occupational therapy abbreviations

Similarly, some insurance reviewers might not recognize lesser-known OT abbreviations, which could lead to hold-ups in your reimbursements (or could even lead to denials altogether! Get the most popular abbreviation for Occupational updated in 2020

These abbreviations comprise the common scale that OTs use to rate how much assistance is needed with ADLs, IADLs, and basic mobility. However, please keep in mind that while I tried to limit this list to abbreviations that pretty much any rehab professional would recognize, many of these terms will still be very confusing to non-therapy professionals. Sometimes obscure words make their way into notes.

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Laura Campedelli, PT, DPT, is a physical therapist currently working in New York at Morgan Stanley Children’s Hospital, an affiliate of New York Presbyterian. This is the fancy OT way of saying right and left arm. Taking on these types of roles helps immensely when pursuing non-traditional or non-clinical OT roles in the future, and your initiative will likely score major points, should you have your eye on a leadership role down the line. Use the exact (case-sensitive) shorthands that you pre-designated in the extension, and see how your typing automatically expands...it’s like magic!

CMS – Centers for Medicare & Medicaid Services. ACOTE – Accreditation Council for Occupational Therapy Education. %PDF-1.5 You can create custom shortcuts in some EMRs—these custom shortcuts will automatically fill out your intended phrase when you type a pre-designated abbreviation for it. SWOT Social Work Occupational Therapist T TAC Tactile TAH Total Abdominal Hysterectomy TAHBSO Total Abdominal Hysterectomy Bilateral Salpingo Oopherectomy T/C Telephone Call TCI To Come In THR Total Hip Replacement You might not have seen some of your favorite therapy terminology on this list. endobj Glossary of Terms and Abbreviations. Do you have any tools or hacks you use to make your documentation more legible? For example, PhraseExpress integrates with systems like Allscripts, Cerner, and NEXTGEN. <>/Font<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 841.92] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> This is helpful in assessing whether there is a problem with the muscle or at the joint itself. Plus, as you can probably imagine, it’s even more challenging to decipher OT lingo when you’re not in the rehab field. Occupational Therapy Abbreviations and Jargon, Ⓒ 2020 About, Inc. (Dotdash) — All rights reserved. THIS SET IS OFTEN IN FOLDERS WITH... Occupational Therapy Abbreviations. Example: Right wrist extension 0-30 degrees with PROM.

Download the chrome extension for free from the Google chrome web store. When we’re furiously typing our notes between patients, or cramming our documentation in at the end of the day, it’s such a relief to be able to type “CGA” instead of “Contact Guard Assist,” and have peace of mind knowing that our peers and insurance reviewers will understand what we’re talking about. By using Verywell Health, you accept our, IADLs - Instrumental Activities of Daily Living, MaxA/ModA/MinA/SBA/I - Maximum Assistance/Moderate Assistance/Minimal Assistance/Stand-by Assistance/Independent, LTG/STG - Long-term Goal/ Short-term Goal, Occupational Therapy in a Skilled Nursing Facility, What to Expect During Occupational Therapy Evaluation, What There Is to Know About ADLs and IADLs in a Healthcare Facility, How to Integrate Spirituality and Religion Into Occupational Therapy, How Occupational Therapists Can Improve People's Lives With Yoga, Stay Independent With These Assistive Technologies, Prepare Your Home (And Your Mind) for Hip Replacement, Learn About the Role of Occupational Therapists and Where They Work, The ABCs of OT Specialty Certifications and Credentials, Questions to Ask Your Occupational Therapist, Occupational Therapy and the Recovery Model, Doff - to remove (an article of clothing) from the body, Supine - to lie flat on your back with the face upward. endobj Below, we have compiled a list of common abbreviations to help you begin the deciphering process. Be sure to hit save after you add your abbreviations! Conditional reasoning –

You’re demonstrating your ability to collaborate and liaise between departments––and to streamline processes and improve departmental productivity by eliminating documentation bottlenecks. At best, this can cause delays in care—but at worst, this can cause dangerous miscommunications about patients’ health.

Here’s the auto text expander. Example: Performed strengthening in order to increase ADL participation.

After we’re done typing our notes, they’re often sent to other health practitioners down the road, and these clinicians might have no idea what our shorthand lingo means. And keep in mind that it’s case specific, meaning you must type HTN; htn will not work. Here are the most common: This list of physical therapy abbreviations may be useful. Example: Pt. Yes, I realize that taking the time to work with an already-busy IT department or EMR trainer means extra work for you. It’s important to keep a few things in mind when you use OT abbreviations, though. Without further ado, here’s the list of therapy abbreviations!

