WAYNESBORO HOSPITAL Waynesboro, Pa. SUBJECT: Medical Staff Approved - - PDF document

WAYNESBORO HOSPITAL Waynesboro, Pa. SUBJECT: Medical Staff Approved Abbreviation List POLICY #: 8 EFFECTIVE DATE: September 14, 2005 SECTION TITLE: Medical Staff APPROVED BY: Medical Staff POLICY STATEMENT: It is the policy of the Medical Staff at Waynesboro Hospital to have clear and precise orders written for our patients. To avoid any confusion or misinterpretation, we have an approved list of abbreviations. PROCESS: 1. The approved abbreviations are contained in Addendum A. 2. Abbreviations can be added and deleted from the approved abbreviation list through the use of the form in Addendum B. The process for adding and deleting an abbreviation from the approved abbreviation list is defined on the bottom of Addendum B. CONTENT:

Addendum A. Waynesboro Hospital Abbreviation List - Approved A a Artery _ a Before A Assistance (with a circle around the A) AA Alcoholic's Anonymous A-A Atlanto-Axial Joint AAA Abdominal Aortic Aneurysm AAA Area Agency on Aging AABH Association for Ambulatory Behavioral Health AAO Awake, alert and oriented AB Abortion Ab Absent ABC Automated blood count ABD Abduction abd Abdomen ABG Arterial blood gas

abn Abnormality ABO ABO blood group ABR auditory brainstem response. AC Acromioclavicular AC Assist control. ac Before meals ACB before breakfast. ACBE Air Contrast Barium Enema accel Accelerate acid phos acid phosphatase ACL Anterior Cruciate Ligament AC lens Anterior Chamber Lens ACL before lunch. ACLS Advanced Cardiac Life Support ACS American Cancer Society ACS before supper ACS Acute Coronary Syndrome ACP Automated chemical profile ACSW Academy Certified Social Worker ACT Ambulatory Care Technician ACTH Adrenocorticotrophic hormone ADA American Diabetic Association ADC Apparent diffusion coefficient. ADD Adduction ADD Attention Deficit Disorder ADH Anti-Diuretic Hormone ADHD Attention Deficit Hyperactivity Disorder ADL Activities of Daily Living ad lib As desired to tolerance Adm admission ADM Admit (ed) ADQM Abductor digiti quinti minimi ADT Admission, Discharge, Transfer ADT Anticipated Discharge Tomorrow AE Arm Ergometer A/E Above Elbow AED automated external defibrillator AES Anti-Embolic Stocking (generic brand) AFB Acid fast bacillus A Fib Atrial Fibrillation a-flutter Atrial Flutter AFO Ankle Foot Orthosis AGA Average for Gestational Age A/G Ratio Albumin/Globulin Ratio AHA American Hospital Association AHA American Heart Association AHG Antihuman Globulin AI Aortic insufficiency AIDS Acquired Immune Deficiency Syndrome AK Above-knee (amputation) aka Also known as alb Albumin alk phos Alkaline phosphatase

ALL Acute Lymphocytic Leukemia ALS Amyotrophic Lateral Sclerosis ALS Advanced Life Support AM Morning AMA Against Medical Advise AMB Ambulation/Ambulatory AML Acute Myeloblastic Leukemia amp Ampule amt Amount ANA Antinuclear antibody ANC Absolute Neutrophil Count. anes Anesthesia ant Anterior ante Before A & O Alert and Oriented AP Anteroposterior AP Appendectomy AP Apical Pulse A&P Repair Anterior & Posterior Colpoperineorrhaphy APB Abductor pollicis brevis AP resection Abdominoperineal resection (Miles) APC Antepartum Course/Care A & P Anterior and posterior A/P Assessment and Plan approx Approximately appt Appointment Aq Water AROM Active Range Of Motion AROM Artificial Rupture of Membranes A+AAROM Active Plus Active Assistive Range of Motion art Aterial A.R.T. Accredited Record Technician AS Aortic stenosis ASA Acetylsalicylic acid (aspirin) ASAP As Soon As Possible asc Ascend ASCAD Arteriosclerotic Coronary Artery Disease ASCVD Arteriosclerotic Cardiovascular Disease ASHD Arteriosclerotic heart disease ASIS Anterior superior iliac spine. ASO Antistreptolysis O ASPVD Arteriosclerotic Peripheral Vascular Disease Assess assessment assoc Associated asst Assisted AST Acoustical Stimulation Test as tol As tolerated a-tach Atrial Tachycardia ausc Auscultation aux Auxiliary

AVB Atrial Ventricular Block AV Block Atrioventricular Block AVM Arteriovenous Malformation AVR Aortic Valve Replacement Ax Axillary B B Bilateral (with a circle) BAL Blood alcohol level baso Basophil BBB Bundle Branch Block BBS Bilateral Breath Sounds BC Birth Control BCP Birth Control Pills B.C. x 1 or 2 Blood Culture 1 or 2 sets BD Birth Date BE Barium Enema B/E Below Elbow BEE Basal Energy Expenditure BF Boyfriend BF Breast Feed BH Behavioral Health BHS Behavioral Health Services BHU Behavioral Health Unit BID Twice daily bi Bilateral BIH Bilateral Inguinal Hernia bil Bilateral bilat Bilateral bili Bilirubin Bipap Bilevel Positive Airway Pressure BK Below Knee BKA Below the Knee Amputation BL Bilateral bl. Blood BLE Both Lower Extremities BLS Basic Life Support BM Bowel Movement BM Body mechanics BMP Basic metabolic panel/profile BMR Basal Metabolic Rate BOS Base of Support BOW Bag of Waters BP Blood Pressure BPD Biparietal Diameter BPH Benign Prostatic Hypertrophy BPM Beats Per Minute BPRS Brief Psychiatric Rating Scale BR Bedrest BR Brachioradialis Brady Bradycardia BRBPR Bright Red Blood Per Rectum bro Brother Bronch Bronchoscopy BRP Bathroom Privileges

