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HUC Transcription
HUC Studies Transcription Process (inclueds abbreviations)
| Term | Definition |
|---|---|
| JCAHO "Do not use" list | u for unit; iu for international unit; qd for every day; qod for every other day; M.S., MSO4 MGSO4 for magnesium sulfate or morphine sulfate; Trailing zeros or lack of leading zeroes when writing decimals |
| General rule for preventing errors | "When in doubt, write it out." |
| tech | technician |
| cath | catheter |
| cal | calorie |
| gen | general |
| BRP | bathroom privileges |
| IV | Intravenous |
| US | Ultrasound |
| MRI | Magnetic resonance imaging |
| ad lib | ad libitum; freely, as desired |
| bid | bis in die; two times a day |
| NPO | non per os; nothing by mouth |
| qd | quaque die; once a day |
| qid | quarter in die; four times a day |
| tid | ter in die; three times a day |
| CNA | Certified nursing assistant |
| DO | doctor of osteopathy |
| HUC | health unit coordinator |
| LPN | licensed practical nurse |
| LVN | licensed vocational nurse |
| MD | medical doctor |
| PCT | patient care technician |
| RN | registered nurse |
| ac | before meals |
| asap | as soon as possible |
| as tol | as tolerated |
| bid | two times a day |
| cont | continuous |
| h, hr, hrs | hour(s) |
| hs | bedtime, hours of sleep |
| midnoc | midnight |
| min | minute |
| MN | midnight |
| MR | may repeat |
| nec | necessary |
| pc | after meals |
| prn | as necessary |
| q | every |
| q day | every day |
| qh | every hour |
| qid | four times a day |
| qod | every other day |
| rt | routine |
| stat | immediately |
| tid | 3 times a day |
| amb | ambulatory |
| BR | bedrest |
| BSC | bedside commode |
| CBR | complete bedrest |
| OOB | out of bed |
| ax | axillary |
| BP | blood pressure |
| CMS | circulation, motion, sensation |
| I/O | intake/output |
| NVS | neurological vital signs |
| P | Pulse |
| R | Respiration |
| T | Temperature |
| VS | Vital signs |
| wt | weight |
| HOB | Head of bed |
| lt, L | left |
| rt, R | right |
| AE | antiembolism |
| CBI | continuous bladder irrigation |
| drsg | dressing |
| irrig | irrigation |
| NG | Nasogastric |
| SSE | Soap suds enema |
| st | straight |
| TCDB | turn, cough, deep breath |
| TEDs | AE hose |
| TWE | tapwater enema |
| WMC | warm moist compress |
| cc | cubic centimeter |
| cm | centimeter |
| gtts | drops |
| g | gram |
| gr | grain |
| mEq | milliequivalent |
| ml, mL | milliliter |
| cal | calorie |
| cl | clear |
| DAT | Diet as Tolerated |
| FF | force fluids |
| reg | regular |
| liq | liquid |
| NAS | no added salt |
| NPO | nothing by mouth |
| IM | intramuscular |
| INT | intermittent |
| IVPB | intravenous piggyback |
| po | by mouth |
| subl | sublingual |
| subq | subcutaneous |
| D/RL | dextrose lactated Ringers |
| D5W | dextrose 5% water |
| DW | dextrose water |
| H2O2 | Hydrogen Peroxide |
| LR, RL | lactated Ringers |
| NS | Normal Saline |
| soln | solution |
| TKO | to keep open |
| c (with bar over) | with |
| p (with bar over) | after |
| s (with bar over) | without |
| / | per |
| ↑ | up |
| ↓ | down |
| ∆ | change |
| @ | at |