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Re: Change of subject Mag Sulfate on L&DFrom: ainsron (ainsron@sbcglobal.net)Mon Mar 15 16:42:01 2004
In preparation for our recent JCAHO inspection, which we passed we had to make changes in our disapproved abbreviations: 1. We can no longer use QD, you have to write out daily, although you can write QPM or QAM. The pharmacist said that it could be confused with QID. 2. We can no longer use MS or MgSO4, you have to write out magnesium sulfate or morphine sulfate. Apparently the nurses are not bright enough to interpret the doctor's orders in the context of the patient we are caring for. God forbid a pre-eclamptic patient be given a four gram loading dose MS for seizure prophylaxis by a well-meaning but efficient nurse who has no experience in OB. 3. We cannot use trailing zeros, hence 0.12 mg of Synthroid, not 0.120 mg, and 10 mg morphine sulfate, not 10.0 mg morphine sulfate. 4. Of course the nurses are no longer bright enough to interpret range orders for pain medications or sliding scales for insulin, so instead of writing Vicoden, 1-2 tabs PO Q4-6 hours PRN pain, you now have to write: Vicoden, 1 tab PO Q4h prn mild pain Vicoden, 1 tabs PO Q6h prn milder pain (?) Vicoden, 2 tabs PO Q6h prn moderate pain Vicoden, 2 tabs PO Q4h prn severe pain Although our patients and outside pharmacists are apparently still able to interpret range orders outside of the hospital. I don't think they could make labels large enough to put all the variations on the outside of the bottle! Ronald E. Ainsworth -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Efrain Ramirez Sent: Monday, March 15, 2004 2:49 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Change of subject Mag Sulfate on L&D Agree..
>At Mon, 15 Mar 2004, art fougner, md wrote:
-- "The opposite of a correct statement is a false statement. But the opposite of a profound truth may well be another profound truth."
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