verbatim # rule, begin sentence?
Posted By: c-hav on 2007-01-06
In Reply to:
Subject: verbatim # rule, begin sentence?
On verbatim account, when doc dictates a number at the beginning of a sentence how do you handle it? For instance, "Forty-two-year-old woman...," I spell it out right? Also, another sentence begins with "4-0 Vicryl was also used..," what do I in this situation? If they are strict on verbatim, just go with number? 4-0?
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Can I begin a sentence with 'CT'?
Subject: Can I begin a sentence with 'CT'?
Rule for Sentence Ending and when to use comma
Can somebody share with me the rules to follow for sentence ending? I am a bit confused with the feedback from my QA, when I chose to put a comma she wants me to end the sentence and start with a new sentence. The next day when I did was to end the sentence, she edited my work and placed a comma instead. Can anybody share with me some guidelines to follow. TIA.
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.... |
Does his first name begin with a T? sm
Subject: Does his first name begin with a T? sm
I've also received the same instructions about cath, subcu, exam, etc., but can't remember the source. It might have been a past company's specifications. I know that these words MUST BE EXPANDED (per BOS) in diagnoses, operation titles, etc. (same rules as abbreviations). This might be a new HIPPA rule also which came out after the second BOS was printed. I'll keep thinking. But he's not to be flamed. I've heard the same rules and don't mind using them because it looks more professional and gives me a higher character count.
might begin with a C, K or G... nm
Subject: might begin with a C, K or G... nm
x
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".
s/l begin-man maneuver
Subject: s/l begin-man maneuver
on examination of the knee doc says
s/l begin-man manuever seems to be a little bit of laxity of the ACL as one compares to the contralateral uninvolved knee but certainly not a marked laxity.
did the pt have wheezing to begin with? maybe just a comma, sm
Subject: did the pt have wheezing to begin with? maybe just a comma, sm
Following review of this resolution of acute congestive failure, wheezing, ...
Just a thought.
Where would you begin the PLAN if the dictator does not say so?
Subject: Where would you begin the PLAN if the dictator does not say so?
ASSESSMENT: We discussed options for Jeff. At this point, a month after the injury, an MRI, potential surgical interventions, etc., ultimately doing as well as he is, he is just going to keep it in mind and be careful with his lifting. He drives a forklift, apparently on a regular basis, but we are going to forego further work up at this point. We also got int a discussion of routine health care maintenance. He will plan on complete physical in October, starting this year. I will put a standing order at lab at this point for him, for a UA basic metabolic fasting lipid panel and PSA. We will go from there.
verbatim is VERBATIM....bad advice he gave you.....
Subject: verbatim is VERBATIM....bad advice he gave you.....
1. Will begin S/L ?marelton? at 8mg at hs along with citalopram 10mg daily
Subject: 1. Will begin S/L ?marelton? at 8mg at hs along with citalopram 10mg daily
NM
We will begin administration with a cycle blend of Rituxan/CHOP..
Subject: We will begin administration with a cycle blend of Rituxan/CHOP..
There's a growing consensus among many experts that CHOP + Rituxan (CHOP+R) is the new gold standard for treating transformed indolent, or aggressive lymphomas.
http://www.lymphomation.org/chemo-CHOP.htm
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
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
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!.
What is the rule now for cc?
Subject: What is the rule now for cc?
should we put mL or what the doc says as cc? I got so beat up over this one time with a different company I worked for; however, I am with a wonderful new company and want to make sure I am typing it correctly.
Thank you
Does anybody know a rule regarding
Subject: Does anybody know a rule regarding
to para or not to para, that is the question..... okay, so that was dumb, but so many words are not actually in the dictionary.... is there a rule regarding when to use peri as opposed to para ??? sometimes I'm confused.
As a rule yes, but not always
Subject: As a rule yes, but not always
I find way too many exceptions to that rule so I always look them all up the first time and add them to my ever-growing list. I wish there was a list out there somewhere with most of them already catagorized for us. 
cannot rule out?
Subject: cannot rule out?
Is this a new rule????
Subject: Is this a new rule????
x
maybe saying rule out again? nm
Subject: maybe saying rule out again? nm
x
I'm all yours - you rule! :) :) :) :) - nm
Subject: I'm all yours - you rule! :) :) :) :) - nm
x
I'm all yours - you rule! :) :) :) :) - nm
Subject: I'm all yours - you rule! :) :) :) :) - nm
x
RULE OF THUMB
Subject: RULE OF THUMB
basic guideline is:
if you have a credible reference, spell it whichever way the reference spells it.
you should never be counted off for it, as long as the reference is credible. if you are, it is a valid challenge to assert.
rule out meds?
Subject: rule out meds?
