Basic Information About Preparation And Administration of Medicines

General Rules in Ordering and Checking of drugs in the unit

1.Ordering of drugs from the hospital

  • Only the head nurse and the charge-nurse are authorized to order drugs.All drugs that come up from the pharmacy are to be checked against the drug order notebook or the medication for initial orders.Only the medication-nurse does the receiving, checking and storing the medicines.
  • The amount of all medicines ordered or received initially should be indicated at the lower left and corner of the medicine card.
  • When the patient’s medicines are almost consumed notify the head nurse or write in the drug order notebook.Each morning, the head nurse orders needed for the next 24 hours.
  • If a medication is ordered after the pharmacy is closed and the drug is of such a nature that it must be given immediately, the night supervisor must be notified so she can get the drug, otherwise, it will be ordered the following morning.

2.Drugs bought from outside

In cases when the medication are bought outside by the patient, or relatives, the name and amount of drugs received are to be listed in blue ink in the medicine column of the patient’s chart before they are placed in their individual containers.Drugs bought outside should not be used to replace stock medicines used by the patient.

General Rules in the Storage of Medicines in the unit

1.Medicines are arranged in the medicine cabinet according to the patient’s room and bed number.Oral liquid medications are placed in a separate tray outside the cabinet.

2.All medicines for external use are stored separately.

3.All narcotics are kept in a locked drawer in the medication room.The medication nurse is in charge of the key.

4.All protein-containing drugs, such as insulin, sera, vaccine, liver extract, vitamin preparations in vials for injection, dissolved antibiotics and suppositories are kept in the refrigerator.

General Rules in Filling out of Medication Cards

Cards are made out according to the information obtained from the Doctor’s Orders and Kardex.Making cards according to its color:

1Green Card

aFrequency of medication: Q.D. (Once a day)

bFrequency of medication: B.I.D. (2x a day)

cFrequency of medication: P.R.N. (as necessary)

dFrequency of medication: Q-12 hours

2Salmon Card

aFrequency of medication: T.I.D. (3x a day)

bFrequency of medication: T.I.D. a.c. (3x a day, before meals)

cFrequency of medication: TI.D. p.c. (3x a day, after meals)

3Brown Card

aFrequency of medication: Q-4 hours (every 4 hours)

bFrequency of medication: Q.I.D. (4x a day)

cFrequency of medication: Q-5 hours (every 5 hours)

dFrequency of medication: Q-6 hours (every 6hours)

4Blue Card

aFrequency of medication: Q-1 hours (every hours)

bFrequency of medication: Q-2 hours (every 2hours)

cFrequency of medication: Q-3 hours (every 3 hours)

5White Card

aFrequency of medication: Q-9 hours, (every 9 hours)

6Yellow Card

aFrequency of medication: Q-Q.M.

bFrequency of medication: Q-PM or HS (at bedtime)

cFrequency of medication: Q-5 hours (every 5 hours)

7Red Card

aFrequency of medication: Q other day

bFrequency of medication: Q 3 days or 2x a week

In making out a medication card or slip, the nurse should include the following information:

1Patient’s Full Name

2Bed Number

3Medication and Dosage

4Route of Administration

5Frequency and/or time of Administration

6Date card was made out.

When the medication are to be given hypodermically, intramuscularly, intravenously or by any other method except by mouth it must be so indicated in the card as follows:

·Hypodermic as H

·Intramuscular as IN

·Intravenous as IV

·Intradermal as Intradermally

When medicines which are usually given H or IN are ordered to be given by mouth (like codeine, strychnine, streptomycin, etc.) it should be so indicated in the card with the letters “p.o.” (per orem).

1If the order is self limiting, the nurse indicates the days that the drug is to be given on the reverse side of the card.These dates are then checked as the drug is given and the card torn when all have been given.

2Whenever a stock solution is made to be administered in several doses the amount of solvent and the dose for each administration is written at back of the card.

All cards and slips must be checked and signed by the head nurse or charge nurse before any medication is given.