1. Actual NorthBay Medication Orders Presented by Lisa Johnstone Medication Safety Pharmacist Dangerous Abbreviations and Illegible Orders

2. 60mg, subcutaneous every 12 hours Sublingual or Subcutaneous?

3. Humulin Regular Insulin 10 units 10 units or 100 units?

4. Lasix 20 mg IV daily qd or qid?

5. 40 mg PO daily Dose? Route? Frequency?

6. 0.1 mg PO daily QD or QID or QOD?

7. Tab 1 PO daily Route? Frequency? QD or QID?

8. KCL 30mEq 1 PO bid for 3 days (required clarification from physician) X3 doses or X3 days?

9. 3cc (mL) BID 3 cc or 3 units?

10. 25 cc (mL) per hour 25 U or 25 cc per hour?

11. Plendil 5 mg PO daily (Actual dose transcribed as 15 mg.) Dose?

12. RUN at 5 mL/H (“@” mistaken for “2”) RUN at 25 ML / H?

13. @ 50cc/h Rate? 250cc/h?

14. mcg (“mu” symbol used to denote mcg caused transcribed of dose as 50mg/hr) mg or mcg?

15. .5mg (no leading 0, misread as 15mg) Dose?

16. .5mg (No leading 0, poorly written decimal point misread as 15mg) Dose? 15mg?

17. Example: Trailing “0” could misread as 20 mg.

18. Example: Trailing “0” could misread as 10 mg.

19. REGLAN 10mg IV Q 8 hours X 3 DOSES (Both RN and RPH read as Ativan and ? dose.) Can you read this order?

20. 25-50 gms ALB (albumin) for BP Can you read this order?

21. Example: Trailing “0” could misread as 250 mg.

22. Example: Poorly written insulin sliding scale. 181-210? 211-300? Intended to be 181 - 250, 251 - 300.

23. Example: Greater than sign used incorrectly, should be less than.