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Singular most words s,z,ch,sh y um (drop) a oma gma on us (drop) en (drop) is (drop) ex (drop) ix (drop) x (drop) nx (drop) adenexa genitalia meatus plexus reflex viscus crus corp arthritis cuspis iris meningitis Plural s es s or ies a e ta ta a i ina es ices ices ces nges adenexa genitalia meatus plexus reflexes viscera crura corpora arthritides cuspides irides meningitides Word Expanders InstantText- Textware Solutions www.textware.com MedPen - Emmaus MedPen www.mpword.com MPWord - Emmaus MedPen QuickScript - QuickScript www.quickscript.com ShortCut - Healthcare Technologies Shorthand - Office Soft, LLC www.pcshorthand.com ShortKeys - Insight Software Solutions www.shortkeys.com Smartype - Narratek SpeedType www.speedtype.com Stedman's Smartype www.stedmans.com SwiftText www.bytescribe.com Sylcount www.sylvansoft.com Medical Spell Checkers WP Medical - Productive Performance, Inc. Dorland's Electronic Medical Dictionary - W.B. Saunders Merriam-Webster's Medical Audio Dictionary - Merriam- Webster Spellex - Spellex www.spellex.com Stedman's Plus Spellchecker www.stedmans.com Complete Medical / Pharmaceutical Spellchecker - Sylvan Software Taber's Electronic Medical Dictionary Speech Recognition Software Boomerang - Dictaphone Dragon Naturally Speaking - ScanSoft Eloquently Speaking - 21st Century Eloquence IBM Via Voice - IBM MediTalk - Voice Automated Speech Power - DVI Line Count Utilities Abacus - Sorcerer Software, InstantTextPro, Version III - Textware Solutions MedPen - Emmaus MedPen MP Count - Emmaus MedPen Slycount II (WordPerfect) - Sylvan Software Slycount IV (MS Word) - Sylvan Software WP Count - Productive Performance, Inc. In addition, Microsoft Word and Word Perfect each have their own built in line counting utility - which may prove adequate depending on your application. The best programs provide the option of including or excluding spaces, carriage returns, headers, footers, etc. This allows for optimal flexibility in tracking and billing line counts. Reference Books AAMT Book of Style www.ahdionline.org Medical Abbreviations and Acronyms www.medabbrev.com www.medicalbookstore.co Medical Phrase Index m Merck Manual www.merck.com Mosby's Laboratory and Diagnostic Test Reference www.elsevier.com Physician's Desk Reference www.pdrbookstore.com Quick Look Drug Book www.lww.com Sloane's Medical Word Book www.elsevier.com Stedman's Medical Dictionary www.stedmans.com Stedman's Word Book Series www.stedmans.com* The Surgical Word Book www.us.elsevier.com www.fitaly.com a.c. before meals/food a.d. right ear do not use a.m. morning a.s. left ear do not use a.u. each ear do not use b.i.d. two times a day b.t. bedtime do not use calorie calorie cc cubic centimeter do not use/mL cGy centigray cm centimeter dB decibel dL deciliter dos dose Eq equivalent fg femtogram fl oz fluid ounce fmol femtomole g gram g/dL gram percent gtt drops h.s. bedtime do not use Hz hertz IU International Unit do not use (units) kcal kilocalorie kg kilogram L or l liter lb pound m/sec meters per second meters per second m/sec2 squared mcg microgram mCi millicurie µL / mcL microliters MDI metered dose inhaler mEq milliequivalents mg milligram mGy milligray MHz megahertz m.i.d. minimum infective dose mL or ml milliliter mm milimeter mmHg millimeters of mercury mmol millimole mmol/L millimolar mol mole mol/L molar mOsm milliosmole ms millisecond msec millisecond mu micron mU milliunit mug microgram muL microliter mum micrometer mum3 cubic micrometer mumol micromole mumol/L micromolar muOsm micro-osmolar muU microunit ng nanogram nL nanoliter nm nanometer nmol nanomole nmol/L millimicromolar noc nocturnal; by night n.p.o. nothing by mouth n.r. do not repeat o.d. right eye do not use o.s. left eye do not use o.u. each eye do not use oz ounce p.c. after food pg picogram pH acidity or alkalinity p.m. in the evening pmol picomole p.o. by mouth p.r.n. as needed puffs inhaler medication q. every q.6 h. every six hours q.d. every day do not use (daily) q.h. every hour do not use q.h.s. every bedtime (nightly) q.i.d. four times a day q.o.d. every other day do not use repet to be repeated SI Systeme International units SL sublingual(ly) subcu shot do not use sublingual under tongue subQ subcutaneous do not use t.i.d. three times a day tab (s) tablets U or u unit do not use u.d. as directed ,#X duration ,X day course duration for X days duration whole # do not use decimals amount x X days duration percentage 0.00% unless whole # enteric-coated asprin form / per decimal point X mg 0.Xmg measurement/followed by a period. do not use use a comma DO NOT USE U (unit) IU (International Unit) Q.D., QD, q.d., qd (daily) Q.O.D., QOD, q.o.d, qod (every other day) the "O" mistaken for "I" (q.i.d. is four times a day dosing) "every other day" Trailing zero (X.0 mg) Lack of leading zero (.X mg) 0.X mg MS MSO4 and MgSO4 > (greater than) < (less than) Confused for one another "less than" Abbreviations for drug names Apothecary units @ cc µg POTENTIAL PROBLEMS Mistaken for “0” (zero), the number “4” (four) or “cc” Mistaken for IV (intravenous) or the number 10 (ten) Mistaken for each other. Period after the Q mistaken for "I" and "daily" Decimal point is missed Can mean morphine sulfate or magnesium sulfate Confused for one another Misinterpreted as the number "7" (seven) or the letter "L". "greater than" Misinterpreted due to similar abbreviations for multiple drugs Unfamiliar to many practitioners. Confused with metric units Mistaken for the number "2" (two) Mistaken for U (units) when poorly written Mistaken for mg (milligrams) resulting in one thousandfold overdose USE INSTEAD "unit" "International Unit" X mg "morphine sulfate" "morphine sulphate" and "magnesium sulfate" Write drug names in full metric units "at" "mL" or "milliliters" "mcg" or "micrograms" 3-PASS TECHNIQUE: 1st Pass 1. Adjust toggle speed to 0 2. Transcribe only what you hear. 2nd Pass (CHANGE TOGGLE SPEED TO 1) 1. Listen and fill in blanks. 2. Flag word with (____)(___) Sound out options Repeated information at the bottom of the report 3. Research Tree (15-20 min or 30-40 min) Main Binder/Specialty Binder On-Line: One Look, Drugs by Disease Google Documents (Ctrl F) highlights words 4. Physical Examination with verbs: use semincolons take out verbs: use commas 5. Assessment/Impresion Abbreviations: Spell Out 6. DIAGNOSIS/DIAGNOSES: CHIEF COMPLAINT 7. Read Aloud and check for the following: Verb Tense: check word that follows as well as the verb. Singular: is, was, has, has had Plural: are, were, have, had had Articles: a/an Redundant Words/Make sense: that, got - add the, he, she, that Capitalization: See rules Check Context: Make sure agrees Measurements: Always single form (NO MATTER WHAT) Punctuation: Series eliminate and's/add commas 3rd Pass 1. Run spell check (read backward if necessary): quite/their 2. Crosscheck repeated information.
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