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dangerous abbreviations

Posted By: L on 2009-06-03
In Reply to:

Subject: dangerous abbreviations

Now please do not flame me for asking, but I am getting confused about some of these.  The one for today is hs.  Is it used at all?  If so, is it hs or h.s.?  I thought it was not used, but substitute "bedtime", but I do not find it in BOS and on page 463 of BOS 2 it lists "BT" as to not use but substitute "hs."  Can anyone give me a definitive reply with citation of source?  Thanks.


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But cc is on the dangerous abbreviations list
Subject: But cc is on the dangerous abbreviations list

Most places want you to change to mL (or sometimes even milliliters).



With the dots as in b.i.d. but q.d. is now on Dangerous Abbreviations
Subject: With the dots as in b.i.d. but q.d. is now on Dangerous Abbreviations

s
You'll have to search for the dangerous abbreviations list to see, but ultimately
Subject: You'll have to search for the dangerous abbreviations list to see, but ultimately

s
and the reason it's on the dangerous...sm
Subject: and the reason it's on the dangerous...sm

abbreviation list is because h.s. (hour of sleep) is confused with half-strength.  *S*
how do you write Z-pac? also is qid a dangerous
Subject: how do you write Z-pac? also is qid a dangerous

abbreviation?


This is a dangerous abbreviation and should be
Subject: This is a dangerous abbreviation and should be

changed to "at bedtime" but if it is an office note or you don't have to worry about that, it does not need the space after the q. -- q.h.s.
used to be IU/mL but JCAHO says dangerous
Subject: used to be IU/mL but JCAHO says dangerous

international units per mL
Dangerous abbv?
Subject: Dangerous abbv?

I believe the list of dangerous abbreviations says not to use "&" symbol, but to use "and." D&C should be D and C; O&P should be O and P, etc. Not sure if I'm remembering this correctly.

Does anyone know if this sounds correct? Thanks.
It's not a dangerous abbreviation (sm)
Subject: It's not a dangerous abbreviation (sm)

but some platforms do not support symbols like the "&" sign and so you might not be able to type it. On my employer's platform I can't type it or it will cause an error when the report is being sent.
Per BOS - it is "nightly." Look in dangerous
Subject: Per BOS - it is "nightly." Look in dangerous

x
q is considered a dangerous
Subject: q is considered a dangerous

abbreviation when standing alone. Unless client wants you to use it, replace with "every."
question about dangerous abbr.
Subject: question about dangerous abbr.

I know that IU (international units) is considered a dangerous abbreviation.  the doctor gives TSH value as UIU so what does that little backwards u stand for and how is it properly expanded??


thanks for helping out this old dummy


cc is now classified as a dangerous abbreviation..
Subject: cc is now classified as a dangerous abbreviation..





























Table 1. Dangerous abbreviations and dosage designations

Problem
Term


Intended
Meaning


Reason for
Problem(s)


Suggested
Remedy


AU


both ears


Read as OU (both eyes) or not understood


Use "both ears"


cc for expressing liquid measurements


cc (same as mL)


Read as u (unit)


Use "mL" when expressing liquid measurements (drugs, urine, blood, etc.)


D/C


discharge


Interpreted as discontinue medications resulting in premature discontinuance of current medication


Use "discharge"


IN


intranasal


Read as IV or IM or heard as IM


Write "intranasal" "nasally" or use "NAS" if limited by computer space allotted


VERY dangerous to guess drugs with sm
Subject: VERY dangerous to guess drugs with sm

someone else's s/l and no text!
Wrong, b.i.d. is NOT on the dangerous list. q.d. is, though.
Subject: Wrong, b.i.d. is NOT on the dangerous list. q.d. is, though.

x
yes - they use dangerous abbreviation list
Subject: yes - they use dangerous abbreviation list


dangerous abbreviation-should be discontinue
Subject: dangerous abbreviation-should be discontinue

DC can be discontinue or discharge; hence, JCAHO considers it a dangerous abbreviation.  If you have a verbatim account use d/c his stitches.........
This is now considered to be a dangerous abbrev. Unless...sm
Subject: This is now considered to be a dangerous abbrev. Unless...sm

otherwise stated by the client, use at bedtime or at hour of sleep.
Nothing about that on dangerous abbrvns list, so keep it
Subject: Nothing about that on dangerous abbrvns list, so keep it

s
Can someone help with dangerous abbv question?
Subject: Can someone help with dangerous abbv question?

Patient takes Humulin insulin 70/30. The list says to use per in place of a slash, but it doesn't seem to fit in this case.
FYI - per BOS2, cc is a dangerous abbreviation
Subject: FYI - per BOS2, cc is a dangerous abbreviation

x
Duh! Thanks! I should have known that as I have a list of dangerous abbv. nm
Subject: Duh! Thanks! I should have known that as I have a list of dangerous abbv. nm


DC is considered a dangerous abbreviation
Subject: DC is considered a dangerous abbreviation

per BOS2 and should NOT be used. You use it in the context, not hard to determine if it means discontinue/d or discharge/d.
subq is a dangerous abbreviation and
Subject: subq is a dangerous abbreviation and

is not to be used at all. I use subcutaneous or subcutaneously, whichever one fits.
yes. But may be on list of dangerous abbrevs. sm
Subject: yes. But may be on list of dangerous abbrevs. sm

I used this abbrev a lot but did not do BOS.
cc is considered a dangerous abbreviation
Subject: cc is considered a dangerous abbreviation

per BOS, however, if the facility/MTSO, etc. wishes to use cc they trump BOS.
These are probably not abbreviations. sm
Subject: These are probably not abbreviations. sm

Is that the entire EKG interpretation? Check your BOS for help with EKG terms.
CT KUB/Abbreviations
Subject: CT KUB/Abbreviations

Check a TT SF CB DD CC....I wish they would just drop the abbreviations. All the "e" letters come across sounding alike as do the S's and F's. Then there are the B's and V's. There are about 35 abbreviations for CT,the most common of which is computerized tomography, but the list goes on and on. Cobra toxin is a good one!
Abbreviations.
Subject: Abbreviations.