BS Breath Sounds BS Bowel Sounds BSA Body Surface Area BSC Bedside Commode BSE Breast Self Exam BSO Bilateral Salpingo-Oophorectomy BST Breast Stimulation Test BSU Base Service Unit BTBV Beat-To-Beat Variability BTLS Basic Trauma Life Support BTP Bladder Training Program BUE Both Upper Extremities BUN Blood Urea Nitrogen BVMGT Bender Visual Motor Gestalt Test BW Birth Weight Bx Biopsy C _ c With (with a line over the c) C Celsius C-1 First cervical vertebrae C-2 Second cervical vertebrae C-3 Third cervical vertebrae C-4 Fourth cervical vertebrae C-5 Fifth cervical vertebrae C-6 Sixth cervical vertebrae C-7 Seventh cervical vertebrae CA Cancer CABG Coronary Artery Bypass Graft CAC Certified Addictions Counselor CAD Coronary Artery Disease CAI Computer assisted instruction cal Calorie CAO Conscious, Alert & Oriented caps Capsule CAT Computerized axial tomography (scan) cath Catheter or catheterize C/B Complicated by CBC Complete Blood Count CBD Common Bile Duct c/c Called to cancel cc Cubic centimeter CC Care Coordinator CC Chief complaint CCC/A Audiologist CCS Certified Coding Specialist CC/SLP Speech and Language pathologist CCU Coronary Care Unit C&DB Cough & Deep Breathe C-Diff Clostridium Difficile CEA Carcinoembryonic antigen CE&R Central Episiotomy & Repair

CEN Certified Emergency Nurse CF Cystic Fibrosis CG Contact guard ch Child CHB Complete heart block CHD Coronary heart disease chemo Chemotherapy CHF Congestive heart failure CHIP Chambersburg Hospital Improvement Process CHMC Chambersburg Hospital Maternity Clinic CHO Carbohydrate Chol Cholesterol chr Chronic CI Cardiac Index CID Cervical immobilization device circ Circulation circ Circumcision circum Circumcision cl Client CLL Chronic Lymphocytic Leukemia

• cl. liq. Clear Liquids

cm Centimeter CM Case Management/Manager CM Clothing management cmc Carpometacarpal joint CML Chronic Myelogenous Leukemia CMP Comprehensive metabolic panel CMR Cafeteria Meeting Room CMSC Certified Medical Staff Coordinator CMV Cytomegalovirus CMV controlled mechanical ventilator CNA Certified Nurse Aide CNM Certified Nurse Midwife CNOR Certified Nurse, Operating Room CNS Central Nervous System c/o Complains of CO Cardiac Output COA Certified Ophthalmic Assistant CO2 Carbon Dioxide COG Center of gravity colon Colonoscopy comm Communication

• comp. Compound

comp Comprehension cont Continued coord Coordination COPD Chronic Obstructive Pulmonary Disease CP Cerebral Palsy cp Chest Pain CPAP Continuous Positive Airway Pressure CPCS Certified Provider Credentialing Specialist CPD Cephalopelvic Disproportion

CPK Creatinine Phosphokinase CPM Continuous Passive Mobilizer CPM Care Plan Meeting CPMSM Certified Professional in Medical Staff Management CPR Cardio-Pulmonary Resuscitation CQI Continuous Quality Improvement CR Creatinine CREF Closed Reduction-External Fixation CRIF Closed Reduction-Internal Fixation CRNA Certified Registered Nurse Anesthetist CRNP Certified Registered Nurse Practitioner CRRN Certified Rehabilitation Registered Nurse CRT Certified Respiratory Therapist CRTT Certified Respiratory Therapy Technician C&S Culture & Sensitivity C/S Caesarian Section C/S C-Section c/s Cranial sacral CS Close Supervision CSF Cerebrospinal Fluid CST Contraction Stress Test CT Computerized tomography ct Connective tissue CTA Clear To Auscultation CTA Computerized Tomography Angiography CTR Carpal Tunnel Release CTR Certified Tumor Registrar CTS Carpal Tunnel Syndrome ctx Contractions CV Cardiovascular CVA Cerebral Vascular Accident CVC Central venous catheter CVEA Cumberland Valley Emergency Associates CVMHC Cumberland Valley Mental Health Center CVP Central venous pressure CVS Chronic Villus Sampling CVX Cervix Cx Cervix CXR Chest X-Ray CYS Children and Youth Services Cx Cervix cysto Cystoscopy Cysto Cystourethroscopy D D Dependent (with a circle around it) D5W 5% dextrose in water D10W 10% dextrose in water

D5 & 2 NS 5% dextrose and half normal saline D5 & NS 5% dextrose and normal saline D&A Drug and Alcohol DAT Diet as Tolerated D-Bili Direct Bilirubin DBP Diastolic Blood Pressure DBS Dorsal blocking splint DC Discharge D/C Discontinue D & C Dilation and Curettage DDS Doctor of Dental Surgery D & E Dilatation and Evacuation deb Debridement decel Deceleration Deg degree del. Delivery Demo demonstration Dept Department desat Desaturation desc Descend DF Dorsiflexion DG Dorsal Gluteal DHS Dynamic Hip Screw Diag Diagnosis DIC Disseminated Intravascular Coagulation DID Disassociative Identity Disorder DIFA Automated differential diff Differential DIFM Manual differential dig Digoxin dil Dilatation disch Discharge DIP Distal Interphalangeal dis Disease DISCUS Dyskensia Identification System Condensed User Scale disp. Disposable DJD Degenerative Joint Disease DKA diabetic ketoacidosis. DLCO Diffusion Capacity for Carbon Monoxide DLS Dynamic lumbar stabilization DM Diabetes Mellitus DMD Doctor of Medical Dentistry DNA Deoxyribonucleic Acid DNP Do Not Publish DNR Do Not Resuscitate dnt Did not test d/o Disorder DO Doctor of Osteopathy DOA Dead On Arrival DOB Date of Birth DOE Dyspnea on Exertion

DON Director of Nursing DP Dorsalis Pedis Artery DPM Doctor of Podiatric Medicine DPT Diphtheria-Pertussis-Tetanus Dr Doctor DRG Diagnostic Related Group drng. Drainage drsg. Dressing ds Distant supervision DSM Diagnostic and Statistical Manual DSW Doctor of Social Work DTR Deep Tendon Reflex DTs Delirium Tremens DUB Dysfunctional Uterine Bleeding DUE Drug Usage Evaluation DVT Deep Vein Thrombosis DW Distilled Water D/W Dextrose in Water D12 Dorsal Vertebral Body 12 Dx Diagnosis E EA Epidural Anesthesia E Ab Elective Abortion EAC External Auditory Canal EAP Employee Assistance Program EA-PCA Epidural Analgesia Patient Controlled Anesthesia EBB Endobronchial biopsy. EBL Estimated Blood Loss EBV Epstein Barr Virus EC Energy conservation ECCE Extracapsular Cataract Extraction ECF Extended Care Facility ECG, EKG Electrocardiogram echo Echocardiogram ECMO Extracorporeal Membrane Oxygenation

