can't you just leave it abbreviated, or do you have to spell it out. I would leave as dictated.
Posted By: tttttttt on 2009-06-12
In Reply to: TLC - Shawn
Subject: can't you just leave it abbreviated, or do you have to spell it out. I would leave as dictated.
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- TLC - Shawn
- can't you just leave it abbreviated, or do you have to spell it out. I would leave as dictated. - tttttttt
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If it was dictated like that & you can leave abbrvns in, then leave it
Subject: If it was dictated like that & you can leave abbrvns in, then leave it
s
Leave as dictated...sm
Subject: Leave as dictated...sm
I've seen them that high before. You might see transaminitis in the diagnosis or something like that.
I would leave it as dictated,
Subject: I would leave it as dictated,
x
Leave as dictated.
Subject: Leave as dictated.
x
I would leave it the way dictated unless
Subject: I would leave it the way dictated unless
you have been told to change it. A lot of them use K instead of potassium. It means I am pretty sure normal saline with 20 mEq of potassium at 100 mL per hour, but you are taking a leap typing it out; where I work we don't expand things like that, we leave it as dictated.
i would leave as dictated
Subject: i would leave as dictated
I would be correct to leave it as dictated because..sm
Subject: I would be correct to leave it as dictated because..sm
vas simply means vessel. Dorland's defines it as follows: a vessel: any canal for carrying a fluid; a general term for such channels, especially those carrying blood, lymph, or spermatozoa. When one hears vasectomy, one usually automatically thinks in terms of the vas deferens in the male, but that is not always necessarily the case.
my view is leave it as dictated.
Subject: my view is leave it as dictated.
IMHO I would leave as dictated
Subject: IMHO I would leave as dictated
many doc, at least mine, have used generic and then brand name when dictating within the same note. That has been my experience.
Do we spell out CT in the diagnosis or just leave SM
Subject: Do we spell out CT in the diagnosis or just leave SM
it as CT? I know mg, etc is left abbreviated. Thanks in advance.
I would leave it as dictated, esp if verbatim account. nm
Subject: I would leave it as dictated, esp if verbatim account. nm
x
40-some-odd stitches is fine. Leave as dictated, but you need hyphens.
Subject: 40-some-odd stitches is fine. Leave as dictated, but you need hyphens.
Brand name is ACTOplus met - so guess should leave as dictated?
Subject: Brand name is ACTOplus met - so guess should leave as dictated?
I think what doc is intending is that pt had a vasovagal episode, so IMO I would leave as dictated.
Subject: I think what doc is intending is that pt had a vasovagal episode, so IMO I would leave as dictated. nm
.
agree, leave as dictated, those are very elevated liver function tests. nm
Subject: agree, leave as dictated, those are very elevated liver function tests. nm
..
I would leave in under PMH sm
Subject: I would leave in under PMH sm
it probably is part of what is being said. And, it is a lab value (said it was negative) not a date. l
I would leave as is - sm
Subject: I would leave as is - sm
I have heard this phrase many times, and always leave it as is. They are referring to prerenal azotemia.
I'd leave it as is. nm
Subject: I'd leave it as is. nm
x
just leave the S off
Subject: just leave the S off
nm
Then that is how I will leave it! Thanks
Subject: Then that is how I will leave it! Thanks
leave as is
Subject: leave as is
Torso is an anatomical term for the central part of the many animal bodies (including that of the human) from which extend the neck and limbs. It is sometimes referred to as the trunk. The torso includes the thorax and abdomen
I would leave it the way he says it. nm
Subject: I would leave it the way he says it. nm
I'd leave them just how you have them.
Subject: I'd leave them just how you have them.
I would leave as is
Subject: I would leave as is
i would leave as is
Subject: i would leave as is
You never know with labs, they can be tricky. If you are really concerned you could always add a marker for it to be double checked but I would leave as dictated.
I would leave it.
Subject: I would leave it.
I think you are correct. I believe they are three separate things. There is general pain that stars to localize to one spot. There is rebound pain where they press on your abdomen slowly, but then unexpectedly let go. And there is guarding pain if when they examin or stomach you they press or attempt to press and you instinctively try to guard your abdomen with your hands.
i would leave as is.......
