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used to be IU/mL but JCAHO says dangerous

Posted By: dangerous abbrev list so spell it out.... on 2008-03-17
In Reply to: Quantitative hep C - Sheila

Subject: used to be IU/mL but JCAHO says dangerous

international units per mL


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What is JCAHO?
Subject: What is JCAHO?

I've seen it on client profiles and I don't even know what it is, so don't know how I can use it.
I mean JCAHO--ha
Subject: I mean JCAHO--ha


You definitely do for a JCAHO facility.
Subject: You definitely do for a JCAHO facility.

Some accounts will not tell you but cc is a big no no on the Joint Commission "Do Not Use List" See site below.  Account I type for now, MTSO was/is not even aware.  They dictate cc but I change to ml and have not had a report come back yet.
It is JCAHO Do Not Use List...see
Subject: It is JCAHO Do Not Use List...see

http://www.jointcommission.org/patientsafety/donotuselist/

h.s. is one of the abbreviations on the list. They say to substitute at bedtime.

Your account preferences take priority, however. I have one client who wants me to use h.s. and I do for them.
I believe that "q" is a prohibited abbreviation per JCAHO. I usually put "a day" or 
Subject: I believe that "q" is a prohibited abbreviation per JCAHO. I usually put "a day" or "every day."


per JCAHO - no trailing zeros on meds
Subject: per JCAHO - no trailing zeros on meds


"cc" is a possible future listing in JCAHO "do not use list" sm
Subject: "cc" is a possible future listing in JCAHO "do not use list" sm

JCAHO requires its members to follow an official "do not use list" and "cc" is being considered for possible future inclusion in the JCAHO "do not use list" to be replaced by "mL" because it can be misread as U or unit when poorly WRITTEN...typing it is not as problematic but I go ahead and change it to mL to encourage dictators to make the "mental shift" away from "cc" ...hope that helps! see this link http://en.wikipedia.org/wiki/List_of_medical_abbreviations
Commission on Accreditation of Healthcare Organizations (JCAHO, pronounced "jay-co"), nm
Subject: Commission on Accreditation of Healthcare Organizations (JCAHO, pronounced "jay-co"), nm


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.
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
dangerous abbreviations
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.
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!
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).



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
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
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.
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.
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...)
As q. day is a dangerous abbreviation, the correct format is p.o. daily...:)...nm
Subject: As q. day is a dangerous abbreviation, the correct format is p.o. daily...:)...nm

x
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
I would type q. hour of sleep or at bedtime, q.h.s. is on the dangerous abbrevation list.
Subject: I would type q. hour of sleep or at bedtime, q.h.s. is on the dangerous abbrevation list.

xx