September 8, 9 CNA certified nursing assistant CNS Central Nervous System c/o complains of chronic obstructive COPD pulmonary disease CP Cerebral Palsy cardiopulmonary CPR resuscitation cerebrovascular accident CVA (stroke) D/C or DC discontinue/discharge DNR do not resuscitate DON Director of Nursing September 10, 11 DQ Decubitus Ulcer drsg Dressing Dr. Doctor dx diagnosis ER Emergency Room F Fahrenheit FAS Fetal Alcohol Syndrome Fx Fracture Gastroesophageal Reflux GERD Disease G tube Gastrostomy Tube September 14, 15 GI gastrointestinal GU genitourinary H or hr. Hour HA headache Health Care Associated HAI Infection HAV Hepatitis A Virus HBV Helpatitis B Virus HCV Hepatitis C Virus August 28, 31 ā Before abd abdomen ac before meals American Diabetes ADA Association ADL's activities of daily living ad lib as desired Acquired AIDS Immunodeficiency Syndrome between midnight and AM/am hours noon amb ambulate, walk amt Amount September 1, 2 Ap Apical AP APS Adult Protective Services ASAP as soon as possible as tol as tolerated ax Axillary BID, bid twice daily BM bowel movement B/P, BP blood pressure Benign Prostatic BPH Hypertrophy BR bed rest, bathroom September 3, 4 BRP bathroom privileges c with C Centigrade/Celsius CA Cancer CAD cath cc CDC C.Diff CHF Coronary Artery Disease Catheter cubic centimeters Centers for Disease Control Clostridium difficile congestive heart failure Health Insurance HIPPA Portability and Accountability Act Human Immunodeficiency HIV Virus 1 September 16, 17 HOB head of bed H2O Water HS or hs hour of sleep ht Height I and O intake and output IV intravenous Kg Kilogram Lab laboratory (L)/L/lt Left L Liter September 18, 21 lb. pound LCS Low Concentrated Sweets LOA leave of absence LOC level of consciousness LPN licensed practical nurse LTC long-term care Long Term Care LTCO Ombudsman MD Medical Doctor meds medications ml Milliliter September 22, 23 MI myocardial infarction mmHg Millimeters mercury Multi-drug resistant MRSA staphylococcus aureus MS Multiple sclerosis NAS no added salt (diet order) NCR no cardiac resuscitation NCS No Concentrated Sweets Neg Negative NG naso-gastric NKA no known allergies September 24, 25 Obsessive compulsive OCD disorder noc Night, nocturnal NPO nothing by mouth O2 oxygen Omnibus Budget OBRA Reconciliation Act of 1987 oob out of bed OR operating room ortho orthopedics Occupational Safety and OSHA Health Administration O.T. occupational therapy September 28, 29 oz. ounce p after P pulse PASS Pull, Aim. Squeeze, Sweep pc after meals per by/via or through peri perineal areas Protected Health PHI Information hours between noon and Pm/PM midnight PNS Peripheral Nervous System September 30, October 1 po by mouth Physician Order for Life POLST Sustaining Treatment postop after surgery Personal Protective PPE Equipment preop before surgery PRN, prn when necessary PROM passive range of motion pt patient/resident PT physical therapy Peripheral Vascular PVD Disease 2 October 2, 5 q qd qh qhs q2h QID/qid R October 12, 13 TBI Traumatic Brain Injury tbsp tablespoon turn, cough and deep TCDB breath brand name of antiTED hose embolism stocking transient ischemic attack TIA (little or silent stroke) TID/tid three times a day TPN Total Parenteral Nutrition tsp teaspoon Tx, tx treatment Temperature, Pulse, TPR Respiration October 14, 19 UA or U/A urinalysis Utah Nursing Assistant UNAR Registry URI upper respiratory infection UTI urinary tract infection VS or V/S vital signs WBC white blood cells w/c wheelchair WNL within normal limits wt weight October 20, 21 times (i.e. 3xhr = three x times/hr) i/ii/iii one/two/three - negative + positive < less than > greater than or more than change every every day every hour every bed time every two hours four times daily rectal or respirations ®/(R)/R/rt Right RA Rheumatoid Arthritis rescue, alarm, contain, RACE extinguish October 6, 7 RBC red blood cell reg Regular rehab rehabilitation RN registered nurse ROM range of motion RSV Respiratory Syncytial Virus recreational therapy or RT respiratory therapy Rx prescription s Without SDS Safety Data Sheet October 8, 9 SNF skilled nursing facility SOB short of breath stat at once, immediately S and S sign and symptoms Sexually Transmitted STD Disease Sexually Transmitted STI Infection SW Social Worker Sx symptoms T temperature TB tuberculosis Abbreviation TEST October 22, 23 3 November 4, 5 Roots Lithostone PhysioNature NecroDead SeptoInfection OncoTumor Stasis Stop Patho Disease Thrombo Clot Phago Eat ToxicPoison Psycho Mind Vaso Blood vessel November 6, 9 Suffixes Algia Pain Asthenia Weakness Cide Kill cise Cut Ectomy Surgical removal Emia Blood Genetic Production, origin Itis Inflammation Ology Study of Oma tumor November 10, 11 Suffixes Ostomy Surgical opening Otomy Incision,surgical cutting Penia Too few Phobia Fear of Plegia Paralysis Pnea Breathing Therapy Treatment Uria Urine Thermy Heat Rhage Flow, hemmorrage October 26, 27 Prefixes a, anWithout, lack of ab, absAbsent, deficient dysPainful, difficult antiAgainst endoWithin, inner biTwo hyperOver,above, increased bioLife hypoUnder, beneath bradySlow interBetween, within lithstone Oct 28, 29 Prefixes NecroDeath PolyMany, much OligDecreased, scanty SemiHalf OrthoStraight TachyFast PathoDisease, suffering Thromboclot PerBy, through ToxicPoison PeriAround UriUrine Phageat November 2, 3 Roots AdenoGland EmesisVomitus AndioVessel ErythroRed BioLife GenoProducing, origin of CarcinoCancer Gluco-, Sugar, sweet glycoCyanoBlue Hemo-, emo- Blood , hematoLeukoWhite EdemaSwelling Medical Terminology TEST November 12, 13 4 5