Subject: i would leave as is.......
i would leave as is.......
Thanks, but I had to leave a QA...
Subject: Thanks, but I had to leave a QA...
nm
Leave them in (sm)
Subject: Leave them in (sm)
I would leave them in. Yes, it is redundant, but it's also what the doctor dictated. The only exception would be, in my opinion, if there were account specifics covering this and then I would follow the account specifics.
Leave it
Subject: Leave it
where it is. Put a hypen in between tib-fib and a comma after fib.
I leave them out
Subject: I leave them out
You can overdue on hyphens and commas. Well child check, well woman's visit, well baby check. Looks better without. Just my take. :-)
I would just leave it at sm
Subject: I would just leave it at sm
exacerbating the anal pain.
I would leave it as he said. He knows what it means...sm
Subject: I would leave it as he said. He knows what it means...sm
TM stands for appx 20 or more things, so you cannot guess which one. Also,the same goes for LAM. It stands for seven different things and you cannot guess which one.
I was taught in this situation to leave it as said. My account even specifies in assessment and plan to never abbreviate except in this case when you cannot 100% verify what the doc means if there is more than one meaning to the abbreviation.
Hope this helps
I would leave lami as is
Subject: I would leave lami as is
I have never heard of that before, but you really do not know what the doc wants. You should not try to guess at something like that. I wouldn't.
I would leave it blank then
Subject: I would leave it blank then
Sometimes docs do not spell things correctly; but when I cannot find something that they spell, I will send it to QA and let them figure it out. Sorry I could not be of more help to you.
Had to leave a blank. nm
Subject: Had to leave a blank. nm
x
I leave it as whatever the doc dictates.
Subject: I leave it as whatever the doc dictates.
It's not my job to keep them politically correct.
Personally, I would leave out the myself--sm
Subject: Personally, I would leave out the myself--sm
that would be like saying "I me personally use the drug." verbatim or not, it is not good grammar, but it is your call. JMO.
P.S. Yes, leave out the commas nm
Subject: P.S. Yes, leave out the commas nm
.
Leave a blank sm
Subject: Leave a blank sm
If a doctor can't take the time to spell something like that, which is not a medical term and not something you would be expected to know, then they deserve to fill in the blank themselves.
JMHO.
Thanks. Had to leave it blank.
Subject: Thanks. Had to leave it blank.
xxx
i would have to leave a blank.
Subject: i would have to leave a blank.
...sorry
Think I will have to leave a blank...sm
Subject: Think I will have to leave a blank...sm
on this one. Thank you all very much. Everything you are offering makes sense but doesnt fit. She is probably pronouncing it wrong.. I appreciate the help very much.
Leave the word
Subject: Leave the word
Definitely leave the word...
Subject: Definitely leave the word...
Especially in the assessment, many times they will dictate an initial impression or assessment diagnosis and after full evaluation or upon discharge, it would change or be more defined. If a slash were shown, it could indicate that ALL of these conditions exist which may or may not be true. Lastly 'versus' is valid and should always be used, I have never had a slash dictated or shown in a psych diagnosis(been doing psych since 2002). In addition, depending on account specifics, usually the different AXIS I are shown on a separate line and even numbered such as--
AXIS I: 1. Bipolar disorder, NOS.
2. Schizo-affective disorder, bipolar type versus bipolar...
AXIS II: ...
Hope that helps!
thx for the help- have to leave blank
Subject: thx for the help- have to leave blank
that might be it actually, thanks - but I had to leave it blank - nm
Subject: that might be it actually, thanks - but I had to leave it blank - nm
thanks - will leave a blank nm
Subject: thanks - will leave a blank nm
x
thank you thank you thank you I was going to leave a blank
Subject: thank you thank you thank you I was going to leave a blank
thanks, but no....I had to leave a blank :( nm
Subject: thanks, but no....I had to leave a blank :( nm
Going to have to leave it blank
Subject: Going to have to leave it blank
in a report that is already chock full of them. Just hate when I have to do that, especially a report already littered with embarrassing blanks. Thanks for everyone's time anyway.
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