The document provides instructions for nurses on transcribing doctors' orders accurately. It discusses interpreting drug orders, using color coding and sample medicine tickets to organize medications by frequency. Common errors like misinterpreting times or dosages are outlined. Keys to accurate transcription include never altering original orders, writing legibly, creating new tickets for new orders, clarifying uncertainties, and signing sheets only after administering medications. Proper transcription is important to ensure patients receive the correct treatments.
Communication using the SBAR tool, Patient Safety Team, NHS Improving Quality,
more at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety.aspx
Definition of prescription, Types, Difference between them.
Analyzing some prescriptions and their errors, comparing them with an ideal one.
Methods we should take to minimize those errors.
The prescription, An important topic of pharmacy, Pharmaceutics 2nd, Prescrip...RajkumarKumawat11
The prescription, An important topic of pharmacy, Pharmaceutics 2nd, Prescription topic for pharma students, A presentation on prescription by Raj kumar kumawat
It covered all topics from syllabus of prescription chapter
of pharmaceutics-2,
It's become helpfull for diploma students, took all topics from R.M.Mehta pharmaceutics-2, 3rd edition-2010, vallabh prakashan.
Basic principles of compounding and dispensing (Prescription) MANIKImran Nur Manik
Weight, measure and units calculation for compounding and dispensing. Fundamental operation in compounding. Good pharmaceutical practices in compounding and dispensing. Containers and closures for dispensed products. Responding to prescription, labeling of dispensed medications.
SBAR report to physician about a critical situation S .docxanhlodge
SBAR report to physician about a critical situation
S
Situation
I am calling about <patient name and location>.
The patient's code status is <code status>
The problem I am calling about is ____________________________.
I am afraid the patient is going to arrest.
I have just assessed the patient personally:
Vital signs are: Blood pressure _____/_____, Pulse ______, Respiration_____ and temperature ______
I am concerned about the:
Blood pressure because it is over 200 or less than 100 or 30 mmHg below usual
Pulse because it is over 140 or less than 50
Respiration because it is less than 5 or over 40.
Temperature because it is less than 96 or over 104.
B
Background
The patient's mental status is:
Alert and oriented to person place and time.
Confused and cooperative or non-cooperative
Agitated or combative
Lethargic but conversant and able to swallow
Stuporous and not talking clearly and possibly not able to swallow
Comatose. Eyes closed. Not responding to stimulation.
The skin is:
Warm and dry
Pale
Mottled
Diaphoretic
Extremities are cold
Extremities are warm
The patient is not or is on oxygen.
The patient has been on ________ (l/min) or (%) oxygen for ______ minutes (hours)
The oximeter is reading _______%
The oximeter does not detect a good pulse and is giving erratic readings.
A
Assessment
This is what I think the problem is: <say what you think is the problem>
The problem seems to be cardiac infection neurologic respiratory _____
I am not sure what the problem is but the patient is deteriorating.
The patient seems to be unstable and may get worse, we need to do something.
R
Recommendation
I suggest or request that you <say what you would like to see done>.
transfer the patient to critical care
come to see the patient at this time.
Talk to the patient or family about code status.
Ask the on-call family practice resident to see the patient now.
Ask for a consultant to see the patient now.
Are any tests needed:
Do you need any tests like CXR, ABG, EKG, CBC, or BMP?
Others?
If a change in treatment is ordered then ask:
How often do you want vital signs?
How long to you expect this problem will last?
If the patient does not get better when would you want us to call again?
This SBAR tool was developed by Kaiser Permanente. Please feel free to use and reproduce these materials in the spirit of patient safety,
and please retain this footer in the spirit of appropriate recognition.
Guidelines for Communicating with Physicians Using the SBAR Process
1. Use the following modalities according to physician preference, if known. Wait no
longer than five minutes between attempts.
1. Direct page (if known)
2. Physician’s Call Service
3. During weekdays, the physician’s office directly
4. On weekends and after hours during the week, physician’s home phone
5. Cell phone
Before as.
A research information guidelines to discuss the matter to the selected participants disclosing all necessary information before conducting an assent/informed consent.
This presentation discuss about acid-base-gas normal ratio and its indication in relation to varying abnormal level and how to manage it. This includes clinical analysis practice.
This questionnaire is use to test the knowledge about ECG 12 leads in operations, principles and concepts about cardiovascular diseases and diagnostics.
