Error-prone abbreviations, symbols and dose designations

  1. They've been circulating this at work, thought I'd share.:smiletea:

    http://www.ismp.org/Tools/errorproneabbreviations.pdf
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  2. 15 Comments

  3. by   Pat_Pat RN
    We've been using this for quite a while. However; some of those are just ridiculous. Some of the mistakes I've seen that have been made, like "Orange Juice in the eye" please!
    Pat
  4. by   anticoagulationurse
    I am new to a unit that uses paper charts with hand writing for orders. I am used to computerized orders. Well, I fortunately clarified, but the order was: "Lispro Insulin 25U (tID) with meals".

    Looks legible enough in this typing buy I swear it looked like it said, "Lispro Insulin 25U, "plus" 10U. The "t" was not capitalized, the "I" was not dotted or capitalzed and the capital D was rounded with the other parenthesis running into it, looking like a funky "U".
  5. by   muffie
    thanks
  6. by   meownsmile
    Now if we could just get the doctors to realize they shouldnt use them.
  7. by   NRSKarenRN
  8. by   canne
    you know, BT in the philippines means blood transfusion, not bedtime..its good to know that not all things are the same...thanks adrienurse
  9. by   David's Harp
    On a related note, is there anywhere where I can learn the shorthand being used, eg a "T" with two dots on top of it to indicate "two tablets"?

    I don't even know what this system is called, and it's pretty frighteningly easy to misread/misinterpret...

    -Kevin
  10. by   Kthale81
    Quote from Pat_Pat
    We've been using this for quite a while. However; some of those are just ridiculous. Some of the mistakes I've seen that have been made, like "Orange Juice in the eye" please!
    Pat

    what a strange order, that is just funny
  11. by   Kthale81
    Quote from meownsmile
    Now if we could just get the doctors to realize they shouldnt use them.

    some doctors will probably not use them b/c of potantial error, then there are those that will never change
  12. by   Kthale81
    Quote from David's Harp
    On a related note, is there anywhere where I can learn the shorthand being used, eg a "T" with two dots on top of it to indicate "two tablets"?

    I don't even know what this system is called, and it's pretty frighteningly easy to misread/misinterpret...

    -Kevin
    I just learned them from nursing school/clinicals and also with experience on the floor. Usually '/. is one.....two ''/.. three '''/...
    of course that would be written with the dots on top of each other with the line not slanted. I dont know anything about short-hand symbols but it will be more clear to understand with working
  13. by   Pat_Pat RN
    Quote from David's Harp
    On a related note, is there anywhere where I can learn the shorthand being used, eg a "T" with two dots on top of it to indicate "two tablets"?

    I don't even know what this system is called, and it's pretty frighteningly easy to misread/misinterpret...

    -Kevin
    It's just a "T" with a dot over the middle of the top. "TT" for two, "TTT" for three. I've not seen more than that.
    Is that the apothocary system?
  14. by   liebling5
    I think it's more like lower case Roman numerals. Most of us recognize I, II, III etc. In medicine, some "seasoned" people use i, ii, iii with the small horizontal line. It may be a leftover from apothecary, I'm not sure.

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