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FYI - per BOS2, cc is a dangerous abbreviation

Posted By: so use mL. (nm) on 2008-02-27
In Reply to: How do you type estimated blood loss, with cc or mL? - curious

Subject: FYI - per BOS2, cc is a dangerous abbreviation

x


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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.
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.
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


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.........
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.
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.
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
For further clarification, per AAMT BOS2 if there is a value associated with this abbreviation it sh
Subject: For further clarification, per AAMT BOS2 if there is a value associated with this abbreviation it should be sq cm, i.e. 2 sq cm not 2 cm2 as too many numerals may cause confusion and not be easily read.


AAMT BOS2 says no hyphen unless it is a proper noun, capitalized word, number or abbreviation
Subject: AAMT BOS2 says no hyphen unless it is a proper noun, capitalized word, number or abbreviation


I agree; AAMT BOS2 states "The abbreviation mL is preferred to ml to avoid the l being misread as
Subject: I agree; AAMT BOS2 states "The abbreviation mL is preferred to ml to avoid the l being misread as the numeral 1 (one). "


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?


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.
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


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
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.
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


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.
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.
BOS2........sm
Subject: BOS2........sm

MT50, I have the free download and couldn't find it.  Would you tell me how you found it for next time.  ty so much.
Per BOS2, 2nd, 3rd, etc.
Subject: Per BOS2, 2nd, 3rd, etc.

x
Thanks! I think my QA must be using BOS2.
Subject: Thanks! I think my QA must be using BOS2.

x
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...)
Per AAMT BOS2
Subject: Per AAMT BOS2

Under "dangerous abbreviations" they would prefer mL instead of cc; thus, have changed it in my expansions and use it for all hospitals without anything to the contrary ever being said for about a year now.
and per BOS2 and AAMT for this we are not
Subject: and per BOS2 and AAMT for this we are not

not supposed to expand - unless your client profile says to - so if the dictator says I's and O's and it's verbatim - well....they get I's and O's.  Most accounts today do not want over-expansions to pad lines.  Of course, the client profile (CP) comes first or client preferences, but secondarily across the board - BOS2 keeps us all pretty uniformed....
not QA here but page 149 BOS2
Subject: not QA here but page 149 BOS2

Page 149 in Book of Style 2nd edition explains this in detail. 


See below taken from AAMT BOS2
Subject: See below taken from AAMT BOS2

Ordinals: Ordinal numbers are used to indicate order or position in a series rather than quantity.

Ordinals are commonly spelled out, especially when the series goes no higher than 10 items. However, as with all numbers in medical reports, AAMT recommends using numerals: 1st, 2nd, 3rd, 4th, etc.

Do not use a period with ordinal numbers.

3rd rib (or third)
5 th finger (or fifth)
She is to return for her 3rd (or third) visit in 2 days.
She was in her 9th (or ninth) month of pregnancy.
His return visits are scheduled for the 15th and 25th of next month.
The 4th cranial nerve...
From AAMT BOS2
Subject: From AAMT BOS2

followup, follow up
Use followup for the noun and adjective forms (the hyphenated form, follow-up is an acceptable alternative).

The patient did not return for followup. (noun)
In followup visits, she appeared to improve. (adjective)

For the verb, the two-word form follow up is the only correct choice.

We will follow up with regular return visits. (verb)


HINT: To test whether the correct form is one word or two, try changing the tense or number. If one or more letters must be added, the correct form is two words.

We will follow up.
tense change >>
We followed up.
(Followedup is not a word, so followed up must be two words.)
We follow up.
number change >>
He follows up.
(Followsup is not a word, so follows up must be two words.)

per BOS2, no apostrophe after name
Subject: per BOS2, no apostrophe after name


Per AAMT- BOS2
Subject: Per AAMT- BOS2

Express partial units as indicated.

D: grade 4 and a half over 6 murmur
T: grade 4.5 over 6 murmur
or grade 4.5/6 murmur

D: grade 4 to 5 over 6 murmur
T: grade 4 to 5 over 6 murmur
or grade 4/6 to 5/6 murmur
not grade 4-5/6 murmur
Per AAMT BOS2
Subject: Per AAMT BOS2

With periods for the latin abbreviation i.e.
q.i.d.
p.o.
b.i.d.
etc.
Per AAMT-BOS2...
Subject: Per AAMT-BOS2...

In particular, avoid the use of unnecessary or inappropriate capitals. Do not, for example, capitalize a common-noun reference to a thing or person if it is just one of many other such things or persons. Thus, emergency room and recovery room are not capitalized. Think of the rule for generic versus brand names for drugs. The generic term (common noun) emergency room is applied to all emergency rooms, so it is not capitalized.

Thus, I do not capitalize it unless it is with a facility name so I would say you are correct. Always exceptions to the rule according to the facility preference.
Per AAMT BOS2
Subject: Per AAMT BOS2

disk
Dictionaries and other reference works have long shown a lack of agreement about the spelling of this word. Some authorities prefer the spelling disc for references to the eye and disk for the spine. Others have an opposite preference.

We recommend the spelling disk for all anatomic and surgical references for this round, flat, regular, and regularly condensed plate of material.

There is classical support for this spelling. Disk is derived from the Greek diskos and came into our lexicon by way of medieval Latin (discos), whose alphabet does not include a k. Other English words ending in sk with similar derivation include ask, desk, kiosk, task, and whisk. By comparison, there are very few English words that end in sc.

optic disk
L4-5 disk space
diskectomy
diskitis
Per AAMT BOS2
Subject: Per AAMT BOS2

Follow up versus follow-up; the hyphenated form is also an acceptable alernative.

Rest of the rules...
Followup, follow up: Use followup for the noun and adjective forms (the hyphenated form, follow-up is an acceptable alternative).

The patient did not return for followup. (noun)
In followup visits, she appeared to improve. (adjective)

For the verb, the two-word form follow up is the only correct choice.

We will follow up with regular return visits. (verb)


HINT: To test whether the correct form is one word or two, try changing the tense or number. If one or more letters must be added, the correct form is two words.

We will follow up.
tense change >>
We followed up.
(Followedup is not a word, so followed up must be two words.)
We follow up.
number change >>
He follows up.
(Followsup is not a word, so follows up must be two words.)
Per AAMT-BOS2 (sm)
Subject: Per AAMT-BOS2 (sm)

Capitalize the word following the colon if it is normally capitalized, if it follows a section or subsection heading, or if the list or series that follows the colon
includes one or more complete sentences. Lowercase the first letter of each item
in a series following a colon when the items are separated by commas.
The patient is on the following medications: Theo-Dur, prednisone, Bronkometer.
ABDOMEN: Benign.
Pelvic examination revealed the following: Moderately atrophic vulva. Markedly
atrophic vaginal mucosa.
or Pelvic examination revealed the following: moderately atrophic vulva, markedly atrophic vaginal mucosa.