Components of a Complete Order.

• Client name (Last and first).
• Medication name
• Strength of medication (if required)
• Dosage of medication to be administered
• Route of administration
• Specific directions for use, including frequency of administration
• Reason for administration if the medication is ordered PRN or as needed
• Provider signature.

 

Orders for medications prescribed for PRN administration must include

• Symptoms that require the administration of the medication;
• Exact dosage;
• Exact time frame between dosages;
• Maximum dosage to be administered in 24-hour period;

 

QMAPs may be responsible for receiving and transcribing orders.

• It is important that QMAP understands required procedures as well as the limitations of QMAP role in medication documentation.
• An order is required to administer, change or discontinue any medication or treatment;
• It is important to know the components of a medication order;
• Contact the prescribing health care provider if the order is not legible – DON’T GUESS!
• If an order is not complete or clear on how to administer; the QMAP must contact supervisor or physician – DON’T GUESS!
• Example – Ativan 0.5 mg. by mouth every 4 hours PRN for pacing or agitation;
• Physician must be contacted if more than four doses are needed in 24-hour period.

 

A “dose” has 3 parts.

• Size:  The dose/size is the amount of drug taken at any one time. This can be expressed as the weight of drug (e.g. 250 mg), volume of drug solution (e.g. 10 mL, 2 drops), the number of dosage forms (e.g. 1 capsule, 1 suppository) or some other quantity (e.g. 2 puffs).
• Frequency: The dosage regimen is the frequency at which the drug doses are given.

• Examples include: 2.5 mL twice a day, one tablet three times a day, one injection every four weeks.
• Duration: the time during which the dose continues working.

 

        What is strength of preparation: The strength is the amount of drug in the dosage form or a unit of the dosage form (e.g. 500 mg capsule, 250 mg/5 mL suspension).

        Example: A patient is prescribed 30 mg amitriptyline (dose). Amitriptyline is available in 10-mg tablets. (Strength of preparation)

Calculation:

Number of tablets required=³⁰/₁₀×1=3

 

A child is prescribed 240 mg paracetamol (dose). Paracetamol suspension is available as a solution of 120 mg/5 ml.(strength of preparation)

Calculation:

Volume of paracetamol required=²⁴⁰/₁₂₀ ×5=10 ml