I’m also curious to learn whether you’ve ever had an issue from using too much shorthand or too many abbreviations! Many facilities will have set criteria for each category, for example, MaxA= more than 75% assistance required. IADls include tasks such as driving, communication management, financial management, meal preparation, shopping, etc. I've come across at least 3 different ways to abbreviate the word "independent" and have written progress notes and discharge summaries ad nauseum. There are two different scales OTs look at when measuring joint movement. 54 terms. x��\�r�6}W����3[+� A��J�J��Ǝ������5�%U��2'���ƅfz�t�>X�y؍�4�INo�~8�x��U���%W�����"y\�����$K�4u]TIQi�TJ�u�j������(y�n9_m��4� ��o6��}H>�^t�M����ݷ����y|^6��nyz����G�]�iW�w�G��"��L%w_����D$�N�*�uZ�����(C�������Y2�=�����;��=2/�:n��Z��,�K���g_�'�D#u���塇i�VkMBQ�E|ߧ��(��zv�M�As�Ю�}�s���+���s!M��x�~9`d!������U*�+��yo�g2��} ADA – Americans with Disabilities Act; civil rights law for “person with a disability” CARF – Commission on Accreditation of Rehabilitation Facilities. For example, “tx” could mean “traction” or “treatment,” and using traction when it’s contraindicated could be very dangerous. %���� Medically reviewed by Laura Campedelli, PT, DPT, Medically reviewed by Erin Pereira, DPT, OCS, Verywell Health uses cookies to provide you with a great user experience. Quizlet flashcards, …

ADLs are a cornerstone of occupational therapy treatment. The first time many OT's open their first client chart, they become cross-eyed. performed supàsit with Mod A. I plan to update this article over time, and I’d love for you to comment below!
1 0 obj COTA - Certified Occupational Therapy Assistant, COPD - Chronic Obstructive Pulmonary Disease, CPAP - Continuous Positive Airway Pressure, IDDM - Insulin Dependent Diabetes Mellitus, MRSA - Methicillin-Resistant Staphylococcus Aureus, NIDDM - Non-Insulin Dependent Diabetes Mellitus, PNF - Proprioceptive Neuromuscular Facilitation, PT - Physical Therapy, Physical Therapist, PWB% - Partial Weight Bearing (With Percent), SLP - Speech-Language Pathology/Pathologist, SLPA - Speech-Language Pathology/Pathologist Assistant, Sup - Supervision/Supervised (Level Of Assist), TENS - Transcutaneous Electrical Nerve Stimulator. Example: Addressed cognitive skills in order to increase IADL participation. But, at the end of the day, we have to document our treatment sessions—and that part is not always quite as thrilling as the treatments themselves :-). I probably don’t need to remind you that we OTs do incredible work every day. Similarly, some insurance reviewers might not recognize lesser-known OT abbreviations, which could lead to hold-ups in your reimbursements (or could even lead to denials altogether!). Occupational Therapy Abbreviations and Jargon ADLs - Activities of Daily Living.

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How to abbreviate Occupational? Occupational Therapy Practice Framework. Do not to let this intimidating language be a barrier to reading your notes and being more involved in your care. I strongly recommend that you ask your IT department or software liaison if you can do something similar to what is possible in those web-based EMRs. Abbreviating commonly used phrases can save us hours by the end of the week, and this article serves to cover the most frequently used ones—that means you can use them with confidence and spend less time documenting! In an OT evaluation for a client who has a physical condition, OTs will often measure the degree to which you can independently move the joints of your arm; this is referred to as AROM. Chances are, whatever software you’re using for your EMR, there is an option for you out there that will make your life way easier.

Keep in mind that this hack only works for browser-based EMRs like WebPT, and if you use other documentation systems like Epic, Centricity, or Cerner, you may or may not be able to do something similar. You’ve received a copy of your occupational therapy notes so you can be more involved in your care, but now you are reading what seems to be gibberish. Example: LTG—Increase upper body dressing to MinA.

We want to make the process efficient to maximize patient care time, but we also want to communicate clearly.

It’s important to keep a few things in mind when you use OT abbreviations, though. Under the “shortcuts” section, click the “+ add” button and set up the shortcuts or abbreviations you want to use (I used “HTN” as an example for “hypertension”). ����H����K��=��� r o��B̾�n��H9�>��͚�� �ȡ)2��:SR΀��ET�Jr>�rv? 3Aurora, NE 68818, ResourcesAboutBlogMedBridge Promo CodeMedBridge Student Discount, ResourcesOT SalaryWhat Is OT?OT CertificationsOT NotesOT Research, Download the chrome extension for free from the Google chrome web store. mkambind. ADDRESS1109 12th Street, Ste. <>

Abbreviations: ACLS-Allen Cognitive Levels Screen ADLs- Activities of daily living AGA- Appropriate for gestational age ADHD- Attention deficit hyperactive disorder AJOT- American Journal of Occupational Therapy AOTA- American Occupational Therapy Association ARBD- Alcohol-related birth defects What might make total sense to a team of OTs working at an inpatient rehab facility might look like Greek to a team of OTs working in a hands clinic. lindsey_hamilton. When AROM is not within normal limits, the OT will often further assess the arm by checking PROM, which is the extent to which your joint can move with assistance. 7 ways to abbreviate Occupational. amorihara. First of all, documentation is very facility-specific. ?�f��v~"��W4��A�7�TM� Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. The first is the normal range for movement of each joint. ADLs are a cornerstone of occupational therapy treatment. I truly believe that leveraging technology in a thoughtful way will eliminate many of the communication barriers traditionally seen in medicine!
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