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Abbreviating words that shouldn't be abbreviated? - Amanda


Posted: Jun 18, 2011

How do you treat words that the physician abbreviates that shouldn't necessarily be abbreviated?

For example, I'm transcribing for an ENT physician's assistant who routinely will abbreviate medications or conditions in her haste to speak quickly. In a dictation I'm working on now, the patient has "a perfed TM and is on Oflox. otic suspension" (the patient has a perforated TM and is on Ofloxacin otic suspension).

I tend to remove the abbreviations and type out the full word when she does that, but do you all think that's the correct thing to do?

Amanda

If not verbatin - 1mt

[ In Reply To ..]
then I would expand to the correct wording, but would be a little weary about the meds that she is abbreviating. What if she is abbreviating a med and you think she is referring to a different med. If I wasn't absolutely sure on the meds then I guess I might type the slang as she says it and maybe put in quotes. Some of these dictators really need more training and understanding as to how dictation/transcription works. It's like they think they're having a conversation with a fellow doctor rather than trying to create an accurate medical record.


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