Patient Care & Activity, Clinical Assessment & Documentation, Records, Safety & Legal, General Symbols & Latin Terms Abbreviations

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Last updated 7:05 PM on 8/6/26
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20 Terms

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ADL

activities of daily living

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BM

bowel movement

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I & D

incision and drainage

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NPO

nothing by mouth

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OOB

out of bed

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pt

patient

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c/o

complains of

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h/o

history of

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HAI

healthcare associated infection

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Hx

history

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NAD

no apparent distress

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NKA

no known allergies

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SBAR

situation, background, assessment, recommendation

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AMA

against medical advice

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DNR

do not resuscitate

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EHR

electronic health record

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HIPAA

Health Insurance Portability and Accountability Act

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MAR / eMAR

(electronic) medication administration record

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with

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without