Fish Scales
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This is a discussion on Fish Scales in Nursing Issues On Patient Safety, part of General Nursing ... That's what they call them here, at least--the little grids that you can use to do shorthand...
by Pachinko May 7, '07That's what they call them here, at least--the little grids that you can use to do shorthand recording of lab values. One (I think) looks like a big x, and the other is longer, with hash marks.
OK, I'm doing a crappy idea of describing this, but someone more knowledgeable will know what I'm talking about. Anyone know where I can find an example of one so I know how they're used. I googled "fishscale" and "fish scale" with "labs" and came up with nothing. Thanks--
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May 7, '07 by DaytoniteAre you talking about the little grid that the doctors make when they are documenting electrolytes in their progress notes? Are you wanting to know what goes into each of the little boxes of that grid? -
May 7, '07 by loricatusI think what you are looking for is on the 4th page of this attachment
http://cpmcnet.columbia.edu/dept/ps/...Guide/SOAP.doc - May 7, '07 by Daytonitei thought that might be what the op was referring to. yours is a much better example of what i found on this webpage:
http://www.phoenix.tc-ieee.org/000_b...006-09-10.html - position coded electrolytes. halfway down the page the physician shorthand for the chem 7 (probably the fishscale you are referring to) and the cbc are shown as best possible with the software program.
basically, the structure and contents of the grid is this (hard to create the look on this software program):
sodium |chloride|** bun**/----------------------------glucosepotassium|bicarb|creatinine\ -
- GuideMay 7, '07 by oramarOne thing you can say about nursing is you learn something new everyday even if you live to be 100. All those years I have been looking at those things(40), never heard them called fish scales before. Interesting....Guttercat likes this.
- May 14, '07 by elcueQuote from oramarMe too! Thanks. Have a good week, everyone. LindaOne thing you can say about nursing is you learn something new everyday even if you live to be 100. All those years I have been looking at those things(40), never heard them called fish scales before. Interesting....
- Jun 3, '11 by MangoGirlActually, the grid or template is called a fish bone (not a fish scale). That is because the BMP (basic metabolic panel) grid looks like a fish bone:
Na+|Cl-|BUN
---|---|----< Glucose
K+ |CO2|Creat
Notice how the template looks like a fish bone skeleton:
--|--|--<
- Nov 23, '11 by DanielleDujiOn this thread, someone said CO2 goes in the middle bottom cell, and someone else said bicarb. Which is it???
Thanks. - Nov 23, '11 by MangoGirlTemplate usage is inconsistent. Below are links to variations I have found. Also attached below is a PDF file that includes fishbone templates/grids for labs. You should pick one you like and use it consistently for your own use. If there is a standard at your place of employment, you should (obviously) conform.
http://en.wikipedia.org/wiki/Complete_blood_count
http://en.wikipedia.org/wiki/File:CBC_with_Hct.jpg
http://en.wikipedia.org/wiki/Basic_metabolic_panel (Grid is half-way down the page under "Reporting")
http://allnurses.com/general-nursing...ab-248493.html