• E. Coli Escherichia Coli

ECRB Extensor Carpi Radialis Brevis ECRL Extensor Carpi Radialis Longus ECT Electroconvulsive Therapy ECTR Endoscopic Carpal Tunnel Release ECU Emergency Care Unit EDB Extensor Digitorum Brevis EDC Extensor digitorum Communis EDC Estimated/Expected Date of Confinement EDD Expected Dates of Delivery Ed D Doctor of Education EDL Extensor digitorum longus Educ Education EEG Electroencephalogram EENT Eyes, Ears, Nose, and Throat

EF Electrofulguration eff Effacement EFM Electronic Fetal Monitoring EFW Estimated Fetal Weight e.g. For example, such as EGA Estimated gestational age EGD Esophagogastroduodenoscopy EH Employee Health EHL Electrohydraulic lithotripsy EHB Extensor hallucis brevis EHL Extensor hallucis longus EID Electronic infusion device EIP Extensor indicis proprius EKG Electrocardiogram ELF Elective Low Forceps elim Elimination ELISA Enzyme Linked immunosorbent assay (test) EMG Electromyography EMS Emergency Medical System EMS Electrical Muscle Stimulation EMT Emergency Medical Technician or Team EMT-P Emergency Medical Technician - Paramedic Emycin Erythromycin ENT Ears, nose, and throat EOA Esophageal Obturator Airway EOB Edge of bed EOM Extraocular movements EOMI Extraocular muscles intact EP electrophysiologic Epi Epidural epi Epinephrine EPI Echo planar imaging epis. Episiotomy epith Epithelial EPL Extensor pollicis longus eq Equivalent equip Equipment ER Emergency Room ER External Rotation ERC Education Resource Center ERCP Endoscopic Retrograde Cholangiopancreatogram ERS Extended rotated sidebent ERS Education Resource Specialist ERT Emergency Resuscitation Team ERT Estrogen Replacement Therapy ES Extra Strength ES Electrical Stimulation ESR Erythrocyte Sediment Rate ESRD End Stage Renal Disease EST Exercise Stress Test ESWL Electroshock wave lithotripsy ET Endotracheal

ETA Estimated Time of Arrival etc Et cetera ETCO2 End Tital CO2 ETOH Ethanol - ethyl alcohol etiol Etiology ETT Endotracheal tube EUA Exam Under Anesthesia eval Evaluation ever Eversion ex Exercise exam Examination exc Excision exp Expiration OR expired exp Expressive

• Expl. Lap

Exploratory Laparotomy Ext Extraction ext Extension ext. External EXT extremity

• EXT. FIX

External fixation

• ext. rot. External Rotation

F F Fahrenheit F Female (with a circle around the F) fa Father FB Foreign Body f/b Followed by FBD Fibrocystic Disease FBS Fasting Blood Sugar FCE Functional Capacity Evaluation FCMC Fulton County Medical Center FCN Family Care Network FCNH Franklin County Nursing Home FCR Flexor carpi radialis FCU Flexor carpi ulnaris FD Fully Dilated FDB Flexor digitorum brevis FDL Flexor digitorum longus FDP Flexor digitorum profundus FDP Fibrinogen Degradation Products FDS Flexor digitorum superficialis Fe Iron fem Femoral Fe SO Ferrous sulfate FET Forced Expiratory Technique FF Fundus Firm FFP Fresh Frozen Plasma FH Family History FHB Flexor hallucis brevis FHL Flexor hallucis longus FHR Fetal Heart Rate FHS Fetal Heart Sounds FHT Fetal Heart Tones fib. Fibrillation

FL Femur Length Flu Influenza FiO2 Fractional Concentration of O2 in inspired gas FIM Functional Independence Measurement fl Fluid FLACC face, legs, activity, cry, consolability, pain scale Flex Flexion Fluoro Fluoroscopy FM Family Medicine FM Fetal Monitoring FM Fetal Movement FMD Family Physician FOB Fiberoptic Bronchoscopy FOB Foot of bed FOBT Fecal occult blood test FP Family Practice FPL Flexor pollicis longus FRC Functional residual capacity FR Full Resuscitation freq Frequent (ly) FRG Functional Related Groups Fri Friday FROM Full range of motion FRS Flexed rotated sidebent FS Frozen Section FSBS Finger stick blood sugar FSE Fetal Scalp Electrode FSH Follicle stimulating hormone FT Family Teaching FT Fingertip FTA Fluorescent Treponemal Antibody Absorption FTLFC Full Term Live Female Child FTLMC Full Term Live Male Child FTND Full Term Normal Delivery FTSG Full Thickness Skin Graft funct Functional F/U Follow-up FUO Fever of undetermined origin FVC Forced Vital Capacity FWB Full Weight Bearing fx Fracture fxn Function G g Gallop G Gravida g Gram G+ Gram positive G- Gram negative G/A General Anesthesia GAD Generalized Anxiety Disorder

GAF Global Assessment of Functioning gal Gallon gastroc Gastrocnemius GB Gallbladder GBS Group B Streptococcus GC Gonococcus, Gonorrhea G/C Geri Chair GDM Gestational Diabetes Mellitus GE Gastroenterology GENA General Anesthesia GEN General genl General GERD Gastroesophageal reflux disease gest Gestation GETA General Endotracheal Anesthesia GETT Graded Exercise Tolerance Test GF Girlfriend gfa Grandfather GI Gastrointestinal GLU Glucose Gm Gram gmo Grandmother GN Graduate Nurse GOT Glutamin-Oxaloacetic Transaminase GPN Graduate Practical Nurse GPT Glutaminc-Pyruvic Transaminase GR Grand Rounds GRASP Grace Reynolds Application and Study of PETO grp Group GSW Gunshot wound GTT Glucose Tolerance Test gtt Drops GU Genitourinary G/W Glucose Water GYN Gynecology H H/A Headache HAL Hyperalimentation HASCVD Hypertensive Arteriosclerotic Cardiovascular Disease HASHD Hypertensive Arteriosclerotic Heart Disease H2O Water HB Heart Block HBP High Blood Pressure HBsAb Hepatitis B Surface Antibody HBsAg Hepatitis B Surface Antigen HBV Hepatitis B Virus HCFA Health Care Financing Administration HCG Human chorionic gonadotropin Hcl Hydrochloric acid HCO3 Bicarbonate

