Common Hospital Abbreviations “Universal Abbreviations:” 3HEAMSC 3-hour early morning sputum collection a.d. right ear ("auris dextra") a.s. left ear ("auris sinistra") a.u. both ears ("auris uterque") ac before meals ("ante cibum") ad. Lib. as desired ("ad libitum") AF absolute figures amp ampule AOG age of gestation BID twice a day ("bis in die") BMI body mass index BSE breast self-examination BTL Bilateral Tubal Ligation BUN blood urea nitrogen Bx biopsy C&S culture and sensitivity CA carcinoma; cancer CBC complete blood count CBR c TP complete bed rest with toilet privileges CBR s TP complete bed rest without toilet privileges CBW cooled boiled water CP cardiopulmonary CPT chest physiotherapy CRT capillary refill time CVA cerebrovascular accident CXR chest x-ray D&C dilatation and curettage D/C discontinue; discharged D50W 50% dextrose in water D5LR 5% dextrose in lactated ringer's solution D5NSS 5% dextrose in normal saline solution D5W 5% dextrose in water DAT diet as tolerated DBE deep breathing exercises DOE dyspnea on exertion Dx Diagnosis EBF exclusive breastfeeding EBM expressed breast milk EOF encourage oral fluids FBC-CDU Foley Bag Catheter - Close Drainage Unit FBS fasting blood sugar FDTW full diet to watcher FHT fetal heart rate Fr French Fx Fracture g Gauge GCS Glasgow Coma Scale GIT gastrointestinal tract gtt Drops GUT genito-urinary tract h.s. at bedtime ("hora somni") H/A Headache health teachings, anticipatory guidance, safety, security HASMINE & spiritual, medications, incision care, nutrition, environment HBR high back rest 2 HGB I/O IBW ICP IM IVF IVTT KPS KSS KUB KVO LBM LLQ LMP LOC LOF LUQ - METHODS - MGH MHBR MI ML MSCC MVA NABS NBS NCCF neb NGT NIL NOD NPO-PM NPO-PS NSS NSVD o.d. o.s. o.u. OD OGT OGTT ORS OTC PB pc - PERRLA - PL148 PLR PLT PNSS po post-BT PRN PTA PTB PTC - Hemoglobin intake and output ideal body weight intracranial pressure Intramuscular intravenous fluid intravenous through tubing kidney punch sign keep set sterile kidneys, ureters, bladder keep vein open loose bowel movement left lower quadrant last menstrual period level of consciousness limit oral fluids left upper quadrant medications, environment, treatments & visit to physician, health teachings, observable signs & symptoms, diet, spiritual may go home moderate high back rest myocardial infarction main line mid-stream clean catch motor vehicle accident normoactive bowel sounds newborn screening no chocolate-colored foods Nebule nasogastric tube not in labor nurse on duty nothing by mouth - post-midnight nothing by mouth - post-supper normal saline solution normal spontaneous vaginal delivery right eye ("oculus dexter") left eye ("oculus siniste") both eyes ("oculus uterque") once a day ("omni die") orogastric tube Oral Glucose Tolerance Test oral rehydration solution over the counter Piggyback after meals ("post-cibum") pupils are equally round and responsive to light and accommodation plasmalyte 148 lactated ringer's solution Platelet 0.9% sodium chloride solution by mouth ("per os") post - blood transfusion as needed ("pro re nata") prior to admission pulmonary tuberculosis prior to consultation 3 PUD PUFT Px q 2H q 4H qH QID RLQ ROD RTC RUQ Rx S.O.S. S/E OPEH S/P S/S SBR SOB SQ ss. Sx T.S. - Peptic Ulcer Disease pregnant uterus full-term Patient every two hours every four hours every hour four times a day ("quater in die") right lower quadrant resident on-duty round the clock right upper quadrant Prescription if needed ("si opus sit") - stool exam - ova, parasite, Entamoeba histolytica - TAHBSO - TBSA TID TPN TPR TSB TSE TTS ttt TURP TWC U/A U/S URTI UTI UTZ V/S WCR - status post signs and symptoms strict bed rest shortness of breath Subcutaneous one-half ("semis") Surgery to start Total Abdominal Hysterectomy with Bilateral SalpingoOophorectomy total burn surface area three times a day ("ter in die") total parenteral nutrition temperature, pulse & respiration tepid sponge bath testicular self-examination turn to sides Treatment transurethral resection of the prostate terminate when consumed Urinalysis ultrasound; ultrasonography upper respiratory tract infection urinary tract infection ultrasound; ultrasonography vital signs wheel chair ride 4 a. Other Abbreviations (some may be used in CVGH only): AP - FMIOD/FMIIC FMROD/FMRIC MIOD/MIIC MROD/MRIC OBIOD/OBIIC OBROD/OBRIC OIOD/OIIC OROD/ORIC PGI SIOD/SIIC SROD/SRIC S.O. - attending physician family medicine intern onduty/family medicine intern incharge family medicine resident onduty/family medicine resident incharge medical intern on-duty/medical intern in-charge medical resident on-duty/medical resident in-charge OB intern on-duty/OB intern incharge OB resident on-duty/OB resident in-charge Ophtha intern on-duty/Ophtha intern in-charge Ophtha resident on-duty/Ophtha resident in-charge post-graduate intern surgical intern on-duty/surgical intern in-charge surgical resident on-duty/surgical resident in-charge significant other CVGH Medication Ticket System (also include parts of a medication ticket) MEDICATION AC PC TIMING 6 am 9am Surgery Red OD 6 am, 5 9 am, EENT Orange BID pm 7pm 6 am, 9 am, 1 Pink Family Medicine TID 11 am, pm, 5 pm 7pm 9 am, 1 pm, 5 pm, Pediatrics Yellow QID; q4H 9 pm Blue Internal Medicine PRN OB/Gyne White As specified COLOR DEPARTMENT What to expect during rounds? Introduce yourself Greet ask how the patient is doing? Observe for nonverbal cues 5 Inform / remind patient about his/her procedure of the day Remind his/her restrictions Monitor V/S & I&O Refer any abnormal findings