GUIDELINES FOR PRN ADMINISTRATION OF MEDICATION



ADDITIONAL GUIDELINES FOR PRN (as needed) MEDICATION

THIS IS NOT A PRESCRIPTION

(MCAR 023-080-545) Prescription medications ordered to be given "as needed" or "P.R.N." must have additional directions which show what the medication is for and specifically when, how much, how often it may be administered, and the expected outcome. These written directions may be given by a physician, nurse practitioner, Registered Nurse or pharmacist. P.R.N. medications with specific parameters must be recorded on the medication administration record. Any additional instructions must be available for the caregiver to review before the medication is administered to the resident.

* PRN orders for restraints are not allowed (MCAR 023-080-720)

Client:

Generic Medication Name: Trade Medication Name:

What is the medication for?

To be given if:

(Specific reason medication needed, i.e., specific descriptive complaint of pain, behavior – not just pain)

Not to Exceed:

(Number of doses in a specific amount of time, i.e., six (6) tablets in a twenty-four (24 hours)

Dose of medication: Amount to be given:

(i.e., four (4) mg.) (i.e., 1 tablet, 1 teaspoon)

Schedule: Route:

(i.e., every six (6) hours) (i.e., by mouth, under tongue)

Expected Outcome:

Call Physician and/or RN/NP/Pharmacist if the following specific adverse reactions or side effects are present:

Medication to be stopped when:

Signature Date

Signed by:

□ Consulting Physician

□ Nurse Practitioner

□ Registered Nurse

□ Pharmacist Signature

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