533573039
CHERRY STREET HEALTH SERVICES
POLICY AND PROCEDURE
SUBJECT:
Approved abbreviations and symbols
POLICY:
Cherry Street Health Services will maintain a current list of approved
abbreviations and symbols. To avoid confusion and possible errors, staff will limit the use of
abbreviations and symbols used in patient care documentation to the approved list.
PROCEDURE:
1. A list of approved abbreviations and symbols will be developed and maintained by the
Safety Committee (see Attachment A).
2. The list will be made available to staff during orientation and as additions/changes are
made.
3. The list will be available online and posted in areas where documentation is likely to
occur.
1/13/2006
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ATTACHMENT A
APPROVED ABBREVIATIONS AND SYMBOLS
A
A
(A)
ā
AA
Ab
ac
AC joint
AD
ADA
ADD
ADHD
AIDS
AKA
AMA
Amt
AN
ANA
AODM
AP
APOP
Approx
AROM
AS
ASA
ASAP
Assoc
ATC
AU
AV
AVM
AR
ARI
AS
assessment
axillary
before (ante)
Alcoholics Anonymous
abortion
ante cebum (before meals)
acromioclavicular joint
right ear- listed unacceptable
American Diabetic Association
attention deficit disorder
attention deficit hyperactivity disorder
Acquired Immune Deficiency Syndrome
above knee amputation
against medical advice
amount
anorexia nervosa
antinuclear antibody test
adult onset diabetes mellitus
anteroposterior
Tylenol
approximately
active range of motion
left ear- listed unacceptable
aspirin
as soon as possible
associated/association
around the clock
both ears – listed unacceptable
arteriovenous
arteriovenous malformation
aortic regurgitation
acute renal insufficiency
aortic stenosis
B
BE, BaE
BBS
BC
BCCCP
BCP
bid
bilat
BKA
BM
BMI
barium enema
bilateral breath sounds
bone conduction (Rinnes test)
Breast and Cervical Cancer Control Program
birth control pill
2 times per day
bilateral, bilaterally
below knee amputation
bowel movement
basal metobolic rate
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BP
BPD
BPH
BRAT diet
BS
BSE
BSO
BTL
BV
Bx
blood pressure
bronchopulmonary dysplasia
benign prostatic hypertrophy
banana, rice cereal, applesauce and toast diet
bowel sounds
breast self exam also see SBE –self breast exam
bilateral salpingo-oophorectomy
bilateral tubal ligation
bacterial vaginitis
biopsy
C
c
CA
C1…C7
Ca++
CAD
CAT
CBC
cc
*CC
CCE
CFS
CHD
CHF
Chol
CIN
Circum
Cl
cm
CMT
CNS
CN II-XII
c/o
CO
CO2
COPD
CP
CPE
CPR
C/S
CT scan
CTA
CV
CVA
CXR
with (cum)
carcinoma
cervical vertebrae
calcium
coronary artery disease
computed axial tomography
complete blood count
cubic centimeter – on unacceptable list
complex case
clubbing, cyanosis or edema
chronic fatigue syndrome
congential heart disease
congestive heart failure
cholesterol
cervical intraepithelial neoplasia
circumference
chloride
centimeter
cervical motion tenderness
central nervous system
cranial nerves 2-12
complaint of
carbon monoxide
carbon dioxide
chronic obstructive pulmonary disease
cerebral palsy
complete physical exam
cardiopulmonary resuscitation
Cesarean section
computed tomography scan
clear to auscultation
cardiovascular
cerebral vascular accident
chest X-Ray
D
diam
DAW
d/c or D/C
diameter
dispense as written
discontinue – listed unacceptable
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0 D/C
DID
DIP
dl
dm
DM
DM1
DM2
DNR
D.O.
DOE
DSS
DT’s
DTR
DUB
DVT
Dx
no discharge
Dissociative Identity Disorder
distal interphalangeal (joint)
deciliter
decimeter
diabetes mellitus
diabetes type 1
diabetes type 2
Do Not Resuscitate
Dr of Osteopathy
dyspnea on exertion
Dept of Social Services
delirium tremers
deep tendon reflexes
dysfunctional uterine bleeding
deep venous thrombosis
diagnosis
E
E1
E2
E3
EaB
EAC
EBV
EC
ECHO
ED
EDC
EEG
EGA
EGD
EKG
EMG
ESRD
ENT
EOMI
EPSDT
ER
ET
ERCP
ETOH
estrone
estrogen (estradiol)
esteriol
elective abortion
external auditory canal
Epstein-Barr virus
enteric coated
echocardiogram
Emergency Department
estimated date of confinement
electroencephalogram
estimated gestational age
esophagastroduodenscopy
Electrocardiogram
electromyography
end stage renal disease
ears, nose and throat
extra ocular movements intact
early periodic screening and developmental testing
emergency room
endotracheal
endoscopic retrograde cholangiopancreatography
alcohol
F
FB
FBG
FBS
FDLMP
Fe+
FH
FmHx
FROM
FTI
foreign body
fasting blood glucose
fasting blood sugar
first day of last menstrual period
Iron
fundal height
family history
full range of motion
free thyroxin index
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F/U
Fx
follow up
fracture
G
G
GA
GC
GERD
GG
GI
GLUC
gtt; gtts
GTT
GU
GYN
gravida
gestational age
gonorrhea (gonococcus)
gastroesophageal reflux disease
gamma globulin
gastrointestinal
glucose
drop; drops
glucose tolerance test
genitourinary
gynecology
H
HA
HCG
Hct
HCT
HD
HDL
HEENT
Hgb
H&H
HI
HIV
HJR
HMG-CoA
HNP
H/O
HOB
hosp
H&P
HPV
hr
HRT
hs
HSM
HSV
HTN
H.V.