Hct Hematocrit HCV Hepatitis C Virus HCVD Hypertensive Cardiovascular Disease HCW Health Care Worker HDL High density lipoprotein (cholesterol) HE Home Evaluation HEENT Head, Eyes, Ears, Nose, and Throat HELLP Hemolysis, Elevated Liver Enzymes Low Platelet Count hemi Hemiplegia HEP Home Exercise Program Hgb- Hemoglobin HGH Human Growth Hormone H&H Hemoglobin and Hematocrit H/H Hemoglobin and Hematocrit HHC Home Health Care HIB Hemophilus Influenza Type B HID Herniated Intervertebral Disc HIM Health Information Management HIV Human Immunodeficiency Virus HMD Hyaline Membrane Disease HMO Health Maintenance Organization HNP Herniated Nucleus Pulposus HNV Has Not Voided H/O History of HOB Head of Bed HOH Hard of Hearing horiz Horizontal hosp Hospital H&P History & Physical HP Hot pack HP-C Cervical hot pack HPI History of present illness HP-L Large hot pack HR Heart Rate hr Hour hrs Hours HRT Hormone Replacement Therapy HS Hour of sleep HOH Harrisburg State Hospital HIM Hepatosplenomegaly HSV 1&2 Herpes Simplex Virus 1 & 2 Ht Height HTN Hypertension HTVD Hypertensive Vascular Disease HV Home Visit HVGS High Voltage Galvanic Stimulation Hx History Hyst Hysterectomy Hyster Hysterectomy I Independent (with a circle around the I) IABP Intra-aortic Balloon Pump IADL Instrumental activities of daily living

IAM Internal Auditory Meatus IBD Inflammatory Bowel Disease IBRP Independent Bathroom Privileges IBS Irritable Bowel Syndrome IC Infection Control ICP Intracranial Pressure Monitoring ICP Interdisciplinary Care Plan icp Intermittent catheterization program ICU Intensive Care Unit ID Identification I & D Incision and Drainage IDDM Insulin Dependent Diabetes Mellitus Ig Immunoglobulin IHSS Idiopathic hypertrophic subaortic stenosis IM Intramuscular IM Internal Medicine IMCU Intermediate Care Unit Imp Impression IMV Intermittent Mandatory Ventilation inc Incomplete incon Incontinent Ind-Grp (individual group) inf Inferior Ing Inguinal Inj Injection INS Insurance insp Inspiratory

• insuff. Insufficiency

int Internal Int Fix Internal Fixation Int Med Internal Medicine

• int. rot. Internal Rotation

inv Inversion I & O Intake and Output IOC Intraoperative Cholangiogram IOL Intraocular Lens IOP Intensive Outpatient Program IP Interphalangeal IP Ice pack IPPB Intermittent Positive Pressure Breathing IQ Intelligence Quotient IR Internal Rotation IRB Institutional Review Board IRBBB Incomplete Right Bundle Branch Block irr Irregular IS Incentive Spirometry ISB Incentive Spirometry Breathing ITB Iliotibial band IUD Intrauterine Device (contraceptive) IUFD Intrauterine Fetal Death IUGR Intrauterine Growth Retardation IUP Intrauterine Pregnancy IUPC Intrauterine pressure catheter

IV Intravenous IVAD intravenous access device IVC Intravenous Cholangiogram IVCD Intra ventricular Conduction Delay IVP Intravenous Pyelogram IVP IV push IVPB Intravenous piggyback IV-PCA Intravenous Patient Controlled Analgesia IVP Intravenous Piggyback IVRA IV Regional Anesthesia J JODM Juvenile Onset Diabetes Mellitus jt Join JVD Jugular venous distention JVP Jugular venous pressure K KAFO Knee/ankle foot orthosis KCl Potassium chloride KDA Known drug allergy Kg Kilogram KLS Kidney, Liver, Spleen KPO3 Potassium phosphate KUB Kidney, Ureter, and Bladder KVO Keep Vein Open K-Wire Kirschner Wire L L Left (with a circle around the L) l Liter L-1 First lumbar vertebra L-2 Second lumbar vertebra L-3 Third lumbar vertebra L-4 Fourth lumbar vertebra L-5 Fifth lumbar vertebra LA Local Anesthesia L&A Light & Accommodation Lab Laboratory lac Laceration lami Laminectomy LAP Laparoscopic/Laparotomy lat Lateral LAVH Laparoscopic Assisted Vaginal Hysterectomy lb Pound LB Lower body LBBB Left Bundle Branch Block LBP Low Back Pain LBW Low birth weight LCF Left Cubital Fossa L & D Labor and delivery LDH Lactic Dehydrogenase

LDL Low Density Lipoprotein LE Lupus Erythematosus LE Lower extremity LEEP Loop Electro-excisional Procedure LET Lidocaine, epinephrine, tetracaine LFT Liver Function Test LFVD Low Forceps Vaginal Delivery lg Large LGA Large for Gestational Age LH Luteinizing hormone LHCS Lutheran Home Care Services LHS Long handled sponge LHSH Long handled shoehorn LIH Left Inguinal Herniorrhaphy LIQ Lower Inner Quadrant LKS Liver, Kidney, and Spleen LLB Long Leg Brace LLE Left Lower Extremity LLL Left Lower Lobe LLQ Left Lower Quadrant (abdomen) LML Left Mediolateral LMP Last menstrual period LN Lymph Node LOA Leave of Absence LOA Left Occiput Anterior LOB Loss of Balance LOC Level of Consciousness LOC Loss of consciousness LOP Left Occiput Posterior LOQ Lower Outer Quadrant LOS Length of Stay LOT Left Occiput Transverse LP Lumbar Puncture LPM Liter per Minute LPN Licensed Practical Nurse LR Lactated Ringer's LS Lumbosacral LSB Left Sternal Border LSD Lysergic Acid Diethylamide LSO Left Salpingooophorectomy Lt Left LTG long-term goals LTV Long-term variability LUD Left Uterine Displacement LUE Left Upper Extremity LUL Left Upper Lobe LUQ Left Upper Quadrant LVEDP Left Ventricular End Diastolic Pressure LV Left Ventricle LVH Left Ventricular Hypertrophy L&W Living and Well lytes Electrolytes M

m Murmur (m with a circle) MA Medical Assistance MAE Moves All Extremities MAFO Molded Ankle-Foot Orthosis MAP Mean arterial pressure MAR Medication administration record MAT multifocal atrial tachycardia max Maximum m/b Manifested by MB Mother Baby MBS Modified barium swallow MCA Motorcycle Accident mcg Microgram mcgtts Microdrops MCH Mean Corpuscular Hemoglobin MCHC Mean Corpuscular Hemoglobin Concentration mCi Millicurie MCL Midclavicular Line MCP Metacarpal Phalangeal MCV Mean Corpuscular Volume MD Medical Doctor MDI Metered Dose Inhaler ME Muscle energy MEC Medical Executive Committee mec Meconium Med medial meds Medications med neb Medication nebulizer mEq Milliequivalent MET Metabolic Ratio Equivalent Mets Metastasis MFC Medial femoral condyle MFVD Mid Forceps Vaginal Delivery MFR Myofascial release mg Milligram mg/dL Milligram per deciliter mgmt Management MH Moist heat MH Mental Health MHE Mental Health Evaluator MHT Mental Health Therapist MHU Mental Health Unit MI Myocardial Infarction mid Midline min Minute min Minimum MIS Management Information Services misc Miscellaneous MIVA Monitored IV Anesthesia mj Millijoule ml Milliliter MLC Midline Catheter MLE Midline Episiotomy MLT Medical Laboratory Technician

