Exam V: Order Writing

Question 1

ABC DA VANDILISM

Accepted Answer

A = Admit to surgical service 6th floor
B = Because- diagnosis/reason patient is being admitted
C = Condition- good, fair, serious, critical
D = Diet- range of NPO to regular
A = Activity- ranges from bedrest to ambulating
V = Vitals- frequency of vitals recorded
A = Allergies and Adverse Reactions
N = Nursing- checks and exams
D = DVT Prophylaxis- especially if impaired mobility
I = IVs- how much fluid and over what period of time
L = Labs
I = Inputs and outputs- monitoring hydration
S = Special- imaging, consults, dressings, foley, etc.
M = medications- name, dosage, frequency, and route

Question 2

Components to Prescription Writing

Accepted Answer

The reason for the medicationIdentification of the medicationInstructions on how to take the medicationAmount of medication to giveNumber of refills to giveYour LEGIBLE name & SignatureDate

Question 3

Prescription: First Line

Accepted Answer

Drug NameForms - Tablets, capsules, redi-tabs, suspensions, ointments, creams, gels, lotionsMilligrams, milligrams/milliliter, concentrations*Make sure you avoid mistakes by writing 0.5 instead of .5, or writing 5 and not 5.0

Question 4

Prescription: Second Line

Accepted Answer

SIG: instructions on how to take itHas 3 componentsAmount - one, two, one tsp, 5 cc, one ounce, 30 cc, 2 gttsRoute - PO, PR, PV, SL, Transdermal, SQ, IMFrequency - q 1 hour, q 8 hours, q 72 hours, qd, bid, tid, qid, qod, prn, until gone

Question 5

Prescription: Third Line

Accepted Answer

DispenseAmount: number, cc, vialsPut a line after number so it cannot be changed (Ex: 30 can’t be turned into 300)May be better to write out amount (Ex: thirty)Usually prescribed in 30 or 60 day suppliesExample: 1 tablet BID dosing would need 60 tablets

Question 6

Refills

Accepted Answer

Also better to write out (Ex: one)Write out “None”New medications usually get very few refills to allow appropriate reevaluationChronic medications: up to 1 year of refills

Term	Definition
ABC DA VANDILISM	`A = Admit to surgical service 6th floor B = Because- diagnosis/reason patient is being admitted C = Condition- good, fair, serious, critical` `D = Diet- range of NPO to regular A = Activity- ranges from bedrest to ambulating` `V = Vitals- frequency of vitals recorded A = Allergies and Adverse Reactions N = Nursing- checks and exams D = DVT Prophylaxis- especially if impaired mobility I = IVs- how much fluid and over what period of time L = Labs I = Inputs and outputs- monitoring hydration S = Special- imaging, consults, dressings, foley, etc. M = medications- name, dosage, frequency, and route`
Components to Prescription Writing	The reason for the medication Identification of the medication Instructions on how to take the medication Amount of medication to give Number of refills to give Your LEGIBLE name & Signature Date
Prescription: First Line	Drug Name Forms - Tablets, capsules, redi-tabs, suspensions, ointments, creams, gels, lotions Milligrams, milligrams/milliliter, concentrations *Make sure you avoid mistakes by writing 0.5 instead of .5, or writing 5 and not 5.0
Prescription: Second Line	SIG: instructions on how to take it Has 3 components Amount - one, two, one tsp, 5 cc, one ounce, 30 cc, 2 gtts Route - PO, PR, PV, SL, Transdermal, SQ, IM Frequency - q 1 hour, q 8 hours, q 72 hours, qd, bid, tid, qid, qod, prn, until gone
Prescription: Third Line	Dispense Amount: number, cc, vials Put a line after number so it cannot be changed (Ex: 30 can’t be turned into 300) May be better to write out amount (Ex: thirty) Usually prescribed in 30 or 60 day supplies Example: 1 tablet BID dosing would need 60 tablets
Refills	Also better to write out (Ex: one) Write out “None” New medications usually get very few refills to allow appropriate reevaluation Chronic medications: up to 1 year of refills

Exam V: Order Writing

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ABC DA VANDILISM

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