11 rights of medication, read back policy

Rights Of Medication

1. Prepared By: Mr. Nakul Yadav Icn Cum Nursing Educator M.Sc Nursing (Community Health Nursing)

2. Organization has a policy which addresses who can give verbal orders and how these orders will be validated. Policy ensures that the verbal orders incorporate good practices like “read back”. In case of verbal orders / telephonic instructions of the consultant, the same shall be noted in the prescription by the pharmacist/staff nurse. Verbal orders shall be countersigned by the doctor who ordered it within 24hrs of ordering. READ-BACK AND 24 HOUR POLICY FOR VERBAL ORDERS?

3. ERROR PRONE (DO NOT USE) ABBREVIATIONS Abbreviations Intended Meaning Misinterpretation Correction µg Microgram Mistaken as “mg” Use “mcg” BT Bedtime Mistaken as “BID” (twice daily) Use “bedtime” cc Cubic centimetres Mistaken as “u” (units) Use “mL” IN Intranasal Mistaken as “IM” or “IV” Use “intranasal” or “NAS” IU** International unit Mistaken as IV (intravenous) or 10 (ten) Use “units” TIW or tiw 3 times a week Mistaken as “3 times a day” or “twice in a week” Use “3 times weekly” U or u** Unit Mistaken as the number 0 or 4, causing a 10-fold overdose or Use “unit”     greater (e.g., 4U seen as “40” or 4u seen as “44”); mistaken as       “cc” so dose given in volume instead of units (e.g., 4u seen as 4cc)  

4. @ At Mistaken as “2” Use “at” & And Mistaken as “2” Use “and” + Plus or and Mistaken as “4” Use “Plus or and” . Pint Mistaken as “0” Use “Pint” > and < Greater than and less than Mistaken as opposite of intended; mistakenly use incorrect symbol; “< 10” mistaken as “40” Use “greater than” or “less than” / (slash mark) Separates two doses or indicates “per” Mistaken as the number 1 (e.g., “25 units/10 units” misread as “25 units and 110” units) Use “per” rather than a slash mark to separate doses

5. DAILY (OD) BD TDS (ORAL) QID (ORAL ) HS AC meals PC meals 09 {Empty stomach medicines (e.g. PPI’s at 07) 09 21 09 15 21 09 13 17 21 22 08 12 19 09 13 21 STANDARD MEDICATION ADMINISTRATION TIMES (SMAT’S)

6. Q2H Q3H Q4H Q6H (IV) Q8H (IV) 00 02 04 06 08 10 12 14 16 18 20 22 00 03 06 09 12 15 18 21 00 04 08 12 16 20 00 06 12 18 06 14 22

7. abd – abdomen ABG - arterial blood gas VBG – venous blood gas ACLS — advanced cardiac life support afeb — afebrile , no fever BLS —basic life support BP —blood pressure bpm —beats per minute C & S —culture and sensitivity c/o —complains of CPR —cardiopulmonary resuscitation /\ —diagnosis FBS —fasting blood sugar HR —heart rate I/O —intake and output SOB —shortness of breath temp —temperature TPR —temperature, pulse, respirations V/S —vital signs NPO/ NBM —nothing by mouth am —morning pm —between noon and midnight od – one time a day bid —two times a day tid / tds —three times a day qid —four times a day qhs —every night at bedtime hs —bedtime Prn or sos —as needed, whenever necessary qd —every day qh —every hour q2h, q3h , ...— every two hours, every three hours, … stat —immediately MN —midnight E/s – Empty stomach amt —amount meds —medications approx —approximately STANDARD MEDICAL ABBREVIATIONS (SMA’S)

8. tab —tablet cap - capsule liq —liquid oint —ointment syp - syrup min —minute hr —hour ht —height wt —weight inj —injection IM —intramuscular IV —intravenous SC – subcutaneous SL —sublingual po —by mouth DNS —dextrose in saline D5% —dextrose in water NS —normal saline RL —ringer’s lactate KCL – Potassium chloride 5/7 – five days a week, one dose od, skip on weekends aq —aqueous asap (ASAP) —as soon as possible DOA —date of admission DOB —date of birth FH —family history H/o —history GC – General condition mcg - microgram mg – milligram g – gram mL – milliliter O – drops a.c. —before meals p.c. —after meals BBF – before breakfast BL – before lunch BD – before dinner pp (p.p.) —postprandial (after eating) LAMA —leave against medical advice