Services or Units in a Health Care Facility

1 S-1 Services or Units in a Health Care FacilityAbbreviAtionDeFinitionA & Dadmitting and dischargeCScentral service (or supply)ORoperating room, surgery (MOR, minor surgery)RRrecovery roomPT & OTphysical therapy and occupational therapy (also PM & R [physical medicine and rehabilitation])X-rayradiologyLabmedical laboratoryMRmedical records PedspediatricsMed-Surgward for medical and surgical patients (may be combined or separate)OBobstetrics (includes labor and delivery rooms, postpartum ward, and newborn nursery for healthy babies)ICN (or NICU)intensive care nursery (or newborn intensive care unit ) for premature or unhealthy babiesOPDoutpatient department ERemergency room (also ED [emergency department])ENTear, nose, and throatGUgenitourinaryNPneuropsychiatricS Ssocial serviceCCU or ICUcoronary care unit or intensive care unitDOUdefinitive observation unit (less than intensive care, but more than floor care)Dietary (FS)food serviceHousekeeping janitorial service Pharmacy drugstoreMorgueunit for autopsies/holding the deceasedPathology (path)laboratory for study of diseased tissues, including bloodAbbreviations and Symbols Jones and Bartlett Publishers, LLC.

2 NOT FOR SALE OR DISTRIBUTIONS-2 Abbreviations and SymbolsFrequenciesAbbreviAtionDeFinition qeveryQdonce a dayQodevery other dayq x hevery x hours (insert number of hours)bidtwice a daytidthree times a dayqidfour times a dayHsat bedtime (hour of sleep)Acbefore mealsPcafter meals Prnwhen needed ad libas desiredStatimmediatelyUnitsAbbreviAtionD eFinitiontabstablets, pillsg or gmgramsGrgrainsCccubic centimetersmL or mlmillilitersLliter (1000 cc or ml)MEqmilliequivalentUunits gtts dropsOzouncesdrdramsMeans of Administering Substances into the bodyAbbreviAtionDeFinitionpoby mouth (per os)IVintravenously (into a vein; usually a peripheral vein)IMintramuscularly (into a muscle)Hhypodermically (with a needle)subcu, subqsubcutaneously (through the skin, into the fatty tissue)subling sublingually (under the tongue) Jones and Bartlett Publishers, LLC.

3 NOT FOR SALE OR DISTRIBUTION Diet Orders S-3 AbbreviAtionDeFinitionRrectally (by rectum)parenteral a solution given intravenouslyenteral tube feeding (into stomach or small intestine)D5W5% glucose in distilled water used IVcapscapsulesSuppsuppository1/2 saline solution: isotonic solutionclysis fluids given by needle, under skin (not in vein)TKOto keep open (vein)KVOkeep vein openDiet ordersAbbreviAtionDeFinitionnponothing per os (nothing to eat or drink orally)I & Ointake and output (measured)cl liqclear liquids only ( , ginger ale, tea, broth, Jell-O, 7-Up, coffee)f liqfull liquid (addition of milk and milk products); liquid at body temperaturelo salt, low Na, salt freerestricted in sodium (ordered by mg or g of sodium desired, , 2 g Na, 500 mg Na)NASno added salt; usually 4 6 g Na (mild restriction)regregular diet (house or normal sometimes used).

4 A balanced diet without restrictions as to the type of food texture, seasoning, or preparation methodmech soft mechanical soft; a regular diet with alteration in texture only; sometimes called edentulousmed soft medical soft; alterations in texture, preparation methods, and seasoningsbland a medical soft diet further altered to omit acid-producing beverages, and restrict seasonings; altered feeding intervalslo reslow residue; alteration in texture, and a limited food selection to yield little intestinal residuehigh fiber a regular diet with increased amounts of foods containing dietary fiberFF or PFforce or push fluids; increasing the liquid intake by addition of extra fluidsint fdg or int nourinterval feeding; supplemental nourishment served between meals DATdiet as toleratedADA diet American Dietetic Association diet; refers to calculated diet plans used primarily for diabeticsAHA dietAmerican Heart Association diet; refers to calculated diet plans used primarily to reduce risk of heart disease Jones and Bartlett Publishers, LLC.

