What does "+++" mean in narrative charting?

"BM +++" or ++ or whatever
???
Possibly 'very large'.

or "several"

It could also denote UA dips that are grossly positive for blood, Leuks or bilirubin. That was what came to my mind first.

It usually means several or lots of what they are referring. As in "pt agitated and calling out ++++ ".

Interesting... I have never seen that!

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".

I have only seen it used in reference to edema 1+ 2+ 3+ 4+ / +, ++, +++, ++++

Shouldn't be using ++++++

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).

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

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.

Quote from 3dayRNDo 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.