depends, is it verbatim acct? If not, change it to
Posted By: pericholecystic fluid.......CP first, BOS 2nd...nm on 2007-07-26
In Reply to: Perigallbladder fluid? - RB
Subject: depends, is it verbatim acct? If not, change it to
Complete Discussion Below:  marks the location of current message within thread
- Perigallbladder fluid? - RB
- depends, is it verbatim acct? If not, change it to - pericholecystic fluid.......CP first, BOS 2nd...nm
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
depends on whether or not it's a verbatim acct
Subject: depends on whether or not it's a verbatim acct
Right.....it depends on the acct.....mine wants the "c"
Subject: Right.....it depends on the acct.....mine wants the "c"
xx
Depends on your acct specs. nm
Subject: Depends on your acct specs. nm
s
verbatim acct help
Subject: verbatim acct help
General surgeon talking about frozen section pathologic exam of squamous cell carcinoma lesion. First frozen section came back with positive margins so he went back to excise a second specimen which he submitted S/L "on fos" with the new margin up. This is a verbatim account and this dictator is on 100% QA (all reports) since he is so SPECIAL. I referenced the other reports in his MD data base and found "en Fos" which would have been put there by QA before the report was signed off to the hospital. I can't find this anywhere and was wondering if anybody has a clue?
my main acct is verbatim,
Subject: my main acct is verbatim,
and we are told we can change sentence structure...however, whether i'm told that or not, i correct to proper English, including tenses, etc. Verbatim is never really absolutely verbatim, no matter what anyone says. You must use common sense. The bottom line is to be careful that you never change the intended meaning.
Depend if the doctor says it and it is a verbatim acct.
Subject: Depend if the doctor says it and it is a verbatim acct.
x
I would, but I'm a rebel. Check acct. specs re verbatim. n/m
Subject: I would, but I'm a rebel. Check acct. specs re verbatim. n/m
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
depends if verbatim sm
Subject: depends if verbatim sm
I personally do not have strict verbatim accounts, so I would not put in the word systolic. Since the doctor is putting in a range (110-120), he wants to make sure you know this is systolic. I doubt it needs to be included.
I think your safe to change this one. Verbatim SM
Subject: I think your safe to change this one. Verbatim SM
is not always possible, especially with ESLs. Wouldn't think doc would mind if you made it more understandable and it doesn't change the meaning.
Depends on whether the account is verbatim sm
Subject: Depends on whether the account is verbatim sm
Or how much they expect you to correct. I used to transcribe for a doctor who did the worst run-on sentences and sometimes I would rack my brains trying to figure out where to put punctuation without changing what she said (the account was verbatim except for obvious grammatical errors like subject-verb agreement). Finally I decided, if that's the way she wants to say it, that's what she is going to get. I just made sure that what she was saying made some reasonable kind of sense. She was also notorious for changing her mind half a dozen times in a single sentence, and for not reading her reports before approving them. She once dictated a hysterosalpingogram (test to see if the fallopian tubes are blocked) and let the following impression go out to the requesting physician:
IMPRESSION: Bilateral tubal pregnancy.
instead of
IMPRESSION: Bilateral tubal patency.
(No, I didn't type it!)
Depends if it is a verbatim account. You can do it the way you have it or if he actually used the wo
Subject: Depends if it is a verbatim account. You can do it the way you have it or if he actually used the word "as" 93 then it could be 100-7 as 93 or just minus equal signs. Depends on your client.
depends on whether your account is verbatim (sm)
Subject: depends on whether your account is verbatim (sm)
It's slangy, but depending on the account, I might or might not edit.
well, if not verbatim change order of sentence...
Subject: well, if not verbatim change order of sentence...
i just think saying when he *valsalvas* is wrong...
named after:
Antonio Maria Valsalva
Italian anatomist, born June 17, 1666, Imola, in Romagna; died February 2, 1723. Bologna
--------------------
so I think the order/structure of the sentence would need to be changed IF NOT VERBATIM....
JMO.... |
depends on account specifics, whether verbatim, etc.
Subject: depends on account specifics, whether verbatim, etc.
x
Depends on whether the account requires verbatim sm
Subject: Depends on whether the account requires verbatim sm
If they don't, I would change the tense to whatever is the norm for that account or that doctor.
If they do require verbatim, I would type it verbatim but let the QA preson know that the doctor had shifted tenses.
But that's just me....
even with verbatim, we can change wording if incorrect grammar...YW:)..nm
Subject: even with verbatim, we can change wording if incorrect grammar...YW:)..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.
It all depends on your account specifics. If they use BOS, then use mL. I've had verbatim accou
Subject: It all depends on your account specifics. If they use BOS, then use mL. I've had verbatim accounts
with no BOS wanted per the client, regular accounts who do use BOS and others that do not want it, and others that "just type what I say." So, like I said, refer to your account specifics.
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".
verbatim is VERBATIM....bad advice he gave you.....
Subject: verbatim is VERBATIM....bad advice he gave you.....
New acct: SM
Subject: New acct: SM
Okay, been away from transcribing general practice for while. Dictator is running a marathon here. I have a couple of questions.
Patient is s/l attentionly and alert plus and cooperative.
for the life of me I am not hearing what I want to hear...awake, alert, oriented times three. etc.
Also, in PE: Lymphatic system s/l neither anterior and posterior cervical chain.
New doc, new acct, ideas?
Subject: New doc, new acct, ideas?