mm Millimeter MM Muscles mm Hg Millimeters of mercury MMPI Minnesota Multiphasic Personality Inventory M-M Procedure Marshall-Marchetti Procedure MMSE Mini Mental State Exam MMR Measles-mumps-rubella vaccine MMT Manual Muscle Test MN Midnight MN Median nerve mo Mother mod Moderate modal Modalities MODM Maturity Onset Diabetes Mellitus MOM Milk of magnesia Mon Monday mono Infectious Mononucleosis mos Months MOW Meals on Wheels MPB Multipodus Boot MPH Miles per hour MPJ Metacarpophalangeal Joint MR Mitral regurgitation MRA Magnetic resonance angiography MRCP Magnetic Resonance Cholangiopancreatogram MRI Magnetic resonance imaging MRSA Methicillin resistant staph aureus MS Multiple Sclerosis ms Muscle M-S Musculoskeletal MSE Mental Status Exam MSF Meconium stained fluid m/skeletal Musculoskeletal MSUD Maple Syrup Urine Disease MSW Master of Social Work MT Medical Technologist MTD Month to Date MTP Metatarsal Phalangeal Mu Milliunit MUGA multi-gated cardiac ventriculogram or nuclear ventriculogram or multi-gated acquisition. Multip Multipara MV Mitral Valve MVA Motor Vehicle Accident MVC Motor Vehicle Crash MVI multivitamin MVP Mitral Valve Prolapse MVV Maximum Voluntary Ventilation MVMT Movement MWB Minimum Weight Bearing N

n Nerve N/A Not Applicable NA Nurses Aide/Attendant NaCl Sodium chloride NAD No Active Disease NaHCO3 Sodium Bicarbonate NALS Neonatal Advanced Life Support NB Newborn NBN Newborn Nursery N/C Nasal Cannula n/c No complaints NCPAP Nasal Continuous Positive Airway Pressure NCS Nerve Conduction Study NCV Nerve Conduction Velocity neg Negative neuro Neurologic NFA Nursing Facility Administrator NG Nasogastric NG Tube Nasogastric Tube NGT Nasogastric Tube NICU Neonatal Intensive Care Unit NIF Negative Inspiratory Flow NKA No Know Allergies NKDA No Known Drug Allergies NL Normal NMES Neuro muscular electrical stimulation NN Nurses= Notes no Number Norm Normal NOS Not Otherwise Specified NP Nasopharyngeal NPC Nonproductive Cough NPN Nonprotein Nitrogen NPO Nothing by mouth NRBM Non-Rebreather Mask N/R Nonreactive NS Neurological Surgery NS Normal Saline NSA No Significant Abnormality NSAID Non-steroidal anti-inflammatory drug NSD Normal Spontaneous Delivery Nsg Nursing NSR Normal Sinus Rhythm NSS Normal Saline Solution NST Nonstress Test NSVD Normal Spontaneous Vaginal Delivery N/T Not tested NT Nasotracheal N & T Nose and Throat NTG Nitroglycerin NTT Nasotracheal tube Nutr Nutrition

N & V Nausea and vomiting NVD Nausea, Vomiting, Diarrhea N/V/D Nausea, Vomiting, Diarrhea NWB Nonweight Bearing O O Objective O2 Oxygen O-A Occipital-atlas OA Osteoarthritis OA Occiput Anterior OAE -- otoacoustic emission OB Obstetrics OB/GYN Obstetrics & Gynecology OBS Organic Brain Syndrome

• bs

Observation

• bst

Obstruction OC Oral Contraception Occ Occasionally

• ccas. Occasional

OCD Obsessive Compulsive Disorder OCG Oral Cholecystogram OCL Orthopedic cast for limb OCT Oxytocin Challenge Test OD Right eye O & E Observation & Examination OHFT Overhead Frame and Trapeze OHS Occupational Health Associates

• int

Ointment OJ Orange juice OM Otitis Media OOB Out of Bed OOB/WC Out of Bed in Wheelchair OOT Out of Town OP Occiput Posterior OP Outpatient OP Operative O&P Ova and Parasites OPD Outpatient Department

• phth

Ophthalmic OPT Outpatient OR Operating Room ORIF Open Reduction, Internal Fixation

• rtho

Orthopedic

• s

Mouth OS Left eye OSD Over bed side drainage OT Occupational Therapy OTC Over the counter OU Both eyes OVR Office of Vocational Rehabilitation

• z

Ounce P

_ p After P Pulse PA Pernicious Anemia PA Physician Assistant PA pulmonary artery P & A Percussion & Auscultation PA-C Physician's Assistant (certified) PAC Premature Atrial Contractions PAO2 Arterial Oxygen Tension PAO2 Partial Pressure of 02 in Arterial Blood PaCO2 Partial Pressure of CO2 in Arterial Blood PACU Post Anesthesia Care Unit palp Palpable PALS Pediatric Advanced Life Support PaO2 Partial Pressure of O2 in Arterial Blood pap Papanicolaou smear PAP Pulmonary Artery Pressure Pap Smear Papanicolaou Smear PARA Number of Parity para Paraplegic PAS Stain Periodic Acid-Schiff Stain PAT Preadmission Testing Path Pathology PAWP Pulmonary Artery Wedge Pressure pb Piggyback PBI Protein Bound Iodine pc After meals PC Packed cells PC pressure control (ventilator) PCA Patient Controlled Anesthesia PCH Personal Care Home PCI Percutaneous coronary intervention PCN Penicillin PCO2 Partial pressure of CO2 PCP Primary Care Physician PC/S Primary Cesarean Section PCWP Pulmonary Capillary Wedge Pressure PD Peritoneal Dialysis PDA Patent Ductus Arteriosus PDR Physician Desk Reference PDIS Patient Discharge Instruction Sheet PE Physical Examination PE Pulmonary Edema or Embolism PEA Pulseless Electrical Activity PEARL Pupils Equal and Reactive to Light PERLA Pupils Equal and Reactive to Light and Accommodation Peds Pediatrics PEEP Positive End Expiratory Pressure PEF Peak Expiratory Flow PEFR Peak Expiratory Flow Rate

