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Medical Forum / General / Pharmacy / March 2007__Hospitals and physician med orders regarding administration
Hi, Do physicians always order medications in a 'strength' like 200mg or 20mg / hour ? Would a physician actually choose a particular infusion like 2mg/ml and then order it as ml/hour (or whatever time unit it is). Or is this all left to the pharmacist or the nurse? > Hi, > [quoted text clipped - 5 lines] > > Or is this all left to the pharmacist or the nurse? Depends on the hospital. Some have "standing order sets" i.e. Physician will order Pitocin drip at x units/min. Standing orders state that all Pitocin drips will be x units in 1000ml. Some physicians will just write 2mg/kg/min and leave it up to the pharmacy to make a concentration. Most hospitals prefer to have pre-mixed solutions with fixed concentrations, then only the rate will vary and people aren't confused by ever changing concentrations. yes (I'm a RN) > Hi, > [quoted text clipped - 5 lines] > > Or is this all left to the pharmacist or the nurse? Yes , Doctor must specify the strength of any med they order as well as dosage form and a rate if its iv otherwise the order will be invalid and the pharmacist must contact physician to verify the order . Thanks > Yes , Doctor must specify the strength of any med they order as well as > dosage form and a rate if its iv otherwise the order will be invalid and > the pharmacist must contact physician to verify the order . > Thanks We have several MDs here that will write an order with Drug X then "...give apporpriate dosage per age/weight, contact pharmacy for correct dosage" then we have to write the order.  Signature"Verbosity leads to unclear, inarticulate things." -- Vice President Al Gore, 11/30/96 |
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