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Write out abbreviations for PRN orders to comply with JCAHO requirements

Pharmacy Regulation Resource, January 19, 2005

Prescribers must write out abbreviations for PRN, or as needed, orders, even if the indication for use is obvious, says Darryl Rich, PharmD, a JCAHO field representative.

For example, an order reading "MS q4h PRN pain" would violate the National Patient Safety Goal requirement banning certain abbreviations, Rich says. Pharmacists could mistake the abbreviation MS-morphine sulfate-for MgSO4-magnesium sulfate.

While it may appear obvious that the order is for the pain medication morphine sulfate, room for error still exists, Rich says.

Tip: Call the prescriber if you receive a PRN order with an unapproved abbreviation. Document the clarification on the order to remain in compliance with the JCAHO.

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