PEG Percutaneous endoscopic gastrostomy (tube) per By or through peri Perineal periph Peripheral PERL Pupils Equal, React to Light PERLA Pupils Equal, Reactive to Light and Accommodation PERRL Pupils Equal, Round, Reactive to Light PERRLA Pupils Equal, Round, React to Light and Accommodation perm Permanent PF Plantar Flexion PFT Pulmonary Function Test PGY1 Post Graduate Year 1 (residents) PGY2 Post Graduate Year 2 PGY3 Post Graduate Year 3 PH Past History pH Hydrogen ion activity, relative acidity pH Hydrogen Icon Concentration phaco Phacoemulsification PHP Partial Hospitalization Program Pharm.D. Doctor of Pharmacy PhD Doctor of Philosophy PHTLS Pre-Hospital Trauma Life Support phos Phosphorus PI Present Illness PICC Peripherally Inserted Central Catheter PID Pelvic Inflammatory Disease PIF Peak Inspiratory Flow PIH Pregnancy Induced Hypertension PIP Proximal Inter Phalangeal Joint PIT Pitocin PJC Premature Junctional Contraction PKE with IOL phacoemulsification of cataract with intraocular lens implant PKU Phenylketonuria PL Palmaris longus PLT Platelet PLIF Posterior Lumbar Interbody Fusion PM Evening PMH Past Medical History PMS Premenstrual Syndrome PM & R Physical Medicine & Rehabilitation PMU Pain Management Unit PNB Premature Nodal Beats PNC Premature Nodal Contraction PND Paroxysmal Nocturnal Dyspnea PNF Proprioceptive Neuromuscular Facilitation po By mouth (per os) POA Power of attorney POC Plan of care

POD Post-Operative Day pO2 Partial pressure of oxygen poly Polymorphonuclear leukocyte (neutrophils) POS Point of Service POS position pos Positive post Posterior post-op Post-operative, after surgery PP Postpartum pp Postprandial P&P Pins and Plaster PPA Phenylpyruvic Acid PPB Positive Pressure Breathing PPD Purified Protein Derivative of Tuberculin PPD1 Postpartum Day #1 PPD2 Postpartum Day #2 PPE Personal Protective Equipment PPO Preferred Provider Organization PPP Physician Personal Preferences P&P Policy and Procedure P/P/P Policy/Procedure/Protocol PPT Postpartum Tubal Ligation PPT Posterior pelvic tilt PPTL Postpartum Tubal Ligation PRBm Partial Rebreather Mask P-R P-R Interval PR Public Relations pr Per rectum P&R Pulse and Respiration PRBC Packed Red Blood Cells pre Before PRE Progressive Resistive Exercise preg Pregnant pre-op Preoperative, before surgery prep Prepare press Pressure

• Primp. Primipara

priv Private PRN As the occasion arises prn Whenever necessary, as needed PRO Peer Review Organization prob. Probably PROC Procedure prog Prognosis PROM Premature Rupture of Membranes, Preterm Rupture of Membranes PROM Passive Range of Motion PROM Positive Range of Motion pron Pronation prot Protein pro-time Prothrombin time prox Proximal PS pressure support PSA Patient Support Associate

PSA Prostate Specific Antigen PSIS Posterior-Superior Iliac Spine PSO Patient Services Office PSP Phenolsulfonphthalein, Phenol red PST-S Pulmonary Stress Test - simple Psych Psychiatry PSVT Paroxysmal Supraventricular Tachycardia PSVT Premature Supraventricular Tachycardia pt Patient PT Physical Therapy PT Protime PT Pronator Teres p/t Part-time P.T. Physical Therapist PTA Prior to Admission PTCA Percutaneous Transluminal Coronary Angioplasty PTL Preterm Labor PT/PTT Prothrombin Time/Partial Thromboplastin Time PTSD Post Traumatic Stress Disorder PTT Partial Thromboplastin Time PUD Peptic Ulcer Disease PVC Premature Ventricular Contraction PVD Peripheral Vascular Disease PvCO2 Partial Pressure of CO2 in Mixed Venous Blood pvO2 Partial Pressure of O2 in Mixed Venous Blood PVR Pulmonary Vascular Resistance pvr Post void residual PVRI pulmonary vascular resistance index PVT Paroxysmal Ventricular Tachycardia PWB Partial Weight Bearing Q q Every QA Quality Assurance q AM Every morning QC Quality Control q h Every hour (may have number between q & h to designate times) q h s Every bedtime QI Quality Improvement q.n. Every night qns Quantity not sufficient QRS QRS Complex q s Quantity sufficient quad Quadriplegic

• quads. Quadriceps

quant Quantity

R r Rectal R Rate R Right R Right (with a circle around the R) R Respirations RA Rheumatoid Arthritis R/A Ruptured Artificially ra Right atrial RAMS Rapid Alternating Movements RAO Right anterior oblique rap Right atrial pressure RAD Right axis deviation RBBB Right Bundle Branch Block RBC Red blood cell RBV Read back and verify RCF Right Cubital Fossa RCL Radial Collateral Ligament RCP Respiratory Care Practitioner RC/S Repeat Cesarean Section RD Radial Deviation RD Registered Dietician RDS Respiratory Distress Syndrome re: Regarding reg Regular rehab Rehabilitation REM Rapid Eye Movement rem Removal Rep reproduction/reproductive reps Repetitions Resp Respiratory or respirations resid Residual retics Reticulocytes retro Retrograde rev Revised/revision Rh Rhesus factor blood group RHD Rheumatic Heart Disease RHF Right Heart Failure RHIA Registered Health Information Administrator RHIT Registered Health Information Technician Rh neg Rhesus factor negative Rh pos Rhesus factor positive RIH Right Inguinal Herniorrhaphy RL Ringer's Lactate RLE Right Lower Extremity RLL Right Lower Lobe RLQ Right Lower Quadrant (abdomen) RLTCS Repeat Low Transverse C-Section RM Ruptured Membranes RML Right Middle Lobe RN Registered Nurse RNC Registered Nurse, Certified RNCS Registered Nurse, Certified Specialist

