Common abbreviations/terminology used Observations TPR – Temperature, pulse and respiration Obs – Observations BP – Blood pressure SATS – Oxygen saturation , Pulse Oximetry BM – blood sugar monitoring (this is recorded in millimols – mmls in UK) AVPU – method of monitor conscious level –alert, voice, pain, unresponsive GCS – Glasgow coma scale EWS – Early warning score (ACAT,MEWS,PARS and many others) Fluids NBM - Nil by mouth (nothing to drink or eat) Nil Orally is the same IV / IVI - Intravenous infusion(drip) Venflon – type of intravenous cannula/catheter Tissued – leaking into surrounding area of vein Giving Sets – IV fluid tubing and chamber equipment Bung /spigot – plug for cannula opening Stopcock – device put on cannula to allow more than one infusion into vein IVAC, Graseby – infusion device Normal Saline = isotonic saline (0.9%) D/S = Dextrose Saline KCL= Potassium chloride Medical Conditions MI - Myocardial infarction (heart attack) CVA - Cerebral vascular accident (stroke) UTI – Urinary tract infection Sputum / phlegm – expectorate from chest Seizure – Convulsion, fit COPD – Chronic obstructive pulmonary disease MRSA – Methicillin resistant staph aureus C. Diff – Clostridium Difficile Personnel H O – House Officer BO / “one for the book” /” number 2” – passed faeces, bowels open SHO – Senior House Officer SpR - Registrar GP – General practitioner (Family doctor) HCA/ CSW / AuxilIiary - Health Care Assistant / Clinical Support Worker CCOT – Critical Care Outreach Team TV – Tissue Viability, TVN – Tissue Viability Nurse ADLT – Alcohol and Drug Liaison Team, DALT – Drug and Alcohol Liaison Team OT – Occupational Therapist PT - Physiotherapist SW – Social Worker Dr – Medical Consultant Mr. – Surgical Consultant SALT – Speech and Language Therapist. These will do swallowing test Miscellaneous Loo – toilet Wee – pass urine Non-adherent dressing – non-stick surface dressing Ripple mattress – pressure sore prevention mattress Waterlow/Brandon/Norton scale, PSPS – measurement of risk for pressure sore Ripple mattress TED stockings – anti-embolus stocking Zimmer frame – aid to walk with NOK = next of kin PMH / PH = previous medical history AND – Allow natural death DNR – Do not resuscitate NFR – Not for resuscitation Px – Prescription Hx – History Tx - Treatment Drugs TTAs – Drugs to take home on discharge CD – Controlled drugs BD - Twice daily TDS - Three times a day QDS - Four times a day S/C - Subcutaneous S/L Sublingual IM - Intramuscular PR – per rectum PV – per vagina PRN – as required drug Stat – immediate once only NKA – no known allergies Boarded – written on prescription chart Blister packs, suspension CD cupboard, drug trolley, patient cupboard/pod Equipment Commode, bedpan, slipper pan, urinal (bottle) Inco sheets. Inco pads Leg bag, hourly measurements catheter bag Linen skip Receiver – kidney dish Hoist, bath hoist, slides Zimmer frame Resus trolley/ defib Portable suction Resuss Trolley – Resuscitation trolley for all equipment needed for resuss Lab Tests M&S – microbiology and sensitivity OR C&S – culture & sensitivity MSU – mid stream urine CSU – catheter specimen urine FBS/FBG – fasting blood sugar/glucose GTT – glucose tolerance test Tests U&E – urea and electrolytes FBC – full blood count Hb – haemoglobin INR – clotting time TFT – thyroid function test CT – Computerised Tomography MRI – Magnetic Resonance Imaging Bladder scan – scan to check amount of urine in bladder performed by trained healthcare worker. This might be a nurse or an HCA