Does this sentence make sense to any of you? This is a disability and he it sounds like he is saying jaw? but why would that be under cardiorespiratory?
CARDIO-RESPIRATORY: He has no signs of cardiac abnormalities, no claudication, no chest pain, or numbness of the jaw.
Could it be something else? Please give it a try!
New GI acct. Does anyone have any helpful links? TIA
Subject: New GI acct. Does anyone have any helpful links? TIA
Only if your acct wants it changed. Not KS here, but our docs
Subject: Only if your acct wants it changed. Not KS here, but our docs
s
Thx. I am helping on new acct for holidays, and not doing too well :(
Subject: Thx. I am helping on new acct for holidays, and not doing too well :(
pin ... does your acct require you to adhere to dangerous
Subject: pin ... does your acct require you to adhere to dangerous
just asking
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
s/l neruo forminal is this correct ? Sorry started a new acct today and unsure if one word or two.
Subject: s/l neruo forminal is this correct ? Sorry started a new acct today and unsure if one word or two.
x
Muffin is correct. My children's hosp. acct uses McMuffin & muffin nm
Subject: Muffin is correct. My children's hosp. acct uses McMuffin & muffin nm
nm
s/l Bez or all in change
Subject: s/l Bez or all in change
shows the patient in sinus mechanism 66 beats per minute, normal intervals, normal axis. Voltage criteria for LVH and s/l Bezoiorall is change in comparison to prior EKG dated
Thanks so much to both of you. I will change to 6, 90, and -1. nm
Subject: Thanks so much to both of you. I will change to 6, 90, and -1. nm
I change that to:
Subject: I change that to:
I change elicitable (which to my knowledge has never been a "real word" to "able to be elicited." My doctor dictator thanked me for this once (I was suprised that he noticed). I checked this out with several transcripitionists that I have worked with who have lots of experience and are CMTs and they also edit this word to "able to be elicited."
I'm not CMT and I change that the same way...nm
Subject: I'm not CMT and I change that the same way...nm
 
cc to mL - do you change cc to mL
Subject: cc to mL - do you change cc to mL
according to AAMT or do you type cc
Thanks
Would you change this...
Would you change CT head to say head CT? The doctor says CT head.
Thanx
VR change
Subject: VR change
He should point it out to his supervisor because it is wrong. I don't care what QA says unless they can show me a resource where they got their information and it checks out. I would also point out to the client this fact. If they don't want to have their transcription correct and concise then I don't want their work. Right is right, wrong is wrong. I am really strong on this especially since the "new AAMT" has made all their "changes" and believe their BOS is the bible. It is not. Many of their "rules" are correct. Many of the are not. Research some of their changes and you will see just how over the top they have gone (it seems to be a control issue and they WILL cram it down your throat). I say that we all research on our own and go to reliable trusted sources that have been proven over time to be correct. The "New AAMT" definitely has not proven itself over time and incidentally they are not there for Americans anymore, they are there for the "overseas community." Humbug on them! Anyone know who could take the place of AAMT for American transcriptionits? After all, we are all Americans here and the language is English.
I would change it to this
Subject: I would change it to this
patients blood pressure readings at home daily have been 90 percent plus. Would leave as is or change........looks wrong.
Patient's daily at home blood pressure readings have been 90%+.
they can change...
Subject: they can change...
depends on what the MD hears on auscultation; that being said, it usually is 3/6, 2-3/6...etc... six is the prime as there are standard 6 heart sounds and the first number being how many of the 6 they hear.
When did p.r.n. change to p.R.n. and why?
Subject: When did p.r.n. change to p.R.n. and why?
nm
I would change it to (sm)
Subject: I would change it to (sm)
CPKs as it appears these labs were done multiple times if they are dictating MBs. I hope I'm making sense.
I'd put, CPKs were high but his MBs were normal.
I would change it to
Subject: I would change it to
Mrs. Smith is a patient on whom I performed rhinoplasty. but that is just me.
Just like you have it, why change anything?
Subject: Just like you have it, why change anything?
x
Depends....
Subject: Depends....
I have an ortho doc that insists on using it the way the dictionary shows it, follow-up. He is not of old school, very young and a professor. Says it is his biggest pet peeve to see it ever used without the hyphen, and doesn't care much for BOS rules.
So, when in doubt, I do it exactly the way the dictator wants it no matter what I think.
think it depends on where you are...sm
Subject: think it depends on where you are...sm
like colour/color, theatre/theater, etc. i think "hiccups" is more common in usa.
Depends...sm
Subject: Depends...sm
It honestly depends on your employer's guidelines. Check with your Editor/QA staff. Sometimes there is just no way to make a doc make sense on paper without changing everything around and so it's easier just to really type verbatim; some docs only need a tweak here and there, so you really need to find out what 'verbatim' means as applied to the account you are working on.
Depends
Subject: Depends
One nurse's notes
Two (or more) nurses' notes
depends on the doc
Subject: depends on the doc
I worked for a chiropractor who wanted it disc but every other type of doc I've done wanted it disk
depends on how much.....
Subject: depends on how much.....
leeway you have. With the comma there, it looks strange. If you have to transcribe verbatim, I would put a hyphen....thus, * New patient - arm pain...* If you have more leeway you could make a sentence * This is a new patient with a chief complaint of arm pain *. If that is too much and looks like you are padding lines, then you could try just * New patient with arm pain *
depends on what it is...
Subject: depends on what it is...
a stroke could be evolving or completed....
|
