Professional Development for Healthcare Professions Blog

Wednesday Transcription Tip- Units of Measure

Posted by Chad Sines on Wed, Aug 31, 2011 @ 07:00 AM

Med-Line Advanced TrainingUnits of measure is another area where many MTs struggle. Use these tips to put the issue to rest once and for all.

Metric:
Abbreviate metric units of measure that accompany numeric values and/or are part of numbers using a slash.  Use the same abbreviation for singular and plural forms.  Do not use periods with abbreviated units of measure.  Use the abbreviation only when the quantity precedes the unit of measure.

Example:
She was put on 2L of oxygen.
A 2.5 cm incision was made.
The wound measured 7 cm.
Estimated blood loss was 250 mL.

Nonmetric:
Spell out common nonmetric units of measure to express eight, depth, distance, height, length and width (except in tables).  Do not abbreviate most nonmetric of units of measure. Do not abbreviate nonmetric units in numbers with a slash except when the expression combines a metric unit with a nonmetric unit.

Example:
The baby weighed 8 pounds 9 ounces (also note no comma between the measures).
She gave the child 2 tablespoons of Motrin.
She weighs in 3 days per week.
Her IV was set to run at 10 mcg/min while she was in the ER.

Monday Technology Tip- EHR-Related Definitions

Posted by Chad Sines on Mon, Aug 29, 2011 @ 07:00 AM

Med-Line EMR TrainingNow that you have a general idea of some common EHR acronyms, learn what some of them mean. These are all terms that will be critical as the EHR push evolves. Make it a priority to know what each means and how they will affect your profession. I would recommended using Google for additional information for each term.

CCHIT

Certifying body for EHRs.

CDA4CDT

Seeks to codify dictation into a useful format
for the physician and the EHR.

EHR

Electronic patient record designed to be
accessible offsite.

Narrative text

The actual spoken dictation in paragraph
form, as opposed to templated input.

HL7

Global authority on standards for
interoperability of health information
technology.

HITECH ACT

Stronger healthcare privacy standards,
“HIPAA with teeth”

Meaningful Use

EHR criteria that must be me in order to
qualify for government incentives.

Templated EHR

A type of EHR that uses non-narrative input,
often click boxes to input data

Topics: Professional Development, Technology Tip

Wednesday Transcription Tip- Help With Specialties

Posted by Chad Sines on Wed, Aug 24, 2011 @ 07:00 AM

Med-Line Multispecialty

Transcribing in a speciality you are unfamiliar with can be confusing. Knowing where to look when you need help can greatly decrease your research time.

Section 4 of the Book of Style (3rd ed.) has whole chapters devoted to terminology regarding medical specialties, including cardiology, dermatology, pulmonology, oncology, and other common practices.  Check this section first to review words you might not be familiar with before transcribing.

The Stedmans web site has a great section devoted to sample reports covering all specialties called Stedmans@Work.  Go to www.stedmans.com and find the link on the left for Stedmans@Work, then follow the links to find a page where you can locate sample reports covering the specialty you are working on.  Print the reports and highlight the words you don’t know.  You ca place the reports in a binder or folder to refer to when you type reports that are similar.  A great way to start your own home-grown medical resource!

Topics: Professional Development, Transcription Tip

Monday Technology Tip- Common EHR-Related Acronyms

Posted by Chad Sines on Mon, Aug 22, 2011 @ 07:00 AM

Med-Line EHR Training

This week I wanted to share a few common EHR-related acronyms. These are terms that if you have not heard many times yet, you will. This is information that you will become very knowledgable as your learning evolves. We will discuss them next week, so for now just learn what each means. 

 

Abbreviation

Expansion

CCHIT

Certification Commission for Health Information
Technology

ASTM

American Society for Testing and Materials

EHR/EMR

Electronic Health Record/Electronic Medical Record

HIPAA

Health Insurance Portability and Accountability Act

HL7

Health Level 7

HITECH ACT

Health Information Technology for Economic and
Clinical Health

SRT/VRT

Speech Recognition Technology/Voice Recognition
Technology

HIM

Health Information Management

Topics: Professional Development

Wednesday Transcription Tip- Transcribing Sutures

Posted by Chad Sines on Wed, Aug 17, 2011 @ 07:00 AM

Med-Line Surgical TrainingTranscribing sutures is a common stumbling block for many transcriptionists. Diane Gilmore, one of Med-Line's instructors, has provided this tip to help out.

Suture sizes range from 11-0 (smallest) to 7 (largest).  Thus a size 7 suture is different from and larger than a size 7-0 suture.  Use 0 or 1-0 for single-aught sutures.  Use the "digit hyphen zero" style to express sizes 2-0 through 11-0.  Express sizes 1 through 7 with whole numbers.  Place the # symbol before the size if the word "number" is dictated.  See page 251 of the BOS 3rd ed. for more information about this.

Examples:
1-0 nylon or 0 nylon
2-0 nylon, NOT 00 nylon
4-0 Vicryl, NOT 0000 Vicryl

Topics: Professional Development

Monday Technology Tip- Keyboard Shortcuts.

Posted by Chad Sines on Mon, Aug 15, 2011 @ 07:00 AM

Med-Line Technology TrainingWell, week one is down. How many of you changed from a nonprofessional email address to one that represents your new profession? If you have not done so, now would be a good time. 

 

I am keeping this one short and sweet because I know most of you have not completed last week's assignment and I you REALLY need to this if you are serious about being taken as a professional. This really is a big deal with recruiters, your networking efforts, and establishing yourself.

This week's tip is on keyboard shortcuts. Every time you take your off the keyboard to touch the mouse, you reduce our productivity. Below are some common ones that you should know and use. 

[Alt] and [F4] Quit active application or close current window

[Alt] and [-] Open Control menu for active document

[Alt] and [Esc] Switch between running applications

[Alt] and letter Select menu item by underlined letter

[Ctrl] and [F4] Close active document or group windows (does not work with some applications)

[Ctrl] and [Esc] Open Program Menu

[Ctrl] arrow Move cursor forward or back one word

[Ctrl] Up, Down arrow Move cursor forward or back one paragraph

Windows+M Minimize all open windows

Windows+F1 Open Windows Help

Windows+Tab Cycle through the Taskbar buttons

Windows+Break Open the System Properties dialog box

Shift+Windows+M Undo minimize all open windows

[F1] Open Help for active application

 

P.S. Go make that professional email address and update your MT contacts (including your school). I expect to see our students take care of this today. :)

Topics: Professional Development, Technology Tip