What are some important guidelines for charting?
Black ink
Time and date
Only what you did and saw
Where do you look for the type of care needed for your assigned patient?
Card x
Hyper
Excessive, too much, high
Hypo
Under, decreased, less than normal
Hemi
Half
Dys
Difficult
Mal
Illness, disease
Bad
Cardio
Heart
Gastro
Stomach
Hepato
Liver
Pulmo
Lung
Neuro
Nerve
Itis
Inflamation
Osteo
Bone
Plegia
Paralysis
Oscopy
Examination
What is true about charting abbreviations?
Makes communication quicker
They have to be approved
Prn.
When needed
Bm
Bowel movement
Stat
Immediately
Nwb
Non weight baring
Dat
Diet as tolerated
Ac
Before meals
Hs
Hours of sleep