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Joint Commission control the dangerous

Posted By: winnie on 2007-12-27
In Reply to: .. cont'd. However, that's an AAMT? recommendation only, and your - client and/or QA will ultimately rule on that. NM

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.


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Make that Joint Commission etc. Sorry. nm
Subject: Make that Joint Commission etc. Sorry. nm


I thought Joint Commission did not
Subject: I thought Joint Commission did not

allow abbreviations in final diagnosis. Maybe I got it wrong.
I think it is just control of tumor necrosis factor and (kakectins) from virologic control.
Subject: I think it is just control of tumor necrosis factor and (kakectins) from virologic control.


Commission on Accreditation of Healthcare Organizations (JCAHO, pronounced "jay-co"), nm
Subject: Commission on Accreditation of Healthcare Organizations (JCAHO, pronounced "jay-co"), nm


The tibiotarsal joint is the joint between the tibia and the tarsus.
Subject: The tibiotarsal joint is the joint between the tibia and the tarsus.


patella femoral joint or patellofemoral joint?
Subject: patella femoral joint or patellofemoral joint?

what is correct?  if the doctor says patella femoral joint do you change it or do you leave it as he dictates it? 
no and, just one joint. Calcaneocuboid joint. nm
Subject: no and, just one joint. Calcaneocuboid joint. 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.
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.
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
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
1.1 x control
Subject: 1.1 x control


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
could it be dilution control?
Subject: could it be dilution control?

.
Should be A/C (assist/control) NM
Subject: Should be A/C (assist/control) NM


Birth control s/l
Subject: Birth control s/l

At her last visit given prescription for s/l alas to start with her next period. Concerned that she may have weight gain similar as she had with Yaz.
OB-GYN med/birth control
Subject: OB-GYN med/birth control

I'm doing a gynecology note and the doc says the patient will start the *s/l* serafene 50 mg a day.  Anyone heard of this?


TIA


yes, can I control that on the key pad...or adjust it
Subject: yes, can I control that on the key pad...or adjust it


Birth control name
Subject: Birth control name

I'm doing a gynecology report and the doc says the patient is on *s/l delavette* for birth control, but I can't find anything like that. Anyone know what this could be?


TIA


Birth control pills
Subject: Birth control pills

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Birth control pill s/l Sen sin eek nm
Subject: Birth control pill s/l Sen sin eek nm