abbreviations in asssessment/plan

This means 65% will see decrease and/or paid minimum wage. They are touting this as the great new comp (local Burger King is advertising job for $10/hour). Anyone find out if the QC percentage is just for blanks or include all sent to QA including Audio issues, etc, and will EQA be included. Also, trying to figure out our pay from week to week is going to be a pain. I am going to see how this new comp plan works out, but since the conference call, I'm not feeling pos ...

ELISA, ESR, FiO2, PKU Other than in diagnoses and impressions, should any of these abbreviations be expanded? Thank you. ...

I am doing two reports of tissue examination and at the end of the Gross description, on one report he says RPE three blocks and on the other report he says ET two blocks. I am trying to figure out what the RPE and the ET means. Thanks for your help. ...

Is it appropriate to use BID, PRN, etc., instead of b.i.d. and p.r.n.? ...

I know that we are to expand abbreviations within diagnoses sections. However, what about things like this: Pulmonary embolism. The patient was started on IV heparin. Do we expand the "IV" also? Thanks. ...

When did this become okay? I got called on my last QA that spelling out CVA or MI in the diagnosis is a no-no. ...

Just wondering if anyone knows where I could get a list of the "dangerous abbreviations" in transcription. I was at a doctor's office one day and saw a sign on their wall that said something about dangerous abbreviations and something about things that transcriptionists should not type...but I left thinking that it would be something easy to find but have found no information on that at all. Thanks so much for your help! ...

I don't use dangerous abbreviations and I never abbreviate in the diagnosis and QA has been changing my reports to abbreviations in the diagnosis and changing words and adding the dangerous abbreviations. Does any else do this, not abbreviate etc? ...

I'm having trouble with a few cardiology abbreviations that this dr. is throwing out. "Card (which I'm assuming she's abbreviating for cardiology) - AVR, conduction disorder - s/l RABBB or maybe just RBBB - followed by cardiology." ...

HELP PLEASE! In typing abbreviations on my account specs, it says following AAMT BOS, but the problem I am having is letters. They are using abbreviations that I should be expanded as it is a letter, (ex. MCP). I have read to expand these, but for the life of me I cannot find it in AAMT BOS... Any help appreciated. Thanks ...

The patient is in for preoperative evaluation for s/l SAD DDCE? I know that SAD means shoulder arthroscopic debridement but can't find what DDCE might mean. That is the only sentence, so I have no other context to refer to. Thx. ...

Do the BOS and dangerous abbreviation rules apply to office dictation that is outside the hospital setting (i.e. private practice offices). Thanks. ...

I'm doing a cardiology report. Can anyone tell me what CLVH and IVF mean? ...

Is it okay to transcribe abbreviations for immunizations? Or should they be spelled out? Thank you. ...

Hello. I was just wondering, are abbreviations allowed in the INDICATIONS section of a surgical report? Thank you! ...

Haven't done enough of these complicated OB reports I guess. Doc says patient had what sounds like "COREO" (in which she lost the baby) and something that sounds like "TOCOS" in relation to some cervical irritability. Can't find anything to verify either. Any suggestions? ...

Should we put a hyphen in preop and/or postop? My spellchecker says it is OK without, but it is hard to read w/o one IMO. BOS says to use a hyphen when joining a prefix to an abbreviation, so would this count as an abbreviation in this case? Or is it more like a shortened form of the word? ...

Good morning everyone. I'm a bit confused about headings: If "GYN" is dictated in a heading, do you expand it to "GYNECOLOGIC"? I remember from my training that you do; however, I've seen reports that show it as not expanded. D ...

About to pull my hair out with these abbreviations ths pathology doctor is giving for the medications. I have looked in my path book and abbreviation book and it does not list these. Can anyone please direct me to where I can find a list of abbreviations of the drug names. I would appreciate it more than I can say. ...

My computer crashed and I lost all of my auto correct terms :(. Does anyone know of a good list of medical abbreviations? Thanks, LadyDianaMT ...

I know that according to AAMT we are not supposed to put abbreviations in the Impression/Diagnoses sections, but does that include ALL abbreviations? Or just ones pertaining to diseases? For instance, are we supposed to spell out MRI in the impression? Or just diseases, like PUD or COPD? I'm a bit confused because I put "MRI" in the impression and QA left that as is, but I also put "PT" and they expanded it out to "physical therapy." Does anyone know? Thanks in a ...

Whenever I open the abbreviations, it seems to take a long time. Add an entry, close it, continue typing. Same thing every time I add a new entry, takes a while to open. It's going to take forever at this rate to build a list. Any way to make this go faster? Cant really be my internet speed, would it? It's just a quirk of this particular program? ...

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... ...

Assuming normal EKG, the patient is at low risk for perioperative cardiac complications via S/L "ACP" protocol. ...

HELP! I have searched high and low looking for the instructions on how to take an abbreviations list and import it into MS Word's AutoCorrect. There is hardly no info online about this. I guess it can be done, but it takes some doing. Could someone be kind enough to delineate all the steps in doing this, or at least point out a website that explains how to do this? I can put the abbrev file into any form - excel, CSV, you name it. It's just importing it i ...

Can someone please tell me how to abbreviate millivolts and microvolts? I can't seem to find sources that agree with each other...TIA!!!! ...

I've searched the JCAHO website. I used to have a copy but can't find it. Would someone please be kind enough to point me to the link for the JCAHO list of dangerous abbreviations? ...

I'm just curious as to how it works, as I may have to sign up for it at the end of the year. How does the HRA account work and how do you get access to the funds when you need them? I think I understand everything beyond that. Just curious how the account is set up and how to get access to it. ...

I will check for work during my schedule. Work it if possible, if not, just use the no wrk excused absence comment. I am not going to work around the clock to try and make it up. Ridiculous. If you want to, that is okay, but seems crazy to ask people to do this. Why don't the supervisors/TSMs have a call about this. We get an email, but never anyone to tell us directly about a change. I just cannot believe that they expect employees to try and make up the time. ...

abbreviations in asssessment/plan - klrc1969

Abbreviations in Assessment and Plan - MT123

Agree - MT

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