C3.2 R4(b): Accurately transcribe a medication order onto the medication profile or health record #4

Order written on chart:

  • Risperidone 0.5mg hs if confused and disruptive, repeat x 1 if not effective in 1 hour
  • Haloperidol 2mg IM PO if all else fails

Entered and verified:

  1. Risperidone 0.5mg tablet – 1 tablet
    Order Type: MEDM; Route: PO; Frequency: HS PRN; Schedule; PRN
    Start date: 17/01/17; Start time: 1245 (could be any time, does not matter since PRN); no stop date
    Inventory: LM;  Charge Type: INP
    QTY: 2 (in case need to repeat x 1)
    Comments:
    If confused and disruptive
    Repeat x 1 dose if not effective in 1 hour
    Hazardous Drug – wear 1 pair of nitrile gloves; do not crush or split
  2. Haloperidol 2mg tablet – 1 tablet
    Order type: MEDM; Route: PO; Frequency: PRN; Schedule: PRN
    Start date: 17/01/17; Start time: 1245 (could be any time, does not matter since PRN); no stop date
    Inventory: LM; Charge Type: INP
    QTY: 1
    Comments:
    If risperidone is not effective
    Or see alternate IM order on MAR (F5 LMAY)
  3. Haloperidol 5mg/mL amp – 2mg (0.4 mL per dose)
    Order type: MEDM; Route: IM; Frequency: PRN; Schedule: PRN
    Start date: 17/01/17; Start time: 1245 (could be any time, does not matter since PRN)
    Inventory: LM-4SC; Charge type: WS
    QTY: 0 (as ward stock)
    Comments:
    If risperidone is not effective
    Or see alternate PO order on MAR

Reflection:

  • Important to ensure that the order type matches the order
    • MEDM: wardstock, PRNs or narcotics
      • BUT…if wardstock that is regularly scheduled, it will be a MED
  • Important to ensure that if it is a PRN that is not wardstock, to send to the ward 1-2 days of supply
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