HVA
hyst
Hx
headache
Human Chorionic Gonadotropin
hematocrit
Hydrocortisone
hemodialysis
high-density lipoprotein
head, ears, eyes, nose and throat
hemoglobin
hemoglobin and hematocrit
homicidal ideation
human immunodeficiency virus
hepato-juglar reflux
3-hydroxy-3methylglutaryl-coenzyme
herniated nucleus pulposus
history of
head of bed
hospital
history and physical
human papilloma virus
hour
hormone replacement therapy
hour of sleep (bedtime)
hepatosplenomegaly
herpes simplex virus
hypertension
Home visits
homovanillic acid
hysterectomy
history
I
I
IBD
independent
inflammatory bowel disease
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IBS
IBU
incl.
ID
I&D
IDDM
i.e.
ILD
IM
Imms
inpt
IPV
irreg
IV
IVP
irritable bowel syndrome
Ibuprophen
Including
identification
incision and drainage
insulin dependent diabetes mellitus
that is
interstitial lung disease
intramuscular
Immunizations
inpatient
inactivated poliovirus vaccine
irregular
intravenous
intravenous pyelogram
J, K
JVD
jugular venous distention
K+
KCHD
potassium
Kent County Health Department
L
L
L1-L5
lb
L&D
LE
LLE
LLL
LLQ
LMP
LNMP
LS
LS-spine
LSB
LUE
LUQ
left
lumbar vertebrae 1-5
pound
labor and delivery
lower extremity
left lower extremity
left lower lobe (lung)
left lower quadrant
last menstrual period
last normal menstrual period
lumbosacral
lumbosacral spine
left sternal border
left upper extremity
left upper quadrant
M
MA
mcg
MCL
MCP
M.D.
MD
MDI
Med (s)
mEq
MFM
mg
medical assistant
microgram
midclavicular line
metacarpophalangeal joint
Medical Doctor
Muscular dystrophy
metered-dose inhaler
medication, medications
milliequivalent
maternal fetal medicine
milligram
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MI
MMR
0 M/G/Rno
MP
MR
MRI
MSS
MSW
MTP
MVA
MVP
myocardial infarction
measles, mumps and rubella
murmur/gallops/or rubs
metacarpophalangeal joint
mitral regurgitation
Magnetic Resonance Imaging
Maternal Support Services
Master’s of Social Work
metatarsophalangeal joint
motor vehicle accident
mitral valve prolapse
N
NAD
NCT
NC/AT
Nd/NT, + BS
N, N
NCV
neg
neuro
NG
NIDDM
NKMA
NS
NSAID
NSR
N/V
NVD
no acute distress
nerve conduction test
normocephalic/atraumatic
non-distended/non-tender, + bowel sounds
nitrogen
nerve conduction velocity
negative
neurologic
nasogastric
non-insulin dependent diabetes mellitus
no known medical allergies
normal saline
nonsteroidal anti-inflammatory drug
normal sinus rhythm
nausea and vomiting
normal vaginal delivery
O
O.
