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That's why the field is in the state it is...no guidelines followed....

Posted By: sm on 2006-10-22
In Reply to: And who listens to them? Not me. - nm

Subject: That's why the field is in the state it is...no guidelines followed....

everyone going by their own rules. There is no consistency. And thanks to that we're now pretty much considered non professionals IMO. I say bring on the mandatory licensing/certification to bring the professionalism back to the field!


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For one and for all, is it high power field or high powered field?? Also the hypen thing...
Subject: For one and for all, is it high power field or high powered field?? Also the hypen thing...

I spent a load of money getting trained for MT and I STILL  am not sure about this.  What do the experienced MTs think??
J&C7 guidelines?
Subject: J&C7 guidelines?

J&C7 guidelines.    This is in reference to hypertension.  I cannot find this in my Stedman's cardiology or on google.  Any help would be appreciated.  Thanks in advance. 
Thanks! Where do I find their guidelines then?
Subject: Thanks! Where do I find their guidelines then?


pt taking Accutane following the guidelines set about by roe-sh nm
Subject: pt taking Accutane following the guidelines set about by roe-sh nm

d
My company guidelines have always stated...
Subject: My company guidelines have always stated...

"it is okay to leave abbreviations for diagnostic/lab tests and medication administration as abbreviations under diagnosis, name of operation, assessment/impression"

Guess you would have to go by your company rules.
I would type verbatim within the guidelines
Subject: I would type verbatim within the guidelines

of the BOS.  In other words, I would not type contractions, slang, or prohibited abbreviations.  If the account wants you to ignore the BOS once you get the job, that's fine, but I think it would be better to show your knowledge of the BOS and get it wrong than to disregard the BOS altogether.


The guidelines that I was instructed by are "dig could be digoxin or Digitalis; leave as dig".
Subject: The guidelines that I was instructed by are "dig could be digoxin or Digitalis; leave as dig"...


per high power field OR per high powered field.
Subject: per high power field OR per high powered field.


possibly E&M? =(HCFA) documentation guidelines for Evaluation and Management (E and M) Services
Subject: possibly E&M? =(HCFA) documentation guidelines for Evaluation and Management (E and M) Services


does it state what it is for?
Subject: does it state what it is for?

Ativan?
Hard to say without state, but..
Subject: Hard to say without state, but..

here is something I use to help wtih hospital names

http://www.superpages.com/?SRC=promo13
S/L newmeric state 96%
Subject: S/L newmeric state 96%

VITAL SIGNS:  His temperature is 102, pulse is in the low 90’s, respirations 12, ** 92%, blood pressure 149/67.  The doctor is giving the vitals I just can't understand the word before 92%  sounds like--- newmeric state--or--newmeric at-- I can't find anything to verify that.  any help???  thank you


s/l newmeric state 96%
Subject: s/l newmeric state 96%

s/b - pulse is in the low 90s w/o the '
s/l newmeric state 92%
Subject: s/l newmeric state 92%

The answer is...room air sats 92%. The "newm" you are hearing is room, and the "eric" is air.
As in state of mind?
Subject: As in state of mind?

not positive though
Oh well in your OP, you didn't state it that way.
Subject: Oh well in your OP, you didn't state it that way.

cc:  Patient Name (Enclosure:  MRI results)  I guess .
I got it.... in a drowsy state... Duh... NM
Subject: I got it.... in a drowsy state... Duh... NM

.
perioperative state? Did she just have something done now?? nm
Subject: perioperative state? Did she just have something done now?? nm

s
Check your CP, it should state
Subject: Check your CP, it should state

how to write dates. If it's the long form - January, 5, 2008, make sure to use commas to offset it.
I don't know if it is state specific or not,
Subject: I don't know if it is state specific or not,

I transcribe for clinics in Oregon and transcribe it as Workers' Comp as this is the way the state refers to it (Oregon Workers' Compensation Division).
State tests.
Subject: State tests.

Can anyone tell me how hard the tests are to become a CMT and RMT?


state? Here is a link with occupations. sm
Subject: state? Here is a link with occupations. sm

http://www.occupationalinfo.org/


 


 


State building inspector? sm
Subject: State building inspector? sm

also with that could be state fire martial and building inspector.
put in the comma, do not abbreviate state nm
Subject: put in the comma, do not abbreviate state nm


thank you any idea with the parative state?
Subject: thank you any idea with the parative state?


