PRN window

I was told with medication you have a one hour window... One hour prior to time alitted up to the hour after. Important ? What about Giving PRN medications do you have a one hour window?


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Our PRN's can be given 15 min before they're due. Some of thing are q2h PRN, so giving them 1 hr before would mean you could give unlimited doses, continually.

Back when, it use to be a half hour before to a half hour after the Scheduled Hour of Administration.Just Tonight, I went to give an Ibuprofen and the Computer told me I couldn't Administer the PRN because it was FOUR Minutes early.I Laughed and Over-Rided the Med.

The downside to computerized charting. I used a computer system that would only allow once daily prns to be given every 24 hours. For example, patient takes zolpidem at midnight one night and wants it the next night at 10pm…nope! We learned to put in orders with an admin note-@hs for sleep-but without putting in a daily frequency. You have to be smarter than the the computer sometimes.

Yep, our EMR has both of those nuances too- can't scan a PRN until the minute it's due, and can't give a daily med until it's been 24 hours. The other dumb warning is if you give an 0000 med at 2345- you get a wrong date warning. I just override those pop ups. It's dangerous to have so many dumb warnings because it primes people to ignore important ones.

We also had a 15 minute window to give PRNs early. The computer EMR did make giving PRNs more of a pain. Overriding the program also flags it, so putting the order in so that PRNs can be given within the designated time (ie: every 4 hours) not at an exact time helped to eliminate some of the over rides. Always document the effectiveness of the PRN.

Quote from blondy2061hYep, our EMR has both of those nuances too- can't scan a PRN until the minute it's due, and can't give a daily med until it's been 24 hours. The other dumb warning is if you give an 0000 med at 2345- you get a wrong date warning. I just override those pop ups. It's dangerous to have so many dumb warnings because it primes people to ignore important ones.

Is this more homework?