Opioid prn and range orders

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Jennifer Turple
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Joined: 01/04/2010 - 09:52
Opioid prn and range orders

Hello,
I am a Canadian pharmacist so forgive my ignorance of Joint Commission requirements.
I understand JC has requirements for policies/education around standard interpretation of orders such as HYDROmorphone 0.5-1 mg subcut q3h prn.
Would anyone be willing to share policies/educational tools or other approaches to ensure that such orders are consistently interpreted in your organization.

Particularly interested in feedback on this
Using the order HYDROmorphone 0.5-1 mg subcut q3h prn, are nursing staff able to give 0.5 mg at time point 0 and then an additional 0.5 mg at time point 90 minutes, then 1 mg at time point 180 minutes?

Thanks
Jen Turple
Halifax, NS
jennifer.turple@iwk.nshealth.ca

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