Approved Abbreviations
NPO
What is nothing by mouth?
Patient states full name and date of birth, confirmed against arm band and consent
What is right patient?
Your handwriting has to be
What is legible?
International Units
What is IU?
Areas of charting that have no information
What is blank spaces?
BS
What is blood sugar?
Check the medication and the order
What is right medication?
All orders or notes need
What is a time, date and signature?
What is D/C?
Writing the procedure before the case is over
D/I
What is dry and intact?
Be sure you record the condition or status of your patient
What is right documentation?
Your charting descriptions need to be
What is objective, specific and factual?
Morphine Sulfate
What is MS?
Scribbling, erasing or using white-out
What is an incorrect ways to correct chart errors?
EUA
What is exam under anesthesia?
Confirm why you are giving the medication or intervention
What is right reason?
Look at and confirm the patient label on all pages that you look at
What is the correct chart?
You can write ml, but not
What is cc's?
Documenting a medication that your teammate gave
What is chart for someone else?
vorb
What is verbal order repeated back?
Make sure that the medication/intervention led to the desired effect
What is right response?
What is error correction?
Subcutaneous
What is sq or sub-q?
pt received 0.25% Marcaine with epi 20cc given in rt arm
What is the use of all abbreviations on the operative report?