Instructions for medical transcription sample work

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Follow the basic rules of transcription :

1. Spacing With Punctuation Marks
Do Not Type a Space …
  • before or after a hyphen
  • before or after a slash
  • after the closing parenthesis if another mark of punctuation follows
  • when using the word “times” as x – e.g., x3
Type One Space…
  • between words
  • after the closing parenthesis
  • on each side of the x in an expression of dimension, e.g. 4 x 4 type 2 spaces…
  • after punctuation at the end of a sentence
  • after a colon except when expressing time or a dilution ratio

2. Numbers
  • Spell out WHOLE numbers zero through nine, use numerals for 10 and above (this may change in the near future as the AAMT is trying to standardize using numerals only.
  • Use numerals when numbers are directly used with symbols.
  • Use numerals when expressing ages.
Time Examples
  • 8:30 a.m. – morning
  • 8:30 p.m. – evening
  • noon, not 12:00 noon
  • midnight, not 12:00 midnight or 12 ‘o’clock or 12:00 p.m.

3. Measurements
Spell out all nonmetric measurements. Feet, inches, pounds, ounces, yards, grain, dram, etc.
Exceptions:
  • Use tsp for teaspoon
  • Use tbsp for tablespoon
  • Spell out Celsius IF degree is spelled out. 36 degrees Celsius.
In tables and technical documents:
  • Use ft or ‘ for feet
  • Use ” for inches
  • Use fl oz for fluid ounce
Abbreviate most unusual units of measure when accompanied by numerals Dictated as Transcribed as:
  • 0.8 centimeters squared 0.8 sq cm
  • 22 milligram of mercury 22 mmHg
4. Symbols
  • Spell out a symbol when used alone (with no number).
  • Use symbols when they are used with numbers
  • Common Symbols
Dictated as Transcribed as:
  • Four to five 4-5
  • Number 3 0 #3-0
  • Twenty-twenty vision 20/20
  • BP 120 over 80 120/80
  • Grade two over six 2/6
  • A positive A+
  • Three point five centimeters 3.5 cm
  • Point five centimeters 0.5 cm
5. Capitalization
Capitalize…
  • Abbreviations when the words they represent are capitalized
  • The first word following a colon if it begins a complete sentence or is part of an outline entry
  • Most abbreviations of English words
  • The first letter of chemical elements
Do Not Capitalize…
  • The spelled out names of the chemical elements
  • The seasons of the year
  • The common names of diseases
6. Hyphenation
These prefixes do not require the use of a connecting hyphen in compound terms:
  • ante intra semi
  • contra over trans
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