ABBREVIATIONS
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Ac: before meals
ad lib: at will, as desired
adm: admission, admitted
ASAP: as soon as possible
Bid: twice a day
Bm: bowel movement
BP: blood pressure
BRP: bathroom privileges
C: Centigrade, Celsius
Cap: capsule
CC: chief complaint
c/o: complains of
C02: carbon dioxide
CPR: cardiopulmonary resuscitation
CXR: chest x-ray
Daily (entire word)
d/c: discontinue or discharge
ECG/ EKG: electrocardiogram
EBL: estimated blood loss
ER: emergency room
Every other day (entire word)
F: Fahrenheit
Fb: foreign body
fx: fracture
gtt: drop-liquid measurement
H & P: history and physical
HR: heart rate
hr: hour
hs: hour of sleep (bedtime)
H20: water
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IDDM: insulin dependent diabetes mellitus
IV: intravenous
IM: intramuscular
Magnesium Sulfate (entire word)
mg: milligram
ml: milliliter (do not use cc)
Morphine Sulfate entire word)
MVA: motor vehicle accident
NPO: nothing by mouth
NTG: nitroglycerin
O2: oxygen
post-op: postoperative (after surgery)
pre-op: preoperative (before surgery)
po: by mouth
pt: patient
prn: as needed
pc: after meals
qh: every hour
qid: four times a day
Rx: prescription
sc/sq: subcutaneous
s: without
sx: symptoms
s/s: signs and symptoms
STAT: immediately
SOB: short of breath
tab: tablet
TPR: temperature, pulse, respiration
Unit: entire word)
vs: vital signs
I & O: intake and output
Lead with zero: write 0.5mg not .5mg
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DOWNTIME TIPS (DT)
Prior to ALL types of Downtimes
a.
Post DT notices & remind staff time DT is starting
b.
Check DT kits for copies of each documents (make copies as needed)
c.
Listen for overhead announcements for start of DT
MEDIPAC DT:
a.
Print Patient List to track incoming and outgoing patient movement
b.
When DT is over, Discharge and Transfer patients to correct locations. Refresh census
c.
Call Admitting if new admissions are not on census within 1 hour
HEO/Wiz:
a. Print extra patient labels in HEO/Wiz and EasyID (may use blue card and addressograph)
b. Print OPC, CP Snapshot and CN Snapshot as needed
c.
Place extra POS on counter by MRs desk (1 copy should always be in chart)
d. Round to retrieve written orders and fax Pharmacy their copy
e. Complete DT Reqs for ancillary depts when orders are handwritten
HED:
a. Affix patient label on document or stamp paper documents with addressograph
b. Print/ make copies of Flowsheets and deliver to nurses to chart care
c. Admin-Rx DT: pick up computer generated MARs & give to RNs
MEDIPAC
Keyboard Tips ( do not use mouse)
Pause/Break/Scroll Lock: back to menu
Tab: Moves cursor forward
Shift + Tab: Moves cursor backward
Esc key: Reset key (removes stick man)
F3: Goes back one screen in function
F7: Turns page back : F8: Turns page forward
F9: Same account or bed selection
Type A to select a functions
PAVILLIONS
1 VUH Adult Hospital
3 VCH Children’s Hospital
4 Heart & Vascular (7N, 5N, 5S, 6S, CCL, COBS)
Discharge/ Depart in Error
1. Call Admitting Dept to cancel
2. Orders lost in 4 hours
Discharge (IA)
Depart (OT)
1. Type 0, then 12-digit account /Case #
2. Enter exact time patient is discharged
3. Enter 2 times for departures:
a. Patient physically leaves
b. Patient medically able to leave- get from RN
4. Disposition code: be sure to select “E” for alive pts
Create Assignments in HED
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Click Create Assignment
Provider Type: RN
Care Relationship: Primary Nurse or CP
Shift: Days / nights
Back time 15 min, then uptime 15 min
Search: Caregivers name
Patients: hold Crtl to select more than one
Click Assign
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