This questionnaire is use to determine the level of domestic problem a college student have in terms of financial, health, relationship and family system
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
2. CARRYING OUT OF MEDICAL ORDER:
Objective: To be able to interpret intelligently doctor’s
order
Scope: This work instruction is to be done by a nurse
Medical Order – an order (written or verbal) made by
the physician pertaining care or management.
Work Instructions Detail:
1. Transcribes medical order to nursing Kardex.
2. Fills up instruction sheet, medication cards or ticket
and appropriate forms for laboratory and diagnostic
requests.
3. CARRYING OUT OF MEDICAL
ORDER:
1. If the nurse have any doubt regarding the
medical order, she will clarify it with the
attending physician who made the order.
2. Affix initials including date and time below it
has been carried out already.
4. How to interpret drug orders?
Make sure that the 5 rights are there in the
doctor’s order.
- right name of the drug
- right name of patient
- right dosage
- right time, frequency
- right route by w/c the drug
administered
5. Example 1:Procan SR 500 mg p.o. q. 6 h
1. Procan SR is the brand name of the
drug
2. 500 mg is the dosage
3. p.o. is the route
4. q. 6h is the frequency
This order means; Give 200 milligrams of
Procan SR orally every 6 hours.
6. How to interpret drug orders?
Example 2:Dilantin 100 mg p.o. t.i.d.
Read:___________________________________
_____
Example 3: procaine penicillin G 400,000 U IM
q.6h
Read:___________________________________
_____
7. Example 4: Demerol 75 mg IM q.4h, pain;
Read:__________________________________
Example 5: Pen-vee K 1 g p.o. 1h pre-op dental
surgery
Read:__________________________________
Other Doctor’s order for treatment:
1. 2/3 strength solution Ensure. Give 90 ml qh
for 5 hours via NG tube.
Read:___________________________________
____________________________________
8. 2. 5/8 strength solution Isomil 36 ml via NG tube
hourly for 8 feedings.
Read:___________________________________
____________________________________
3. Acetaminophen 240 mg. p.o. q4-6h p.r.n.,
pain or T>38⁰C.
Read:___________________________________
____________________________________
9. 3 Common Errors in Transcribing Medication
1. Incorrect interpretation of order due to
misunderstanding of traditional time.
• SITUATION:
• A physician ordered a mild sedative for an anxious Patient
who is scheduled for a colonoscopy in the morning. The
order read “Valium 5 mg orally at 6:00 x 1 dose.”
• The evening nurse interpreted that single dose order to be
scheduled for 6 o’clock PM along with the enema to be
given to the patient.
• The doctor meant for the Valium to be given at 6 o’clock AM
to help the patient relax prior to the actual test.
10. • 2. Failing to clarify incomplete orders.
• SITUATION:
• Suppose a physician ordered Pepcid tablet p.o. h.s. for a
patient with an active duodenal ulcer. You will note there Is
no dosage listed.
• The nurse thought the dosage came in only one strength,
added 20 mg to the order, and sent it to the pharmacy. The
pharmacist prepared the dosage written on the physician’s
order sheet.
• Two days later, during rounds, the physician noted that the
patient had not responded well to the Pepcid. When ask
about the Pepcid, the nurse explained that the patient had
received 20 mg at bedtime. The physician informed the nurse
that the patient should have received the 40 mg. tablet.
11. • 3. Not checking the correct dosage.
• SITUATION:
• A nurse flushed a triple central venous catheter (an
IV with three ports). According to hospital policy, the
nurse was to flush each port with 10 ml of normal
saline followed by 2 ml of heparin flush solution in
the concentration of 100 units/ml.
• The nurse mistakenly picked up a vial of heparin
containing 10,000 units/ml. Without checking the
label she prepared the label with all three ports. The
patient received 60,000 units of heparin instead of
600 units.
12. Critical Thinking Analysis
Reading the labels of
medications is critical, Make
sure that the drug you want is
what you have or hand before
you prepare it.
13. COLOR CODING OF MEDICINE TICKETS
COLOR FREQUENCY TIME
WHITE O.D. / STAT
PINK BID
YELLOW TID
BLUE QID/EVERY 4
HOURS
GREEN EVERY 6 HOURS
RED EVERY 8 HOURS
ORANGE PRN
HS
6-6/12-12
6-12-6
6-10-2-6
6-10-2-6-10-2
6-12-6-12
6-2-10
9 PM
14. MEDICINE TICKET
Objective: To be able to guide the nurse to follow the
doctor’s written order indication the drug to be given
the frequency of doses the amount of each dose and
the method of administration.