R/O Rule Out ROA Right Occiput Anterior ROM Range of Motion ROM Rupture of Membranes ROP Right Occiput Posterior ROS Review of Systems ROT Right Occiput Transverse ROT rotation RPE Ratings of Perceived Exertion RPh Pharmacist RPR Rapid Plasma Reagin RR Respiratory Rate RRA Registered Record Administrator RRT Registered Respiratory Therapist R/S Ruptured Spontaneously RSB Regular Sinus Bradycardia RSD Reflexive Sympathetic Dystrophy RSO Right Salpingooophorectomy RSR Regular Sinus Rate (rhythm) RST Regular Sinus Tachycardia RSV Respiratory Syncytial Virus RT Radiation Therapy RT Respiratory Therapy R/T Related To RTC Regular To Clinic RTF Resident Treatment Facility RTW Return to Work RUD Right Uterine Displacement RUE Right Upper Extremity RUL Right Upper Lobe RUQ Right Upper Quadrant (abdomen) RV Return Visit Rx Prescription S s Without S Subjective S Sacral S Supervision (with a circle around the S) S1 First heart sound S2 Second heart sound S3 Third heart sound S4 Fourth heart sound S-1 First sacral vertebra S-2 Second sacral vertebra S-3 Third sacral vertebra S-4 Fourth sacral vertebra S-5 Fifth sacral vertebra SA Sinoatrial SA node Sinoatrial Node S Ab Spontaneous Abortion SACH single axis cushioned heel SASH Saline Antibiotic Saline Heparin SA02 Arterial Saturation Oxygen

SARS Severe Acute Respiratory Syndrome sat saturation Sat Saturday satis Satisfactory SB Stillbirth SB Sidebending SBE Subacute Bacterial Endocarditis SBFT Small Bowel Follow Through SBH Summit Behavorial Health SBP Systolic Blood Pressure s-brady Sinus Bradycardia SBQC Short base quad cane SC Self Care SCC Skilled Care Coordinator sci Spinal cord injury SCJ Sternoclavicular Joint SCL-90R Symptom Checklist 90- Revised (Mental Health) SCIP Surgical Care Improvement Program SCM Sternocleidomastoid SDS Same Day Services SE Scalp Electrode s/e Side effects sec Second Secr secretion sed Sedimentation sed rate Sedimentation rate seg Segmented white cells Sens sensation SG Swan-Ganz Catheter S-G Swan Ganz catheter SGA Small for Gestational Age SGOT Serum Glutamic Oxaloacetic Transaminase SGPT Serum Glutamic Pyruvic Transaminase SH Social History si Sister SIDS Sudden Infant Death Syndrome sig. To write sig Direction to be on label sign Signature

• signif. Significant

SI joints Sacroiliac joints SIADH Syndrome of inappropriate antidiuretic hormone SIMV Spontaneous Intermittent Mandatory Ventilation SIS saline infusion sonohysterosalpingography SL saline lock SLB Short Leg Brace SLE Systemic Lupus Erythematous SLE Systemic Lupus Erythematous

SLP Speech Language Pathology SLR Straight Leg Raising sm Small SMA Sequential Multiple Analyzer SMAC Sequential Multiple Analysis Computerized SMO supramalleolar orthosis SNF Skilled Nursing Facility SNS Supplemental Nursing System SNT Soft & Nontender so significant other SO Salpingo-oophorectomy SOAP Subjective, Objective, Assessment, and Plan SOB Shortness of Breath Soc Hx Social History sol Solution sono Sonogram SOOC Spontaneous onset of contractions SOOL Spontaneous onset of Labor SOP Standard Operating Procedure SORL Spiral oblique retinacular ligament S/P Status Post SPA Salt-Poor Albumin spast Spasticity Spec Specimen sp gr Specific gravity S-Pin Steinmann Pin SpO2 Oxygen Saturation by pulse oximeter spont Spontaneous SQ Subcutaneous SQ-PCA Subcutaneous Patient Controlled Analgesia SROM Spontaneous Rupture of Membranes SROM Self Range of Motion SS Social Service SS# Social Security Number s/s Signs and symptoms SSA Social Security Administration SSE Soap Suds Enema SSKI Saturated Solution of Potassium Iodide SSN Social Security Number ST Sinus tachycardia s-tachy Sinus tachycardia Staph Staphylococcus Stat Immediately STD Sexually Transmitted Disease STG short-term goals Strep Streptococcus STSG Split Thickness Skin Graft STV Short-term variability Sub Substitute sublux Subluxation Subq Subcutaneous

Sun Sunday Sup superior supp Suppository surg Surgery SVD Spontaneous Vaginal Delivery SVE Sterile Vaginal Exam SVR Systemic Vascular Resistance SVRI systemic vascular resistance index SVT Supraventricular Tachycardia SW Social Worker Sx Symptoms or Signs sys Systolic T T Temperature T-1 First thoracic vertebra T-2 Second thoracic vertebra T-3 Third thoracic vertebra T-4 Fourth thoracic vertebra T-5 Fifth thoracic vertebra T-6 Sixth thoracic vertebra T-7 Seventh thoracic vertebra T-8 Eighth thoracic vertebra T-9 Ninth thoracic vertebra T-10 Tenth thoracic vertebra T-11 Eleventh thoracic vertebra T-12 Twelfth thoracic vertebra T3 Triiodothyronine T4 Thyroxine T & A Tonsillectomy and Adenoidectomy T&S Type and screen tab Tablet tachy Tachycardia TAH Total Abdominal Hysterectomy TAF Triage Assessment Form TAPP Teenage Pregnancy & Parenting Program TAROM Total active range of motion TAT Turnaround time TB Tuberculosis TBA To Be Admitted TBB Transbronchial biopsy tbc Tubercle bacillus TBI Traumatic brain injury T bili Total Bilirubin TBNA Transbronchial needle aspiration Tbsp Tablespoon TC Tactile Cues T&C Type and Crossmatch TCN Tetracycline TCU Transitional Care Unit TD Tetanus and Diphtheria Toxoid(Adult Type) Tech technique TEDS Elastic stockings