5 NOT FOR SALE OR DISTRIBUTIONS-4 Abbreviations and SymbolsPatient MovementsAbbreviAtionDeFinitionCBRcomple te bed rest; ABR (absolute bed rest)dangle sit at edge of bed, legs over side ambulate walkOOBout of bedBRPbathroom privileges; may be up to bathroom onlycommodebedside toiletLaboratory/X-ray Studies and Pulmonary FunctionAbbreviAtionDeFinitionAP and lat routine X-ray picture of chest (front to back and side view)up upright X-ray picture decub decubitus (lying) positionIVPintravenous pyelogram (kidney)BEbarium enema (colon)2GI series upper (barium swallow): X-ray of stomach/duodenum; lower (same as BE): X-ray of lower bowel/colonGB series gallbladder X-ray pictureMRImagnetic resonance imaging; noninvasive procedure using a magnetic field that yields images for dxRAI, RAIU radioactive iodine (uptake) for diagnosing thyroid functionSCANCT, CAT: computed tomography, computerized axial tomographyCBCcomplete blood count UAurinalysisVCvital capacity (lungs)Medical and Laboratory DiagnosisAbbreviAtionDeFinitionA & Pauscultation and percussionASHD arteriosclerotic heart diseaseCAcarcinoma (cancer)CBSchronic brain syndromeCCchief complaintCHDcoronary heart disease; congenital heart diseaseCHFcongestive heart failurec/ocomplains of COPD/COLD chronic obstructive pulmonary (lung) disease Jones and Bartlett Publishers, LLC.

6 NOT FOR SALE OR DISTRIBUTION Medical and Laboratory Diagnosis S-5 AbbreviAtionDeFinitionCPcerebral palsyCVDcardiovascular diseaseC VAcerebrovascular accident (stroke)DJDdegenerative joint disease (osteoarthritis)FHfamily historyFUOfever of undetermined originGCgonorrheaHEENT head, eyes, ears, nose, throatHxhistory(S)LE(systemic) lupus erythematosusMDmuscular dystrophyMImyocardial infarctionMSmultiple sclerosism murmurP & Apercusssion and auscultationPEphysical examPERRLA pupils equal, round, react to light and accommodation (eyes)PIpresent illnessPIDpelvic inflammatory diseasePHpast historyRArheumatoid arthritisR/Orule outRxrecipe, take, prescriptionSOBshort of breathSR or ROSsystemic review or review of systems Sxsymptoms T & Atonsillectomy and adenoidectomyTIAtransient ischemic attackTPRtemperature, pulse, respirationURIupper respiratory infectionUTIurinary tract infection Jones and Bartlett Publishers, LLC.

7 NOT FOR SALE OR DISTRIBUTIONS-6 Abbreviations and SymbolsMiscellaneousAbbreviAtionDeFiniti onqnsquantity not sufficient (lab requires a larger specimen); also refers to insufficient food/liquid intake DcdiscontinueTLCtender loving carestat immediately (also ASAP; as soon as possible)EUAexamination under anesthesiaDOAdead on arrivalODoverdose; also means right eye (refer to context where used)Preppreparev/svital signsECG, EKGelectrocardiogramEEGelectroencephalog ramDxdiagnosisTxtreatment RxprescriptionSxsymptomsNa+natrium: sodium (chemical symbol for )K+potassium (chemical symbol for)Ca+calcium (chemical symbol for)P+phosphorus (chemical symbol for)Cl chloride (chemical symbol for)Iiodine (chemical symbol for)Feiron (chemical symbol for)Hgmercury (chemical symbol for)Adapted from: Stanfield, Hui, N.

8 Cross, eds. Essential Medical Terminology, 3rd ed. (Sudbury, MA: Jones & Bartlett; 2008). Jones and Bartlett Publishers, LLC. NOT FOR SALE OR DISTRIBUTION