2-3-day history of a pelvic pain along her bladder area. This pain is described as a constant crampy pressure pain, tender to touch, and is associated with urinary urgency and frequency. She denies any S/C/N/V/D/C.


New doctor for me. She likes to use a lot of abbreviations. Not sure what S/C/N/V/D/C is.


Also, doctor uses "MRC CUA" under plan. It is just by itself. Any clues?????


Abbreviations (sorry not much help)
Subject: Abbreviations (sorry not much help)

According to Stedman's  BSA= body surface area.  BFA abbreviations do not make sense here (BFA= baby for adoption  or  bifemoral arteriogram.)  Hope this helped a little anyway! 
abbreviations...
Subject: abbreviations...

Don't you just love them: Let's see there is:
1. continuous performance test,
2. continuous primary tests,
3. chest physiotherapy,
4. clinical pharmacokinetics team,
hmmm, I wonder, which one sounds the best to you?
There are many abbreviations that have
Subject: There are many abbreviations that have

more than one meaning, if in doubt use the abbreviation, EVEN if it is in the diagnosis.
abbreviations AS, AI, MR??
Subject: abbreviations AS, AI, MR??

I have to expand these abbrevations, but I'm having a hard time finding which ones are the right ones. The sentence is "multiple murmurs of AS, AI, and MR"
dangerous person NMT is not evening knowing
Subject: dangerous person NMT is not evening knowing

and she IS the one who started it all

she bashes the very company who pays her while she puts them at extraordinary risk

she's dangerous and she doesn't even care -- she's not even made an apology for having done that or even realized what she did other than to cause a stir

she'll never be a quality mt and certainly not a valuable employee with her lack of insight or ethics
pin ... does your acct require you to adhere to dangerous
Subject: pin ... does your acct require you to adhere to dangerous

just asking


MOST places, not all. Some still give the docs whatever they want, dangerous or not. nm
Subject: MOST places, not all. Some still give the docs whatever they want, dangerous or not. nm

s
Joint Commission control the dangerous
Subject: Joint Commission control the dangerous

abbreviations list and not AHDI although the BOS contains information about them. You should check with a supervisor or lead to see about your particular situation. Account specifics usually tell you what is and is not acceptable if you are working for an MTSO who does hospital work. Joint commission rules do not apply in an outpatient or physician's office setting unless the client wants it. If this is a private account then you call the shots with the client's approval.
Stedman's Abbreviations has it as
Subject: Stedman's Abbreviations has it as

T-MAX, Tmax, or T-max. but don't take my word for it. Ask the others on this site who know everything.
also in Stedmans abbreviations nm
Subject: also in Stedmans abbreviations nm


What abbreviations are and are not appropriate will be different for each account sm
Subject: What abbreviations are and are not appropriate will be different for each account sm

Go with what your QA tells you.  It may be acceptable but the doctor may not like/want it done that way.  I've found every account has different rules and preferences.
metric abbreviations- sm
Subject: metric abbreviations- sm

Is one form correct over another when abbreviating the measurement 'microgram?'  I know I've seen it abbreviated as mcg, but in my chemistry background, we always used the symbol that looks like a funny letter 'u.'  I can type that symbol in Word, but I'm not sure if it's necessary or preferred.  This is the first time I've had the term 'microgram' dictated. 


Side note, do you use upper or lower case 'L' to represent a liter?  I've seen both used. 


In the diagnosis, I would (no abbreviations)
Subject: In the diagnosis, I would (no abbreviations)


Unless you are to expand abbreviations
Subject: Unless you are to expand abbreviations

you transcribe it as dictated.
According to the Stedman's abbreviations
Subject: According to the Stedman's abbreviations

& Acronyms it is

geriatric assessment unit
Unless you have to expand all abbreviations
Subject: Unless you have to expand all abbreviations

don't waste your time worrying about it, just type it.
no, This dictator is big on abbreviations, but I just can't get it, nm
Subject: no, This dictator is big on abbreviations, but I just can't get it, nm

x
Expanding abbreviations
Subject: Expanding abbreviations

Are there any abbreviations that should NEVER be expanded on the diagnoses section of a hospital record?  I was told that T-spine should never be expanded to thoracic spine; however I learned that ALL abbreviations are to be expanded and dont agree.  Please help. 
even though I, too, avoid using abbreviations in dx, I
Subject: even though I, too, avoid using abbreviations in dx, I

would have used the "B" - mainly because you just don't often see the term "beta" strep used - you always see "group B strep," so I think that's why they changed it.


does your account follow dangerous abbrevation list?
Subject: does your account follow dangerous abbrevation list?

nm
Link for AAMT dangerous abbrevs list HTH :D
Subject: Link for AAMT dangerous abbrevs list HTH :D

Here's a link to the online AAMT Dangerous Abbreviations list. http://aamtonline.org/abbreviations.htm
We can use q.day, but q.d. must be expanded to every day or daily.
HTH!
Do you have to follow AAMT dangerous abbrevs list?
Subject: Do you have to follow AAMT dangerous abbrevs list?

We have to change 'cc' to 'mL' in nearly every instance now :( because that's listed on the AAMT Dangerous Abbreviations list. Were you able to keep it '2 cc' as above?
Just curious whether that's becoming the standard. (seems to me that most of those 'dangerous abbreviations' would only cause confusion if they were written, not when typed/transcribed...)