who is only 33 and cannot even scratch her own nose. She cannot turn over in bed or do anything for herself. It is a progressive illness. When she was little, she could walk and do everything a normal child could and by the time she was a teenager she was in a wheelchair. Now she is completely disabled.
Thanks for all the info
Subject: Thanks for all the info
I came close to leaving a big blank for QA. thanks again for the lesson.
more info here
Subject: more info here
She had a hiatal hernia with some ___clonidine_ distal esophagus. No evidence of Barrett’s esophagus noted.
This doctor is usually clear and I love to do him. Today he has a cold and things sound muffled!
Thanks again for the info
Subject: Thanks again for the info
and for all of the research. I will add these links to my favorites.
more info....
Subject: more info....
The HIDA scan showed a normal ejection fraction of 60 percent. The gallbladder study showed a tiny gallbladder polyp but no stone or sludge. There was necrogenic density in the right lobe of the liver thought to represent hemangioma. There was also moderate gastric distention with concern about possible gastroparesis or outlet obstruction. EGD would therefore be recommended
more info would help...sm
Subject: more info would help...sm
what do they say just before? do you know what part of the anatomy we're dealing with? is this a foreign dictator? is this in the physical exam?
Do you have any further info that might help us out?
Subject: Do you have any further info that might help us out?
.
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