Scope:1. name of patient 5. name of drugs
2. age 6. route
3. room no. 7. time frequency
4. date 8. doses
(doctors’ name, NOD signature)
15. SAMPLE OF MEDICINE TICKET
MEDICINE TICKET
Date:_________________ Rm no.______ Bed no.______
Name:______________________________________
Drugs
Ordered:______________________________________________
____________________________________________________ .
Dosage:___________________________________________
Frequency:________________________________________
Route:___________________________
Dr:________________ NOD Sig.:_______________
16. Give me the color code….
Example:
1. Lasix 40 mg. IM stat --------------------
2. Motrin 600 mg. p.o. b.i.d. ------------
3. Tranxene 7.5 mg p.o. q.i.d. -----------
4. Tylenol w/ codeine gr. I p.o.
q. 4h p.r.n. for pain ---------------------
5. Inderal 50 mg. p.o. t.i.d. --------------
6. Amoxicillin susp. 100mg p.o.
q. 6 hrs. ------------------------------------
7. Oxacillin sodium 0.25 g p.o. q. 8 hrs-
17. Sample of Medication Sheet – MMGH
MEDICATION SHEET
NAME: ___________________ Room:_________ Bed No:_______ Chart No.:______
NURSE’ FULL NAME/SPECIMEN SIGNATURE
Date Medication &
Treatment
Freq
PRN
STA
T
19. SAMPLE DOCTORS’ SHEET
_Panduco Pedro__________________________P.____________
Last Name Given Name M.I.
WARD:_Wing A_ROOM NO. 212 BED NO._2__PHYSICIAN__Dr. Roberto de la Cruz_
______________________________________________________________________
Date and Time: Time Remarks:
Ordered: Signature: _____
PROGRESS NOTES DOCTOR’S ORDER
7-04-2008 - Give Lasix 40 mg. I.M. stat
(+) edema lower - Start Motrin 600 mg. p.o. b.i.d.
extremities ¥æ€
(+) rales on boths Dr. de la Cruz
Lungs; RR-26/min; BP 110/80 2:45 p.m.
7-05-08 - Tylenol w/ codeine gr. I p.o. q. 4h p.r.n. for pain
Complaint of headache ¥æ€
5:30 p.m. Dr. de la Cruz
20. Example: Transcribing Doctors’ Order in Medication Sheet
MEDICATION SHEET
NAME: _Penduco, Pedro__ Room:_212_ Bed No:_2_ Chart No.:_000123_
NURSE’ FULL NAME/SPECIMEN SIGNATURE
Date Medication &
Treatment
Freq 4 5 6
7-4-08 Motrin 600 mg. p.o. b.i.d. 6 ffl
6 ffl
7-5-08 Tylenol w/ codeine gr. I p.o. PRN
q. 4h p.r.n. for pain 6pm ffl
STAT
7-4-08 Lasix 40 mg. I.M. stat 3 pm ffl
ffl - Florence Nightale RN
21. SAMPLE OF DOCTORS’ SHEET
Panduco Pedro__________________________P.____________
Last Name Given Name M.I.
WARD:_Wing A_ROOM NO. 212 BED NO._2__PHYSICIAN__Dr. Roberto de la Cruz_
______________________________________________________________________
Date and Time: Time Remarks:
Ordered: Signature: _____
PROGRESS NOTES DOCTOR’S ORDER
7-06-08 - Tranxene 7.5 mg p.o. q.i.d.
Leukocytes –CBC result - Oxacillin sodium 0.5 g p.o. q. 8 hrs-
- D/C Motrin ¥æ€
9:30 a.m. Dr. de la Cruz
22. Example: Transcribing Doctors’ Order in Medication Sheet
MEDICATION SHEET
NAME: ___________________ Room:_________ Bed No:_______ Chart No.:______
NURSE’ FULL NAME/SPECIMEN SIGNATURE
Date Medication &
Treatment
Freq 4 5 6
7-4-08 Motrin 600 mg. p.o. b.i.d. 6 ffl D C 7-6
6 ffl
7-5-08 Tylenol w/ codeine gr. I p.o. PRN
q. 4h p.r.n. for pain 6pm ffl
STA
T
7-4-08 Lasix 40 mg. I.M. stat 3 pm ffl
ffl - Florence Nightale RN
23. Example: Transcribing Doctors’ Order in Medication Sheet
MEDICATION SHEET
NAME: ___________________ Room:_________ Bed No:_______ Chart No.:______
NURSE’ FULL NAME/SPECIMEN SIGNATURE
Date Medication &
Treatment
Freq 6 7 8
7-06 Tranxene 7.5 mg p.o. q.i.d. 6
10 ffl
2 ffl
6
Oxacillin sodium 0.5 g p.o. q. 8 hrs 6
2 ffl
10
ffl - Florence Nightale RN
24. SAMPLE OF DOCTORS’ SHEET
Panduco Pedro__________________________P.____________
Last Name Given Name M.I.
