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Don't doctors and PA-Cs know no abbreviations in diagnoses? - MT

Posted: Jan 13, 2015

Why the constant slang and abbreviations in diagnoses and impressions? Especially when it could mean more than one thing ( for example I and D) and it cannot be gleaned from the record. Are these clinicians lazy or what. I think there should be stricter guidelines for those dictating, rather than placing the call on the MT. I know I am preaching to the choir so to speak, but it is really getting on my nerves...

no they probably don't know - sm

[ In Reply To ..]
I remember way back when, when I worked inhouse, and we had a medical student come and apply for an MT job to help him pay his bills and get through school. Not only did he not expand abbreviations under diagnoses and impressions, he abbreviated things the dictators actually did not abbreviate. We had to explain to him that we have rules, and that not everyone who reads these reports is a doctor.

Don't know -- Newbies? - AnonQC

[ In Reply To ..]
If they say "I and D" and you don't know which they're referring to, you leave "I and D" regardless of where it is in the report. CYOA

No, they might not know that. - sm

[ In Reply To ..]
They might not know that because no one told them. Or, they might believe it is your job, because that's whose job it has been until now.

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