Nurse Trainer:
QDDP:
Team Leader:
Client:
POS Clean-Up
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All treatments on POS are active treatments __________
No weight, BP or unusual orders/time frame __________
A diagnosis and reason should be listed for every medication _______
Same diagnoses on left and right side of POS ______
No redundant diagnoses (e.g. Bipolar and Depressive) __________
MR diagnosis is listed first _________
There are specific reasons for multiple medications in the same class _______
PRNs
o No double orders (e.g. 2 orders of Tylenol) ____________
o Specific times (e.g. 4 hours) __________
o No psychotropic PRNs ______________
o PRNs do not require staff assessments _________
POS Error
Instruction
Correction Needed
Treatments on POS are no
longer being used
Review all
treatments
greater than 1
year
Review Diet
orders, excessive
BP, weight
assessments
D/C treatments no
longer being used
Orders that are not
consistent with practices
Diagnoses and reasons not
listed for each medication
Diagnoses are not the
same on the left and right
side of POS
Redundant diagnoses
MR diagnosis is not listed
first
Multiple medications from
the same class
PRNs – Double orders of
same med
PRNs – Unspecific times
PRNs – Psychotropic PRNs
Send to MD to fix errors
Contact Pharmacy
Contact Pharmacy
Review diagnosis
list
Example: Multiple
laxatives
Example: Look for
2 orders of Tylenol
Look for time
frames of 4-6
hours
Correct multiple
diagnoses
Contact Pharmacy; list
MR diagnosis first
Contact MD
Send to MD to D/C one
of the meds
Send to MD to change
to specific time
Send to MD to D/C
psychotropic med from
PRN
Staff
Responsible
Date
Completed
and Initial
Nurse Trainer:
QDDP:
Team Leader:
PRNs –Require staff
assessment
Client:
D/C PRNs with too many
assessments for staff
Additional Errors________________________________________________________ _______________