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it may depend on a facility rule

Posted By: cj on 2008-08-01
In Reply to: How do I type this? x4 to 5 days? - sm

Subject: it may depend on a facility rule

our facility requires a hyphen for any statement of __ to__ so for us it would "x4-5" days.


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I would not unless there is a name to the facility such as Jones Hospital Urgent Care Facility but g
Subject: I would not unless there is a name to the facility such as Jones Hospital Urgent Care Facility but go by the client profile if you can for that report.


alm is right, skilled nursing facility, as in a short stay in a skilled nursing facility
Subject: alm is right, skilled nursing facility, as in a short stay in a skilled nursing facility


Would depend on what they are doing?
Subject: Would depend on what they are doing?


That would depend on what the
Subject: That would depend on what the

normal said.  For example, if it says "breasts are soft and pendulous", you might want to leave that out.  Men generally don't have pendulous breasts, not even ones with gynecomastia.  If it simply refers to the fact that there are no masses or nipple discharge, I would probably leave it in.


If you're still unsure, you can always flag it and find out for future reference.


might depend on client
Subject: might depend on client

I have been using weightbear and weightbearing for the past two years and neither the QA or the client have every complained or requested otherwise. matter of opinion, I guess.
It may depend on the account, but I think most
Subject: It may depend on the account, but I think most

people add dosage.   The doctor is only one of many people who read the chart. 
I think it would depend on the drug....
Subject: I think it would depend on the drug....

??
it would depend on what type of an account you are
Subject: it would depend on what type of an account you are

working on. and your company specifics. if its verbatem..then you put the word "hour" whenever the dictator dictates it.  if he just says something like "time seen...0600 hours" then:


TIME SEEN:


0600 hours.


yes, me too - also it may depend on client preference NM
Subject: yes, me too - also it may depend on client preference NM


That's okay...I have days like that myself and I can always depend on help from my fellow MTs. nm
Subject: That's okay...I have days like that myself and I can always depend on help from my fellow MTs. nm

nm
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
Would depend on the context. In the office setting, it could be. I don't
Subject: Would depend on the context. In the office setting, it could be. I don't

s
Would depend on your account and whether they allow headings where necessary or not. If heading is w
Subject: Would depend on your account and whether they allow headings where necessary or not. If heading is warranted, I would use CLOSURE.


typing med list and thru the mumbling s/l FILLA-DEPEND ER 5 mg. nm
Subject: typing med list and thru the mumbling s/l FILLA-DEPEND ER 5 mg. nm

x
It would depend on your client profile for that account. I have never run across numbers within the
Subject: It would depend on your client profile for that account. I have never run across numbers within the axes, it would normally just be commas between each diagnosis or periods if that is what the client calls for. Check with that CP if you can.


I always use combined forms ie. posterolateral, but would depend on your account i suppose. nm
Subject: I always use combined forms ie. posterolateral, but would depend on your account i suppose. nm


It has been that way every facility I have
Subject: It has been that way every facility I have


Go by what YOUR QA says. They should know what the facility wants. (nm)
Subject: Go by what YOUR QA says. They should know what the facility wants. (nm)

x
Only if it is associated with the name of the facility, i.e.
Subject: Only if it is associated with the name of the facility, i.e.

Example Hospital Anesthesia Department, otherwise it should be in small letters.
Every facility is different in this. I have one
Subject: Every facility is different in this. I have one

who wants all caps, one who wants the heading then normal case, and one who wants it on a separate line, top of report, no matter were dictated. Need to check with specific client.
the facility or community as there....sm
Subject: the facility or community as there....sm

There is no such diet or anything so I tend to think this may be a nutritionist or dietician/dietitian in and around the facility or area where the dictator works from/around.  Just a wild guess actually.
Sure this is not the name of the facility performed at?
Subject: Sure this is not the name of the facility performed at?

MRI at Open Imaging of Redwood?
Inside or outside facility...
Subject: Inside or outside facility...

Senior Care Center

There are Specialty Care Centers.

Surgical Care Center.
You definitely do for a JCAHO facility.
Subject: You definitely do for a JCAHO facility.

Some accounts will not tell you but cc is a big no no on the Joint Commission "Do Not Use List" See site below.  Account I type for now, MTSO was/is not even aware.  They dictate cc but I change to ml and have not had a report come back yet.
STEL facility?
Subject: STEL facility?