(O)
O2
Ob/gyn
OCP’s
OCD
OD
OE
OM
outpt
OPV
OS
OTC
OU
oz
objective
oral
oxygen
obstetrics/gynecology
oral contraceptive pills
Obsessive Compulsive disorder
right eye
otitis externa
otitis media
outpatient
oral polio vaccine
left eye
over the counter
both eyes
ounce
P
P
p
PA-C
plan
after
Physician Assistant –Certified
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Pap smear
pc
PCP
PE
PEFR
PEG
PERRLA
PHD
PHN
Phos
PID
PIP
PMH
PN
PND
PNV
po
pos
pp
PPB
ppd
PPD
PR
Preg
Prn
PRO
Pro time
PSA
PSH
pt
PT
PTSD
PUD
Pulmonary HTN
PVD
papanicolaou smear
after meals
primary care provider
physical exam
peak expiratory flow rate
gastrostomy tube
pupils are equal, round, reactive to light and accommodation
Public Health Department
Public Health Nurse
phosphorus
pelvic inflammatory disease
proximal interphalangeal joint
past medical history
progress notes
paroxysmal nocturnal dyspnea
Prenatal vitamins
by mouth
positive
post prandial
pap, pelvic and breast
packs per day
purified protein derivative (of TB)
per rectally
pregnant
as needed
protein
prothrombin time
prostate specific antigen
past surgical history
patient
physical therapy
post traumatic stress disorder
peptic ulcer disease
pulmonary hypertension
peripheral vascular disease
Q
q
QD
qid
qod
every
every day – on unacceptable list
four times per day
every other day – listed unacceptable
R
®; rt
RA
RBC
RBG
RBS
RCC
RCM
RD
RDS
Re:
right
rheumatoid arthritis
red blood cell
random blood glucose
random blood sugar
Rape Crisis Center
right costal margin
Registered Dietician
respiratory distress syndrome
regarding
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resp
RF
RHD
RI
RLE
RLL
RLQ
RN
R/O
ROM
ROV
RRR
RSB
RSR
RSV
RUE
RUQ
Rx
respiratory
rheumatoid factor
rheumatic heart disease
renal insufficiency
right lower extremity
right lower lobe (lung)
right lower quadrant
Registered Nurse
rule out
range of motion/ rupture of membranes
return office visit
regular rate and rhythm
right sternal border
regular sinus rhythm
respiratory syncytial virus
right upper extremity
right upper quadrant
prescription
S
S
s
SAB
SBE
Sch
S/E
Sed rate
SG
SHx
Short ICP
SI
S/I
SIL
SL
SLE
SLR
SMAC
SO
SOB
SQ
S/P
S/Sx
STAT
STD
SubQ
SVT
subjective
without
spontaneous abortion
self breast exam
schedule (d)
side effects
sedimentation rate
Specific Gravity
social history
short intracontraceptual period
sacroiliac
suicide ideation
squamous intraepithelial lesion
sublingual
systemic lupus erythematosus
straight leg raise
sequential multiple analyzer – chemistries
significant other
shortness of breath
subcutaneous
status post
signs and symptoms
immediately
sexually transmitted disease
subcutaneous – listed on unacceptable list use SQ
supraventricular tachycardia
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T
T1…T12
T3
T4
T7
Tab
TAB
TB
TD
Td
tbsp
temp
TIBC
Tib/fib
tid
TM
TMJ
TPR
TR
TS
TSH
tsp
Type 1 DM
Type 2 DM
Tx
thoracic vertebrae 1-12
triiodothyronine
thyroxine
free thyroxin factor
tablet
therapeutic abortion
tuberculosis
Tetanus-diptheria toxoid (child type)
Tetanus-diptheria toxoid (adult type)
tablespoon
temperature
total iron-binding capacity
tibia/fibula
three times per day
tympanic membrane
temporomandibular joint
temperature, pulse and respiration
tricuspid regurgitation
tricuspid stenosis
thyroid-stimulating hormone
teaspoon
Type one Diabetes Mellitus
Type two Diabetes Mellitus
treatment
U
UA
UC
UE
UGI
URI
U/S
UTI
urinalysis
urine Culture
upper extremity
upper gastrointestinal
upper respiratory infection
ultra sound
urinary tract infection
V
VCUG
V-tach
VN
VNA
vs
VS
VSS
voiding cystourethrogram
ventricular tachycardia
visiting nurse
Visiting Nurse Association
versus
vital signs
vital signs stable
W, X, Y and Z
w/u
WBC
WCC
WDWN
WFL
work up
white blood cell
well child check
well-developed, well nourished
within functional limits
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WIC
wk
WNL
0 W/R/Rno
x
x
yr
Zn
Women Infants, hildren (program) testing
week
within normal limits
wheezes/rales/rhonci
times
except
year
zinc
HOSPITALS
S.H.D.C.
S.H.E.C.
SH BMMC
SMH
Metro
Spectrum Downtown Health Campus
Spectrum East Campus
Spectrum Health Blodgett Campus
Saint Mary’s Hospital
Metropolitan
CSHS FACILITY NAME ABBREVIATIONS
BE
BHC
BO
CSHS
FAHC
FDHC
GRP
H.I.S.
UHSHC
WSHC
Belknap
Burton Health Center
Booth
Cherry Street Health Center
Ferguson Adult Health Center
Ferguson Dental Health Center
Grand Rapids Pediatrics
Health Intervention Services
Union High School Health Center
West Side Health Center
OPTICAL ABBREVIATIONS
AC
APD
ARMD
AV
CATS
CD
DES
Ep
Et
IOP
LEE
LLC
LLL
LRL
NPC
OAG
OD
OD
OS
OU
Anterior Chamber
Apparent pupilary defect
Age related macular degeneration
Artery to vein ratio
Cataract
Cup to disc ratio
Dry Eye Syndrome
Esophoria
Esotropia
Intraoccular Pressure
Last Eye Exam
Lens, lid, cornea
Lower left lid
Lower right lid
Near point conversion
Open Angle Glaucoma
Doctor of Optometry
Right Eye
Left Eye
Both Eyes
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PD
PERRLA
RD
SLE
ULL
URL
VA
VF
WNL
Xp
Xt
Pupilary Distance
Pupil equal round reactive to light accommodation
Retinal detachment
Slit lamp examination
Upper left lid
Upper right lid
Visual Acuity
Visual Field
Within normal limits
Exophoria
Exotropia
5/95 R 5/97
R5/99,R6/00
RX/04
Reviewed 1/06
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