| my accounts use BOS  as a baseline, dictators override it. smPosted By: mimi on 2008-03-26In Reply to: BOS2 says DO NOT abbreviate medication names. - NM
 
 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.
 
 
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 may be baseline  nm
 Subject: may be baseline  nm
 
 nm
 no, it is not baseline
 Subject: no, it is not baseline
 
 
 lab test.. Will obtain a CBC and s/l Kim 7 for baseline. Thank you
 Subject: lab test.. Will obtain a CBC and s/l Kim 7 for baseline. Thank you
 
 
 baseline wandering lead 4.
 Subject: baseline wandering lead 4.
 
 
 baseline underlying dementia?
 Subject: baseline underlying dementia?
 
 
 Mental status changes most probably secondary to <s/l baseline underlying dementia>. 
 Anyone ever hear this before? dictators will say....sm
 Subject: dictators will say....sm
 
 something like:  "many bacteria and large blood," meaning a lot of blood or many blood cells -- don't know if this helps.
 Abnormal ECT, baseline "wander" in "V 4" or "lead four".  ?? nm
 Subject: Abnormal ECT, baseline "wander" in "V 4" or "lead four".  ?? nm
 
 
 some dictators are quite picky-have one who wants
 Subject: some dictators are quite picky-have one who wants
 
 
   A lot of dictators use tympanic instead of
 Subject: A lot of dictators use tympanic instead of
 
 x
 inaudible dictators
 Subject: inaudible dictators
 
 Can anyone suggest the best way to decipher a dictator who is a mumbler or speaks very fast.  I have changed the speed and listen over and over and still can't figure it out.  Wish there was a magic dicipher machine.
 Inaudible dictators
 Subject: Inaudible dictators
 
 Thanx for the suggestions. I will keep them in mind.
   His baseline is clear. ??clerins is 74.  Cancer patient.
 Subject: His baseline is clear. ??clerins is 74.  Cancer patient.
 
 
 Yeah...I have had dictators pronounce
 Subject: Yeah...I have had dictators pronounce
 
 it that way..kind of like centimeters sounding like sonometers.  Glad to help
 many dictators also say B. natruretic peptide
 Subject: many dictators also say B. natruretic peptide
 
 but the below 2 posters would be correct!!!...brain natruretic peptide...
 it depends on the dictators preference
 Subject: it depends on the dictators preference
 
 I work in a hospital and they voted x2 as an unacceptable abbreviation.  We currently have to spell it out.  We also have to spell out q as every, qid as four times daily, bid as two times daily and so on and so on.  I would ask the dictator or your QA person before making a final decision.
 If I only could guess my own dictators so easily!     NM
 Subject: If I only could guess my own dictators so easily!     NM
 
 
 I am assuming that the sentence should read his baseline creatinine clearance is 74.
 Subject: I am assuming that the sentence should read his baseline creatinine clearance is 74.
 
 
 Love those mumbling stumbling dictators.
 Subject: Love those mumbling stumbling dictators.
 
 Not sure about Rhino tonsil balls either but it does sound funny LOL !!
 I believe it would be "ulnar" in both cases.  However, I have heard dictators
 Subject: I believe it would be "ulnar" in both cases.  However, I have heard dictators
 
 say "ulna fracture."  I don't think that would be considered incorrect.
 maybe BDI (baseline dyspnea index) a score of 1 would indicate severe impairment.  Just a guess.
 Subject: maybe BDI (baseline dyspnea index) a score of 1 would indicate severe impairment.  Just a guess.
 
 x
 some dictators say and spellout "crie" or "scree" for future reference.
 Subject: some dictators say and spellout "crie" or "scree" for future reference.
 
 x
 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.
 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 would think that the 4th edition would override the 3rd edition
 Subject: I would think that the 4th edition would override the 3rd edition
 
 
 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.
 Some accounts want no personal info
 Subject: Some accounts want no personal info
 
 at all in the report, others want pertinent people listed.  It depends on the facility/account.
 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)
 
 
   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
 
 
 
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