Rights Of Medication

1. Prepared By:
Mr. Nakul Yadav
Icn Cum Nursing Educator
M.Sc Nursing (Community Health Nursing)
ERROR PRONE
ABBREVIATI-ONS
READ BACK
POLICY
11 RIGHTS OF
MEDICATION

2. 11 RIGHTS OF
MEDICATION
MANAGEMENT
Right
RESPONSE
Right
DRUG/
MEDICATIO
N
Right
PATIENT
REFUSE
Right
PATIENT
EDUCATION
Right
ROUTE
Right
DOSA
GE
FORM
Right
DOSE
Right
REASON
Right
DOCUM
ENTATI
ON
Right
TIME
Right
PATIEN
T

3. • 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?

4. 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)

5. @ 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

6. 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)

7. 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

8. 1. abd – abdomen
2. ABG - arterial blood gas
3. VBG – venous blood gas
4. ACLS— advanced cardiac life
support
5. afeb— afebrile, no fever
6. BLS—basic life support
7. BP—blood pressure
8. bpm—beats per minute
9. C & S—culture and sensitivity
10. c/o—complains of
11. CPR—cardiopulmonary resuscitation
12. /—diagnosis
13. FBS—fasting blood sugar
14. HR—heart rate
15. I/O—intake and output
16. SOB—shortness of breath
17. temp—temperature
18. TPR—temperature, pulse,
respirations
19. V/S—vital signs
20. NPO/ NBM—nothing by mouth
21. am—morning
22. pm—between noon and
midnight
23. od – one time a day
24. bid—two times a day
25. tid/ tds—three times a day
26. qid—four times a day
27. qhs—every night at bedtime
28. hs—bedtime
29. Prn or sos—as needed,
whenever necessary
30. qd—every day
31. qh—every hour
32. q2h, q3h, ...—every two
hours, every three hours, …
33. stat—immediately
34. MN—midnight
35. E/s – Empty stomach
36. amt—amount
37. meds—medications
38. approx—approximately
STANDARD MEDICAL ABBREVIATIONS
(SMA’S)

9. 39. tab—tablet
40. cap - capsule
41. liq—liquid
42. oint—ointment
43. syp - syrup
44. min—minute
45. hr —hour
46. ht—height
47. wt—weight
48. inj—injection
49. IM—intramuscular
50. IV—intravenous
51. SC – subcutaneous
52. SL—sublingual
53. po—by mouth
54. DNS—dextrose in saline
55. D5%—dextrose in water
56. NS—normal saline
57. RL—ringer’s lactate
58. KCL – Potassium chloride
59. 5/7 – five days a week, one dose
od, skip on weekends
60. aq—aqueous
61. asap (ASAP)—as soon as
possible
62. DOA—date of admission
63. DOB—date of birth
64. FH—family history
65. H/o—history
66. GC – General condition
67. mcg - microgram
68. mg – milligram
69. g – gram
70. mL – milliliter
71. O – drops
72. a.c.—before meals
73. p.c.—after meals
74. BBF – before breakfast
75. BL – before lunch
76. BD – before dinner
77. pp (p.p.)—postprandial
(after eating)
78. LAMA—leave against
medical advice