He will bring all his medications with him so I can review them and rule out all his medications.
The pt is confused about what meds he is taking.
apostrophe AMT rule
Subject: apostrophe AMT rule
Mothers investment in child’s treatment ?{ is apostrophe accepted in this sentence }
HMMMM. Can't rule it out. Tks. nm
Subject: HMMMM. Can't rule it out. Tks. nm
AAMT rule
Subject: AAMT rule
Just getting back into MT after a long hiatus and can't remember the rules when typing numbers. Is it okay to separate number values by commas, such as 1, 2, 3, etc.? (pathetic, I know.) TIA!
I use rule of 2-3 min. per dictated min. (nm)
Subject: I use rule of 2-3 min. per dictated min. (nm)
x
capitalization rule
Subject: capitalization rule
Can someone please tell me why sometimes Microsoft Word capitalizes the first letter after a period and sometimes it doesn't. What can I do to always get a capital letter at the begiining of a new sentence?
capitalization rule
Subject: capitalization rule
Thanks. It works fine with all words and latters, but not numbers, like 4/23/08, how come?
rule question..........sm
Subject: rule question..........sm
is there a rule about numbers at the end of sentences? I can't find one.
I usually use this rule, if "follow up" can
Subject: I usually use this rule, if "follow up" can
be replaced by a noun, in this case you can use exam, then it is followup. If it is used as in The patient will follow up with so and so, then it is 2.
What is correct BOS rule for prn/p.r.n.
no msg
why only 'midline'? On what rule?..nm
Subject: why only 'midline'? On what rule?..nm
nm
MI rule out protocol
Subject: MI rule out protocol
s/l Motibi protocol. I know I have heard it, and it hidden away in my brain somewhere. Thanks for the help!
rule out metastasis, maybe
Subject: rule out metastasis, maybe
nm
PPD placed to rule out S/L "scropella"
Subject: PPD placed to rule out S/L "scropella"
D&C to rule out malignancy or (sl) hyspercussis. Thanks
Subject: D&C to rule out malignancy or (sl) hyspercussis. Thanks
:()
rule out retinopathy of prematurity...sm
Subject: rule out retinopathy of prematurity...sm
Retinal and posterior fundus of poles, both have normal vasculature without evidence of fibrovascular ridge or loss of vascularization to the peripheral cornea.
Is this phase correct? "Retinal and posterior fundus of poles..."
I think AAMT's latest rule is x2, but
Subject: I think AAMT's latest rule is x2, but
in their last book it was x 2, and next year they'll put out another book with some new way that the off-shore people are doing it. So I'd suggest you just do it your employer's way and keep documentation in case they suddenly change THEIR minds and deny they ever told you to do it that way.
;o]
In plan he very plainly says says need to rule out
Subject: In plan he very plainly says says need to rule out
Patient fell and injured right ankle. Sentence in question: She is significantly tender in the s/l coronal ligament s/l and the (or in the) right ankle.
Plan: MRI to rule out coronal ligament tear.
This is very clear - just cannot document it anywhere and don't want to flag it as it's very clear - just unsure and hoping for documentation or someone that has heard it.
there was a rule here - no testing posts
Subject: there was a rule here - no testing posts
it may depend on a facility rule
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.
Rule of thumb. When I was in school for
Subject: Rule of thumb. When I was in school for
my Associate Degree in MRT and BA in HCA, in transcription we were taught that any combining medical form can be combined with any other combining form for things associated in the same part of the body.
s/l Ottoclos C spine rule
Subject: s/l Ottoclos C spine rule
Patient in ER for MVA. S/L Ottoclos C spine rule
Help? T-rule basil astruggle? WCA?
Subject: Help? T-rule basil astruggle? WCA?
I just realized I posted on the wrong board! Sorry I'm new! I didn't realized this is where you post for for help!
Okay.. so the dictator sounds like he's saying..
Patient status post ("t-rule basil astruggle ? or maybe basil astroke?") which had left him with gait and unsteadiness.
ALSO.. if you don't mind.. when he later says the Labratory he says..
"WCA .1? , platelets 330,000 " WCA has a ton of meanings is it "Whole cell antigen maybe? or is he maybe not saying WCA!?
Any Help I'd greatly appreciate!!
Help? ("T-Rule Basil Astruggle??")
If there is anyone out that that could help me.. I'm trying to dictate and assignment.. and the doctor sounds like he's saying..
PAST MEDICAL HISTORY: Patient status post for ("T-Rule Basil Strugle?( or Stroke maybe)?") which had left him with gait and unsteadiness.
Any help would be SO much appreciated!
Rule out myocardial infarction NM
Subject: Rule out myocardial infarction NM
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