Documentation
H & P
What is a history and physical?
BS
What are bowel sounds?
IM
What is intramuscular?
VSS
What are the vital signs stable?
R/O
What is rule out?
D/C
What is discharge or discontinue?
GI
What is gastrointestinal?
SQ or SC
What is subcutaneous?
SX
What are symptoms?
RLQ
What is the right lower quadrant?
NKDA
What is no known drug allergies?
GU
What is genitourinary?
IV
STAT
What is immediate?
S/P
What is status post?
C/O
What is complains of?
KUB
What is the kidney, ureter, and bladder (x-ray)?
LP
What is a lumbar puncture?
NV
What is nausea and vomiting?
TPN
BX
What is a biopsy?
ESRD
What is end stage renal disease?
KVO
What is keep vein open?
OOB
What is out of bed?
WNL
What is within normal limits?