WARD:_Wing A_ROOM NO. 212 BED NO._2__PHYSICIAN__Dr. Roberto de la Cruz_
______________________________________________________________________
Date and Time: Time Remarks:
Ordered: Signature: _____
PROGRESS NOTES DOCTOR’S ORDER
7-06-08 - Tranxene 7.5 mg p.o. q.i.d.
Leukocytes –CBC result - Oxacillin sodium 0.5 g p.o. q. 8 hrs-
- D/C Motrin ¥æ€
9:30 a.m. Dr. de la Cruz
7-07-08 - Continue Oxacillin 0.5 g p.o. q8h for 4 doses and D/C
¥æ€
12:30 a.m. Dr. de la Cruz
26. SAMPLE FORMAT OF MEDICINE TICKET-MMGH
Room No. ________________ Date:_______________
Name:_____________________________ Age:______________
Order:_________________________________________________________
Route: ________________________________________
Frequency:____________________________________________
Dr.___________________________ Sig.__________________________
27. SAMPLE FORMAT OF MEDICINE TICKET
Room No. ________________
Name:_________________________________________________________
Room No.______________________ Bed No._______________________
Drug:__________________________________________________________
Dosage/Freq:____________________________________________________
Route:________________________ NOD:_________________________
28. SAMPLE FORMAT OF MEDICINE TICKET-MMGH
Room No. _212-2__ Date:___7-06-08______
Name:___Penduco, Pedro__________ Age:__22_________
Order: __Tranxene 7.5 mg p.o. q.i.d. ____
Route: __per orem_____
Frequency:_______6 – 10 – 2 - 6______________________
Dr._Dr. de la Cruz_______ Sig.___ffl______
29. SAMPLE FORMAT OF MEDICINE TICKET
Date __7-06-08_____
Name:___Penduco, Pedro__________________________
Room No.__ 212____ Bed No.__2____
Drug:_Amoxicillin susp.100mg p.o. q. 6 hrs._
Dosage/Freq:__6 – 12 -6 - 12________________________
Route:___oral______
NOD:____ffl_________
30. Irregularities in Transcribing MT
• If the order is PRN with varied time frequencies
• If the order is stat and then with regular time
frequency
• To indicate dosage; you can write – name of drugs,
strength (dosage), time frequency
• Stat order to be administered less than 1 hr. on a
• Medicine ordered with a series of doses should also
write no. of dosage done on the ticket
31. Example situation
Date __7-06-08_____
Name:___Penduco, Pedro__________________________
Room No.__ 212____ Bed No.__2____
Drug:_Amoxicillin 500mg IVTT q. 6 hrs. x 6 doses_then shift to
p.o.
Dosage/Freq:__6 – 12 -6 - 12__________________
Route:___IVTT______
1-2-3-4-5-6 NOD:____ffl_________
32. Keys to Remember:
1. Never transcribe doctors’ order in a medicine ticket with
erasures or tampered.
2. Always write legibly, neatly, and correctly.
3. Do not recycle the used medicine ticket. (as much as
possible)
4. A new doctors’ order is a new medicine ticket.
5. Endorsed to your charged nurse the old ticket that has
changed order in; (increase/decrease dosage; route)
6. Do not revise/rephrase what have written in the doctors’
order. Rewrite completely what have written in the order.
7. If in doubt; check your ticket from the doctors’ order sheet
first before in the medication sheet.
33. 8. Arrange your drugs according to their color coding if for 1
patient with lots of drugs in different frequencies/timing.
9. Make an indication/marks on the medicine ticket for stat
orders; to prevent from administering twice.
10. Signing the medication sheet as prompt as possible after
administering/given a due medicines.
11. Do not sign the medication sheet in advance; without
administering the drugs yet. Especially IVTT meds.
12. Always coordinate with the charge nurse with regards to
new orders; new drugs ordered; etc.
13. Be mindful always……
34. Drugs just like a
sword that has two
sharp edges;
Whether it heals
you, or kill you for
just a minute from
miscalculation.