1. 1 * Ac: before meals * ad lib: at will, as desired * adm: admission, admitted * ASAP: as soon as possible * Bid: twice a day * Bm: bowel movement * BP: blood pressure * BRP: bathroom privileges * C: Centigrade, Celsius * Cap: capsule * CC: chief complaint * c/o: complains of * C02: carbon dioxide * CPR: cardiopulmonary resuscitation * CXR: chest x-ray * Daily (entire word) * d/c: discontinue or discharge * ECG/ EKG: electrocardiogram * EBL: estimated blood loss * ER: emergency room * Every other day (entire word) * F: Fahrenheit * Fb: foreign body * fx: fracture * gtt: drop-liquid measurement * H & P: history and physical * HR: heart rate * hr: hour * hs: hour of sleep (bedtime) * H20: water * I & O: intake and output * IDDM: insulin dependent diabetes mellitus * IV: intravenous * IM: intramuscular * Magnesium Sulfate (entire word) * mg: milligram * ml: milliliter (do not use cc) * Morphine Sulfate entire word) * MVA: motor vehicle accident * NPO: nothing by mouth * NTG: nitroglycerin * O2: oxygen * post-op: postoperative (after surgery) * pre-op: preoperative (before surgery) * po: by mouth * pt: patient * prn: as needed * pc: after meals * qh: every hour * qid: four times a day * Rx: prescription * sc/sq: subcutaneous * s: without * sx: symptoms * s/s: signs and symptoms * STAT: immediately * SOB: short of breath * tab: tablet * TPR: temperature, pulse, respiration * Unit: entire word) * vs: vital signs Lead with zero: write 0.5mg not.5mg ABBREVIATIONS

2. 2 Prior to ALL types of Downtimes a.Post DT notices & remind staff time DT is starting b.Check DT kits for copies of each documents (make copies as needed) c.Listen for overhead announcements for start of DT MEDIPAC DT: a.Print Patient List to track incoming and outgoing patient movement b.When DT is over, Discharge and Transfer patients to correct locations. Refresh census c.Call Admitting if new admissions are not on census within 1 hour HEO/Wiz: a.Print extra patient labels in HEO/Wiz and EasyID (may use blue card and addressograph) b.Print OPC, CP Snapshot and CN Snapshot as needed c.Place extra POS on counter by MRs desk (1 copy should always be in chart) d.Round to retrieve written orders and fax Pharmacy their copy e.Complete DT Reqs for ancillary depts when orders are handwritten HED: a.Affix patient label on document or stamp paper documents with addressograph b.Print/ make copies of Flowsheets and deliver to nurses to chart care c.Admin-Rx DT: pick up computer generated MARs & give to RNs DOWNTIME TIPS (DT) 2 PAVILLIONS 1 VUH Adult Hospital 3 VCH Children’s Hospital 4 Heart & Vascular (7N, 5N, 5S, 6S, CCL, COBS) Keyboard Tips ( do not use mouse) Pause/Break/Scroll Lock: back to menu Tab: Moves cursor forward Shift + Tab: Moves cursor backward Esc key: Reset key (removes stick man) F3: Goes back one screen in function F7: Turns page back : F8: Turns page forward F9: Same account or bed selection Type A to select a functions Discharge (IA) Depart (OT) 1.Type 0, then 12-digit account /Case # 2.Enter exact time patient is discharged 3.Enter 2 times for departures: a. Patient physically leaves b. Patient medically able to leave- get from RN 4. Disposition code: be sure to select “E” for alive pts Discharge/ Depart in Error 1.Call Admitting Dept to cancel 2.Orders lost in 4 hours MEDIPAC Create Assignments in HED 1.Click Create Assignment 2.Provider Type: RN 3.Care Relationship: Primary Nurse or CP 4.Shift: Days / nights 5.Back time 15 min, then uptime 15 min 6.Search: Caregivers name 7.Patients: hold Crtl to select more than one 8.Click Assign