actual northbay medication orders presented by lisa johnstone medication safety pharmacist dangerous...
TRANSCRIPT
Actual NorthBay Medication Orders Presented by Lisa Johnstone
Medication Safety Pharmacist
Dangerous Abbreviations and Illegible Orders
60mg, subcutaneous every 12 hours
Sublingual or Subcutaneous?
Humulin Regular Insulin 10 units
10 units or 100 units?
Lasix 20 mg IV daily
qd or qid?
40 mg PO daily
Dose? Route? Frequency?
0.1 mg PO daily
QD or QID or QOD?
Tab 1 PO daily
Route? Frequency? QD or QID?
KCL 30mEq 1 PO bid for 3 days
(required clarification from physician)
X3 doses or X3 days?
3cc (mL) BID
3 cc or 3 units?
25 cc (mL) per hour
25 U or 25 cc per hour?
Plendil 5 mg PO daily
(Actual dose transcribed as 15 mg.)
Dose?
RUN at 5 mL/H
(“@” mistaken for “2”)
RUN at 25 ML / H?
@ 50cc/h
Rate? 250cc/h?
mcg (“mu” symbol used to denote mcg caused transcribed of dose as 50mg/hr)
mg or mcg?
.5mg (no leading 0, misread as 15mg)
Dose?
.5mg (No leading 0, poorly written decimal point misread as 15mg)
Dose? 15mg?
Example:
Trailing “0” could misread as 20 mg.
Example:
Trailing “0” could misread as 10 mg.
REGLAN 10mg IV Q 8 hours X 3 DOSES (Both RN and RPH read as Ativan and ? dose.)
Can you read this order?
25-50 gms ALB (albumin) for BP
Can you read this order?
Example:
Trailing “0” could misread as 250 mg.
Example: Poorly written insulin sliding scale. 181-210? 211-300?
Intended to be 181 - 250, 251 - 300.
Example:
Greater than sign used incorrectly, should be less than.