[Index]

5.0 MEDICATION ADMINISTRATION POLICIES

 

5.3 GUIDELINES TO STANDARDIZE ORAL MEDICATION DOSING TIMES
(To download pdf version, click here).

For Instructions how to use, see next page 

daily

08

01   02   03   04   05    06   07

 wait until 08

 

08   09   10   11   12   13   14
15   16   17   18   19

give now and repeat at 08 next day unless patient has already had dose for the day

20   21   22   23   24
 

 wait until 08

 

 

bid

08 
21

 

01   02
 

give now, repeat at 08
 


03   04   05   06   07

wait until 08
 

 

08   09   10   11   12   13   14
give first dose now, repeat at 21

15   16   17   18   19   20


wait unit 21



21
   22   23   24


give now, repeat at 08
 

 

tid

08 17
21

 

01   02

  

give first dose now, repeat at 08

 

03   04   05   06   07

 wait until 08

 

 

08   09   10   11   12
 

give first dose now, repeat at  17

 

13   14   15   16
 

wait until 17

 

 

17   18

 

give first dose now, repeat at 21

 

19   20

 

 wait until 21  

 

 

21   22   
23   24
 

give first dose now, repeat at 08

 

 qid

08 12
17 21

 

01   02

give first dose now, repeat at 08

 

03   04   05   06   07

wait until 08


 

 

08   09

 give first dose now, repeat at 12

 

10   11

wait until 12

 

 

12   13   14

 give first dose now, repeat at 17

 

15  16

wait until 17

 

 

qid

08 12
17 21

 ..cont

 

 

17   18

 give first dose now, repeat at 21

 

19   20

wait until 21

 

 

21   22   23   24

give first  dose now, repeat at 08
 

 

 

 

 

   

q4h

02  06

10  14

18  22

 

01   02   03   04

give first now, repeat at 06

 

05   06   07   08

 give first now, repeat at 10

 

09   10   11   12 
 

give first now, repeat at 14

 

 

13   14   15   16
 

 give first now, repeat at 18

 

17   18   19     20 

give first now, repeat at 22

 

21   22   23   24

give first now, repeat at 02

 

 

hs

   21

 

01   02   03   04   05   06   07   08
 

give first dose now, repeat at 21

 

09   10   11   12   13   14   15   16   17   18   19   20

 wait until  21
 

 

21   22   23    24

 

give first dose now, repeat at 21 next day
 

 

Definitions

“CLEAR WINDOW” is time interval when a dose can be administered

“COLOURED WINDOW” is time interval to wait until the next dosing time to give a dose

“HIGHLIGHTED HOUR” is the standard dosing time for scheduled drugs

 

Medication Dosing Times

  •  There is an allowance of +/- 60 minutes around the scheduled time.

  •  Oral medication orders written as Q12H, Q8H, Q6H will be changed to bid, tid, and qid except those on the exception’s list

 

PROCEDURE                                                                                           

 Nurse:  1.     Find appropriate dosing interval.

2.     Locate window with the time of medication order and/or availability

3.     Follow window instructions for first dose.

4.     Give all other doses following at the highlighted times.

5.     May take up to 24hrs to adjust to standard dosing times if clinical situation dictates.

 

Exceptions:  Warfarin – give at 1700 hr

                   Once daily oral antibiotics ordered between 2000 & 0700 (give 1st dose now)

                   See medication exception table for all other exceptions (Policy 5.2)