What area of the country/state are you in?
Subject: What area of the country/state are you in?


functional "monocular" state. nm
Subject: functional "monocular" state. nm

xx
did they state what dermatological condition?
Subject: did they state what dermatological condition?


fasting glucose state
Subject: fasting glucose state

nm
Dorland and Stedman state differently SM
Subject: Dorland and Stedman state differently SM

ostiomeatal (os·tio·me·a·tal) (os”te-o-me-a´təl) [ostium + meatal] pertaining to an opening (ostium) and a meatus, especially in the nasal cavity.

I respect your link, but I can find many words spelled incorrectly on the 'net. One must go with trusted sources.

I made this mistake for years and was never corrected until... well, thats another story!
The 2nd might be postictal state. No idea what lab values
Subject: The 2nd might be postictal state. No idea what lab values

s
Decubitus ulcers would be the proper way to state it but sm
Subject: Decubitus ulcers would be the proper way to state it but sm

Stedman's says just "decubitus" is acceptable.


decubitus (d-kbi-ts)



  1. The position of the patient in bed; e.g., dorsal decubitus, lateral decubitus. See: decubitus film
  2. Sometimes used in referring to a decubitus ulcer.

[L. decumbo, to lie down]


brain fart.... when you have a city and state
Subject: brain fart.... when you have a city and state

within the body of a report, do you put a comma in between. I feel like my brain just died!

Example... The patient went to a hospital in Orlando Florida. You DO put a comma, right? Do you abbreviate the state?

Gosh I feel stupid!
says risk factors are G2,P2 s/l parative? state with
Subject: says risk factors are G2,P2 s/l parative? state with

a large 10 pound baby.  Then she has a THBASO??? 2 years ago
Adirondacks, upper New York state
Subject: Adirondacks, upper New York state


Seems to be a facility, what state or town is the report in?
Subject: Seems to be a facility, what state or town is the report in?


r u new to the field? It's ALWAYS like this
Subject: r u new to the field? It's ALWAYS like this


I think with his name he should have went into a different field. LOL nm
Subject: I think with his name he should have went into a different field. LOL nm


And what State/Town is the hospital in so we might hazard a guess?
Subject: And what State/Town is the hospital in so we might hazard a guess?

??
Easy website to find doctors by state
Subject: Easy website to find doctors by state

Anyone know of any links?


Thanks!


Anywhere in the report does it state that the patient had an "implant" instead of the sound of
Subject: Anywhere in the report does it state that the patient had an "implant" instead of the sound of "pack"?


Does doc state this is specifically for the hypertension or does the patient have other problems thi
Subject: Does doc state this is specifically for the hypertension or does the patient have other problems this can be for?


hypovolemia is a state of decreased blood volume
Subject: hypovolemia is a state of decreased blood volume


ectasia (the state of being stretched beyond normal dimensions)
Subject: ectasia (the state of being stretched beyond normal dimensions)


ophthalmology help please... due to his Due to his 'functional immocular' state or 'functio
Subject: ophthalmology help please... due to his Due to his 'functional immocular' state or 'functionally mol

ophthalmology help please... due to his Due to his 'functional immocular' state or 'functionally molocular' (doesn't sound like molecular) state, this patient is in need of corrective eyeglasses with shatter-proof lenses to protect his good eye against any random accidents. Thanks for your help!
Does he state 20 the first couple of days or does he give any time along with that? SM
Subject: Does he state 20 the first couple of days or does he give any time along with that? SM

If not, I would just type as dictated and maybe put quotations around it if you are certain of what he is saying.  HTH
Is it grammatically correct to state "is getting worse?"
Subject: Is it grammatically correct to state "is getting worse?"


There is Humboldt State University in California, not Utah (nm)
Subject: There is Humboldt State University in California, not Utah (nm)

xxx
full field WBC /nm
Subject: full field WBC /nm

.
got it - a field packed
Subject: got it - a field packed


Lord, perhaps another field would be more appropriate.
Subject: Lord, perhaps another field would be more appropriate.