TEE Transesophageal Endoscopy Temp Temperature TENS Transcutaneous (Electrical) Nerve Stimulation TEP Tracheo-esophageal puncture TG Triglyceride T&H Type and Hold THA Total Hip Arthroplasty THR Total Hip Replacement THR Target Heart Rate THRp Total Hip Replacement Precautions Thurs Thursday thy Thyroid T.I. Thoracic inlet TIA Transient Ischemic Attack TIBC Total Iron Binding Capacity t i d Three times a day tinct Tincture TIPS transjsugular intrahepatic portosystemic shunt TJC The Joint Commission TKA Total Knee Arthroplasty TKA trochanter knee ankle TKO To Keep Open TKR Total Knee Replacement TL Tubal ligation TLC Total Life Center TLC Tender loving care TLC Total Lung Capacity TM Treadmill TMJ Temporomandibular Joint Tms Tympanic Membranes T O Telephone Order Toco Tocotransducer tol Tolerate (d) TORCH Toxoplasmosis, Other Infections TOS Thoracic outlet syndrome TPA Tissue Plasminogen Activator TPN Total Parenteral Nutrition TPR Temperature, Pulse, Respirations TPROM Total passive range of motion TR Therapeutic Recreation trach Tracheostomy Trap Trapezius. T & S Type & Screen TSH Thyroid Stimulating Hormone TSS Toxic Shock Syndrome tsp Teaspoon TT Tetanus toxoid TTVP Temporary transvenous pacemaker TTWB Toe Touch Weight Bearing Tues Tuesday TUI Transurethral Incision TUR Transurethral Resection

TURBT Transurethral Resection Bladder Tumor TURP Transurethral Resection of the Prostate TVH Total Vaginal Hysterectomy TVT Tension-free vaginal tape Tx Treatment tym Tympano tymp Tympanic U UA Urinalysis ua Urine UAC Umbilical Atrial Catheter UACS Urinalysis, Culture and Sensitivity UB Upper body UC Uterine Contractions UCL Ulnar collateral ligament UD Unit dose UD Ulnar deviation UE Upper extremity UGI Upper gastrointestinal UIQ Upper Inner Quadrant umb Umbilicus UMN Upper motion neuron unil Unilateral U/O Urinary Output UOQ Upper Outer Quadrant UPC Units of packed cells UPJ Ureteropelvic Junction UR Utilization Review URI Upper respiratory infection Urine for R&M Urine for Routine & Microscopic US Ultrasound US Unit Secretary USP United State Pharmacopeia UTD Up to date UTI Urinary tract infection UUN Urine urea nitrogen UV Ultraviolet UVC Umbilical Venous Catheter V v Vein V Volume VA Visual acuity VA Veteran Administration VAD Vascular Access Device Vag Vaginal

• vag. hyster.

Vaginal Hysterectomy VAS Verbal Analog Scale (pain scoring) vasc Vascular VBAC Vaginal Birth After Cesarean Section VC Verbal Cues

VC Vital Capacity VCUG Voiding Cystourethrogram vd Voided VD Venereal Disease VDRL Venereal Disease Research Laboratory VD/VT Physiologic Dead space to Tidal Volume Ratio VE Vaginal Exam VE Minute ventilation vent Ventilator VFDS Videofluroscopic dysphagia study V fib Ventricular Fibrillation VG Ventral Gluteal VIS Vaccination Instruction Sheet VL Vastis Lateralis VMA Vanillyl-Madelic Acid VNA Visiting Nurses Association VO Verbal order vol Volume VOR Vestibular occular reflex VP Venous pressure VP-16 Etoposide VS Vital Signs VSS Vital Signs stable V Tach Ventricular Tachycardia VT Tidal volume VTE Venous Thromboembolism vtx Vertex VV Varicose Veins Vtach Ventricular Tachycardia W WAIS Wechsler Adult Intelligence Scale WB Whole Blood WB Weight Bearing WBAT Weight Bearing As Tolerated WBC White Blood Cells WBQC Wide base quad cane W/C Wheelchair Wed Wednesday WFL Within Functional Limits WGL Within good limits WIC Women, Infants, and Children WIN Women In Need wk Week wks Weeks WNL Within Normal Limits WNWD Well-nourished, well-developed WO Wide open W/O Without WOB Work of breathing WP Whirlpool WS Work simplification wt Weight

X x: except x Times Xm Cross match X-ray Radiology Y y/o Years old yrs Years YTD Year-To-Date Z

Periodic Table Hydrogen (H) Helium (He) Lithium (Li) Beryllium (Be) Boron (B) Carbon (C) Nitrogen (N) Oxygen (O) Fluorine (F) Neon (Ne) Sodium (Na) Magnesium (Mg) Aluminum (Al) Silicon (Si) Phosphorus (P) Sulfur (S) Chlorine (Cl) Argon (A) Potassium (K) Calcium (Ca) Scandium (Sc) Titanium (Ti) Vanadium (V) Chromium (Cr) Manganese (Mn) Iron (Fe) Cobalt (Co) Nickel (Ni) Copper (Cu) Zinc (Zn) Gallium (Ga) Germanium (Ge) Arsenic (As) Selenium (Se) Bromine (Br) Krypton (Kr) Rubidium (Rb) Strontium (Sr) Yttrium (Y) Zirconium (Zr) Columbium (Cb) Molybdenum (Mo) Technetium (Tc) Ruthenium (Ru) Rhodium (Rh) Palladium (Pd) Silver (Ag) Cadmium (Cd) Indium (In) Tin (Sn) Antimony (Sb) Tellurium (Te) Iodine (I) Xenon (Xe) Cesium (Cs) Barium (Ba) Rare Earths Hafnium (Hf) Tantalum (Ta) Tungsten (W) Rhenium (Re) Osmium (Os) Iridium (Ir) Platinum (Pt) Gold (Au) Mercury (Hg) Thallium (Tl) Lead (Pb) Bismuth (Bi) Polonium (Po) Astatine (At) Radon (Rn) Virginium (Vi) Radium (Ra)

Page 173 of 36 Addendum B Waynesboro Abbreviation List Addition/Deletion Form Addition Deletion Please make sure that any new abbreviation is not listed on the Forbidden Abbreviation list, which can be found on the intranet. Any abbreviations listed on the Forbidden Abbreviation list will not be processed. Forbidden list checked: Yes No Abbreviation: ___________________________________________________________ Description: ____________________________________________________________ Recommended by: ______________________________________________________________________ Reason abbreviation is being added or deleted: _________________________________________________________________________________________ _________________________________________________________________ Does the abbreviation already exist? Yes No If yes, what is the current meaning? ______________________________________________ Add to new Meditech Abbreviation List: To be used for those abbreviations that Meditech requires us to utilize. Approved By Medical Record Committee Chair: __________________________________ Signature Date Routing Order: Employee/Physician initiates the new abbreviation request by filling out this form on-line and then sending it to the HIM Manager. HIM Manager completes this form and takes the form to the next Medical Records Committee Meeting. If approved the Medical Record Committee Chair will sign and date the form and forward the form request onto MEC. If approved by MEC then the Medical Staff Services Department will update the online abbreviation list. If the abbreviation does not make it through the approval process then the HIM Manager needs to follow-up with the person that recommended the abbreviation. (O:11/00, R:1/04,12/04,4/05,05/06)