Ac: before meals ad lib: at will, as desired adm : admission, admitted

1. ABBREVIATIONS • IDDM: insulin dependent diabetes mellitus • IV: intravenous • IM: intramuscular • Magnesium Sulfate (entire word) • mg: milligram • ml: milliliter (do not use cc) • Morphine Sulfate entire word) • MVA: motor vehicle accident • NPO: nothing by mouth • NTG: nitroglycerin • O2: oxygen • post-op: postoperative (after surgery) • pre-op: preoperative (before surgery) • po: by mouth • pt: patient • prn: as needed • pc: after meals • qh: every hour • qid: four times a day • Rx: prescription • sc/sq: subcutaneous • s: without • sx: symptoms • s/s: signs and symptoms • STAT: immediately • SOB: short of breath • tab: tablet • TPR: temperature, pulse, respiration • Unit: entire word) • vs: vital signs Lead with zero: write 0.5mg not .5mg • Ac: before meals • ad lib: at will, as desired • adm: admission, admitted • ASAP: as soon as possible • Bid: twice a day • Bm: bowel movement • BP: blood pressure • BRP: bathroom privileges • C: Centigrade, Celsius • Cap: capsule • CC: chief complaint • c/o: complains of • C02: carbon dioxide • CPR: cardiopulmonary resuscitation • CXR: chest x-ray • Daily (entire word) • d/c: discontinue or discharge • ECG/ EKG: electrocardiogram • EBL: estimated blood loss • ER: emergency room • Every other day (entire word) • F: Fahrenheit • Fb: foreign body • fx: fracture • gtt: drop-liquid measurement • H & P: history and physical • HR: heart rate • hr: hour • hs: hour of sleep (bedtime) • H20: water • I & O: intake and output

2. DOWNTIME TIPS (DT) Prior to ALL types of Downtimes • Post DT notices & remind staff time DT is starting • Check DT kits for copies of each documents (make copies as needed) • Listen for overhead announcements for start of DT MEDIPAC DT: • Print Patient List to track incoming and outgoing patient movement • When DT is over, Discharge and Transfer patients to correct locations. Refresh census • Call Admitting if new admissions are not on census within 1 hour HEO/Wiz: • Print extra patient labels in HEO/Wiz and EasyID (may use blue card and addressograph) • Print OPC, CP Snapshot and CN Snapshot as needed • Place extra POS on counter by MRs desk (1 copy should always be in chart) • Round to retrieve written orders and fax Pharmacy their copy • Complete DT Reqs for ancillary depts when orders are handwritten HED: • Affix patient label on document or stamp paper documents with addressograph • Print/ make copies of Flowsheetsand deliver to nurses to chart care • Admin-Rx DT: pick up computer generated MARs & give to RNs MEDIPAC Keyboard Tips ( do not use mouse) Pause/Break/Scroll Lock: back to menu Tab: Moves cursor forward Shift + Tab: Moves cursor backward Esc key: Reset key (removes stick man) F3: Goes back one screen in function F7: Turns page back : F8: Turns page forward F9: Same account or bed selection Type A to select a functions • Discharge (IA) Depart (OT) • Type 0, then 12-digit account /Case # • Enter exact time patient is discharged • Enter 2 times for departures: • a. Patient physically leaves • b. Patient medically able to leave- get from RN • 4. Disposition code: be sure to select “E” for alive pts Create Assignments in HED PAVILLIONS 1 VUH Adult Hospital 3 VCH Children’s Hospital 4 Heart & Vascular (7N, 5N, 5S, 6S, CCL, COBS) • Click Create Assignment • Provider Type: RN • Care Relationship: Primary Nurse or CP • Shift: Days / nights • Back time 15 min, then uptime 15 min • Search: Caregivers name • Patients: hold Crtl to select more than one • Click Assign Discharge/ Depart in Error Call Admitting Dept to cancel Orders lost in 4 hours 2