Nurse Trainer: QDDP: Team Leader: Client: POS Clean-Up 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________________________________________________________ _______________