Tuesday 16 June 2015

How To Transcribe Medications






HOW TO TRANSCRIBE MEDICATIONS


1.  Number in list format if more than 1.
          1.  Tylenol.
          2.  Allopurinol.
          3.  Aspirin

2.  Type medication abbreviations as dictated; p.o., b.i.d., t.i.d., etc.

3.  Do not use dangerous abbreviations.  The commonly used ones are:
h.s.
q.h.s.
q.d.
          t.i.w

They should be expanded any where in the document to as below:
h.s. -    at bedtime
q.h.s. - nightly
q.d. -   daily
          q.weekly – every week

4.  In Diagnosis/Diagnoses/Assessment part, all these abbreviations  should be expanded.

5.  If dictated q 6 hours or q 8 hours, it should be transcribed as follows:

                   q.6 h.
                   q.8 h.
     Please check the periods and the spaces carefully.

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