Help With Charting Shorthand/Abbreviations

[EyesForward]

I am a 2nd semester RN student having difficulty reading the charting examples given to us by our clinical instructor. I think I can finally read her hand-writing, but have no idea how to interpret most of the shorthand. Does anybody know of a key posted on the web with popular abbreviations like AOX3, MAEX4, DRg CD1, etc? Thank you!

[Farkinott, RN]

Drg is diagnostic related grouping. The rest of them could be forms relating to a particlular facility?

[kwagner_51]

I am a 2nd semester RN student having difficulty reading the charting examples given to us by our clinical instructor. I think I can finally read her hand-writing, but have no idea how to interpret most of the shorthand. Does anybody know of a key posted on the web with popular abbreviations like AOX3, MAEX4, DRg CD1, etc? Thank you!

AOX3--> Alert and oriented in all 3 areas to person place and time

MAEXX4 --> Moves all 4 extremities on their own. [not twitching, jerking, etc]

you might want to go here:

http://www.efn.org/~nurses/acro.html

Hope this helps!!

[CarpeDiem2004]

This is one of the reasons the move is away from using abbreviations. They can cause errors in patient care when they're misinterpreted. We have a list at our hospital of abbreviations that absolutely can't be used. Of course getting people to change their practice is the hard part. Try not to get in the habit of using them.