Use of C/O in DocumentationRegister Today!
- by darrell Jan 13, '10I am having a discussion with a co-worker about the use of c/o or "complains of" vs. "reports". The general idea is that the c/o phrase has negative connotations associated with the concept of complaining. She says there is an effort to move away from this phrase and abbreviation in the industry, but Google is failing me when I try to verify or refute this. Anyone have any leads?
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- Jan 13, '10 by squirt2008I searched for this documentation issue and did not find anything supporting the idea of not charting "c/o". If you go to joint commission's website and then into the nursing section, you will find the most current "do not use" list for documentation. I think the most important thing to remember when charting "c/o" entries is to chart what you did or what was done to address the complaints.
- Jan 13, '10 by emijen2girlsI use it all the time in my charting. I think it is how you use it not using it in general that is the issue. I will never chart 'pt c/o all day of a back pain' I will say 'c/o back pain while in bed, pt enc to be in chair, back rub given'.
- Jan 13, '10 by pennyalineQuote from darrellAs far as I know, what the patient presents with for treatment is still called the chief complaint, and "complains of" is still legitimate terminology.I am having a discussion with a co-worker about the use of c/o or "complains of" vs. "reports". The general idea is that the c/o phrase has negative connotations associated with the concept of complaining. She says there is an effort to move away from this phrase and abbreviation in the industry, but Google is failing me when I try to verify or refute this. Anyone have any leads?
If the customer service focus of healthcare intrudes into care delivery so much that at we are prohibited from saying that a patient is "complaining of" a sore throat or whatever out of fear of portraying him or her as a whingeing hypochondriac, then it will have gone much too far for me.
I'm surprised that "SOB" hasn't come under fire yet
- Jan 13, '10 by Rabid ResponseOh, please say it isn't so. "Complaining of" does not have a negative connotation when used in a medical context. I am so tired of people looking for things to be offended by. We were actually told in our computer training classes that we were not allowed to refer to our "Carts On Wheels" as "C.O.W.s" because the term might be offensive to obese patients. I kid you not. Where will it end?
- Jan 13, '10 by rwright15I use "C/O" and "reports" interchangeably. I don't think C/O makes the pt sound like a complainer. I'd go with what the facility policy is. If this is just coming from another nurse, then I'd blow it off. LOL at the COWS... Same thing at my facility. We have to call them WOW's now. That's just strange to me. Everything has to be politically correct.
- Jan 13, '10 by Flarei use c/o in my charting -if there were no complaints then the patient wouldn't have any reason to be there! On the other hand I also use no c/o to rule things out - no c/o nausea and so forth.
I say we take back our language and make this society a little more thick skinned.
- Jan 13, '10 by mappersSOB has come under fire. I was taught to use SOA....