Sentence: Nursing home placement was secured in a 's/l STEL' OR stell' facility.

Anybody know if this is an acronym and what it may stand for?
Could he be saying SNIF facility?
Subject: Could he be saying SNIF facility?

Skilled Nursing Inpatient Facility (Unit)...
If your facility follows BOS, or your MTSO
Subject: If your facility follows BOS, or your MTSO

follows BOS, it is followup. Why not contact your QA/supervisor for clarification to be sure on your end. One facility I work for wants followup, the other follow-up. Verify to be sure for your sake.
We ust Thromboguard at our facility,
Subject: We ust Thromboguard at our facility,

compression boots/stockings for DVT prophylaxis.
That is probably a facility preference. The
Subject: That is probably a facility preference. The

abbreviations you gave examples of are standard abbreviations still in use.
That is probably a facility preference. The
Subject: That is probably a facility preference. The

abbreviations you gave examples of are standard abbreviations still in use.
If the facility does not want it expanded,
Subject: If the facility does not want it expanded,

then you don't. Could be a specific rule of a particular client. If you are told not to, then don't.
It's probably facility specific
Subject: It's probably facility specific

It's possible this is the name of a facility or something that is specific to the account you're typing. You might see if the hospital has a web page and go there and look under services/programs, and see if there is a TLC listed there.

It really could be anything. My first thought was transitional long-term care, but given that they're on pressors, that's usually not the kind of drug they send you to a SNF with.
It is probably SNF (skilled nursing facility).
Subject: It is probably SNF (skilled nursing facility).

nm
Check with your TL on the specifics of the facility.
Subject: Check with your TL on the specifics of the facility.

Most hospitals I have worked with prefer cm2. 


It's a 'per the facility' issue as both are acceptable. Just use what QA says to keep them
Subject: It's a 'per the facility' issue as both are acceptable. Just use what QA says to keep them happy. nm

s
It's probably something specific to that hospital/facility. Ask your QA or Google the
Subject: It's probably something specific to that hospital/facility. Ask your QA or Google the

s
Need more info. What's located on the 4th floor of the facility? nm
Subject: Need more info. What's located on the 4th floor of the facility? nm

s
The facility may have it's own stock or normal regimen that they
Subject: The facility may have it's own stock or normal regimen that they

s
should urgent care facility be capitalized
Subject: should urgent care facility be capitalized


A thought, wonder if it's the name of the unit, like facility slang
Subject: A thought, wonder if it's the name of the unit, like facility slang

just a thought
maybe normal values/ranges for this facility? nm
Subject: maybe normal values/ranges for this facility? nm

nm
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?


googled acox tuberculosis facility,
Subject: googled acox tuberculosis facility,

On a Cox regression model, distance from home to treatment centre (hazard .... in the TB clinics of the respective health facilities provided treatment, ...

Probably short for a department in that particular facility, may Admitting? You'll need to ask. n
Subject: Probably short for a department in that particular facility, may Admitting? You'll need to ask. nm

s
Abbrev or nickname of trauma facility-s/l "true".
Subject: Abbrev or nickname of trauma facility-s/l "true".

x
He means "SNF" (skilled nursing facility) .nm
Subject: He means "SNF" (skilled nursing facility) .nm


Burke is THE rehab facility for Westchester, Putnam,
Subject: Burke is THE rehab facility for Westchester, Putnam,

s
SNIF - skilled nursing inpatient facility. =) NM
Subject: SNIF - skilled nursing inpatient facility. =) NM

x
I have always used "skilled nursing facility." I have never seen SNiF as an abbreviation nor
Subject: I have always used "skilled nursing facility." I have never seen SNiF as an abbreviation nor

have I ever typed "skilled nursing inpatient facility."  And I've been at this a long time.
the rule is ....
Subject: the rule is ....

... x2 ....2 times

If the "times" comes before the number use the x (no space). If the "times" comes after use the word.
don't know if there is a rule but....
Subject: don't know if there is a rule but....

 


I think if you would substitute "bilateral"  (mentally)  and say  "both" you might have a better idea how to say it.   Like would it sound better iff you said "both hand"  or "both hands."   To me bilateral hands sounds better.  But again, I don't know if there is actually a rule.  I looked for an answer in "style Guide for Medical Transcription" (Tessier and Pitman) and couldn't find an answer.   


I think if you wrote what the doctor said ....you can't go wrong there either.  Good luck!.