Acronym/Abbreviation/Symbol Focus All Chapters Flashcards
SOAP
format when documenting information in a patient’s chart or medical record
- Subjective data
- Objective data
- Assessment of the data
- Plan for future care
A&O
alert and oriented
ā
before
a = before
p = after
c = with
q = every
s = without
ac
before meals
a = before
ac = before meals
p = after
pc = after meals
LTG
Long
Term
Goal
Meds
Medication
Noc
night, at night
TIP: NOCturnal
ad lib.
as desired, at discretion
NPO or npo
nothing by mouth
not permitted orally ?? maybe ?
was on quiz
ADLs
Activities
of
Daily
Living
OOB
Out
Of
Bed
AMA
Against
Medical
Advice
OTC
Over
The
Counter
B/S
BedSide
p̄
after
was on quiz
a = before
p = after
c = with
q = every
s = without
Bid
twice a day
Bi = twice
D = day
bid = twice a day
tid = three times a day
qid = quad, four times a day
pc
after meals
a = before
ac = before meals
p = after
pc = after meals
BRP
BathRoom Privileges
PE
Physical Examination
c̄
with
TIP
c = con = with
a = before
p = after
c = with
q = every
s = without
per
by/through
c/o
complains of
PLOF
Prior
Level
Of
Function
CC or C/C
Chief
Complain
PO
by mouth
permitted orally ????
cont.
continue
post-op
after surgery (post operation)
DNR
Do
Not
Resuscitate
pre-op
before surgery (operation)
DOB
Date
Of
Birth
prn
as needed
pro re nata, “as the thing is needed”
Dx
diagnosis
Pt. or pt.
patient
ELOS
Estimated
Length
Of
Stay
PTA
Prior
To
Admission
EOB
Edge
Of
Bed
q
every
a = before
p = after
c = with
q = every
s = without
eval.
evaluate, evaluation
qid
four times a day
bid = twice a day
tid = three times a day
qid = quad, four times a day
FH
Family
History
qh
every hour
q2h
every two hours
H&P
History and Physical
re:
regarding, concerning
h/o
History Of
R/O or r/o
Rule Out
HOB
Head Of Bed
ROS
Review of Systems
ht.
HeighT
Hx
History
s̄
without
TIP
s = sin = without
a = before
p = after
c = with
q = every
s = without
LOS
Length
Of
Stay
S/P or s/p
Status
Post
sig
directions for use, give as follows, let it be labeled
TO or t.o.
Telephone Order
