Transcription accuracy therefore should be monitored regularly to ensure quality documentation and to ensure that medical transcriptionist professionals receive timely and consistent feedback. Do Not Type a Space Centimeters, millimeters, liters, etc. Z-PAK 2 daily on day 1, then 1 daily on days He drank one-half a gallon of apple juice.
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Transcription accuracy therefore should be monitored regularly to ensure quality documentation and to ensure that medical transcriptionist professionals receive timely and consistent feedback. Do Not Type a Space Centimeters, millimeters, liters, etc. Z-PAK 2 daily on day 1, then 1 daily on days He drank one-half a gallon of apple juice. He is to take tablets of Tylenol every hours p. It is 6 cm below the It is ml A 4-cm nevus A 2 x 2-mm lesion She has three dogs who have eight fleas each.
A total of 7 basal cell carcinomas removed from his left arm. Spell out the number or recast the sentence. Example - Dictated as: 10 milligrams of Reglan was administered stat.
Transcribe as: Reglan 10 mg was administered stat. Example - is going to be a prosperous year. She was born in the s. Example - Jeff has 1 job, 1 place of employment and 18 hours a day to do the work. Rationale - to draw attention to the scores. Example: The Apgar scores were 6 and 9 at one and five minutes. Apgar is not an acronym. Date Date styles are either numeric or written in words. Both are acceptable in medical transcription.
Use the style as dictated by the originator. Feet, inches, pounds, ounces, yards, grain, dram, etc. Use the numerals with a symbol or an abbreviation. When the phrase is spelled out, however, spell out the number as well. Both reflexes and pulses are usually graded on a scale from zero to four plus. The meanings of the different grades are as follows. Qualitative test results are usually given using the plus and minus symbols. Examples: - - Negative.
Point five centimeters 0. Black, as a race designation would be capitalized, however client preferences may differ. Example - anti-inflammatory. Example - self-administered, self-monitored. For Clarification - Use a hyphen after a prefix if not using a hyphen would change the meaning of the word. Example - The patient was prescribed penicillin mg t. Example - Dictated as Synthroid point 75 mg a day. Transcribe as Synthroid 0. TSH 1. Albumin 4. Learn more about Scribd Membership Home.
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Basic Rules of Transcription Aamt
Subscribe to Email Updates. Transcription Rules-Terms. Common Transcription Rules. Do Not Type a Space Use numerals when numbers are directly used with symbols. Use numerals when expressing ages.
Commonly used Transcription rules