Hospice Nurse LPN, BSN, RN 1,472 Posts Specializes in LTC, Psych, Hospice. Has 15 years experience. Apr 13, 2011 or "several"
deyo321 164 Posts Specializes in LTC, Hospice, corrections, +. Apr 13, 2011 It could also denote UA dips that are grossly positive for blood, Leuks or bilirubin. That was what came to my mind first.
loriangel14, RN 6,931 Posts Specializes in Acute Care, Rehab, Palliative. Apr 13, 2011 It usually means several or lots of what they are referring. As in "pt agitated and calling out ++++ ".
BrookeeLou_RN 734 Posts Specializes in Home health was tops, 2nd was L&D. Apr 13, 2011 When I have seen it.. it meant several. But it is not on any approved list by any place I have ever been and documentation should be such that no one needs to guess what it means. I mean really is it that hard to write "several" or "multiple".
barbyann 337 Posts Apr 13, 2011 I have only seen it used in reference to edema 1+ 2+ 3+ 4+ / +, ++, +++, ++++
Sarah010101 277 Posts Specializes in Med-Surg. Apr 13, 2011 Pitting edema 1+, 2+, 3+...... (i personally dont think its that effective... because how much 2+ is to one person, may differ from another persons perspective).
MoisesRN 12 Posts Apr 13, 2011 First, it's not part of the conventional med. vocabulary.However, in general interpretation, it means: a lot, more serious, bigger, ...etcfor example: up with max assist you may see "up with assist ++++..." or confused++++ for a pt highly confused. You can go on and on.I must say that it's prohibited by JHACO
3dayRN 122 Posts Specializes in stepdown RN. Apr 13, 2011 Do u mean when someone use dot with T underneath dot? I use this all the time. Each one is how many times. Such as one bm, two bm's etc. Don't know if this is what you mean or not. I use this on Dr orders also.
