the NEW No-No's in documenting??

Published

:nurse: Since graduating in 2004 I've done a lot of home health nursing in peds. Recently I got a letter stating That abbreviations like cc is in correct that ml should always be used. and u or >
Specializes in Emergency.

Most do not have replacement abbreviations, the new rule is to write the it out.

Official list: http://www.jointcommission.org/assets/1/18/Do_Not_Use_List.pdf

There's an additional list of "for future consideration" in our textbooks that weren't there 10 years ago last time I was in school.

> - write out

Drug name abbreviations - write out

@ - write out

cc - write ml or milliliters

Apothecary units - use metric units

Greek microgram symbol - write mcg or micrograms

I was taught in medical terminology that cc is not to be used because it could look like 00, so 5cc could look like 500. I was also taught that qd, qod, qid are not to be used because they could look like each other too easily. I made a med error because the previous dose looked like 0.5 when it was really .05, so leading zeros are important too. Also the abbreviations for left, right, and both (eyes, ears) are not to be used either. When I mentioned to my nurse manager that cc isn't to be used anymore she looked at me like I had two heads.

Specializes in Pedi.

qd and qod were banned a long time ago...

Specializes in ICU.

Yes, these were banned a long time ago.

Specializes in LTC, Memory loss, PDN.

your employer should have a list with approved abreviations

if in doubt, write it out

Do not use "u" for units

No tailing zeros do not write 4.0 mg write 4mg

Use leading zeros. Write 0.5 mg vs. .5

Do not us MS write out morphine sulfate or Magnesium Sulfate

+ Join the Discussion