MISC by xiaopangnv

VIEWS: 6 PAGES: 12

									 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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