Documentation
Types of Errors
What is Missing?
Abbreviations
Miscellaneous
100

You have initialed the this after administering the medication.

What is the medication log?

100

This error is when there is an incorrect strength, no refill information, and illegible writing.

What is prescribing error?

100

Motrin 200 mg. Take 2 tabs PO PRN for pain.

What is frequency?

100

Daily/every.

What is QD?

100

The right patient, medication, dose, route time, and documentation are called.

What are the 6 Rights of Medication Safety?

200

You only use this to document.

What is blue or black ink?

200

CB's guanfacine is scheduled for 4:00 pm. It was not administered. 

What is an omission error?

200

You have Tylenol 325 mg PO q4h for fever.

What is dose?

200

ID

What is times per day?

200

Checking the label, order, and log.

What are Triple Checks?

300

You have circled your initials on the medication log.

What is a medication error?

300

PT takes propranolol at 8:00 am.  It was administered at 9:00. 

What is a wrong time error?

300

Administer Debrox 4 gtts QD.

What is route and purpose?

300

PRN

What is as needed?

300

You are preparing morning medications for SB and you notice the Abilify pill bottle is empty. I need to do this.

What is document log, complete a medication occurrence form, notify nurse trainer?

400

You have administered a medication and documented the medication, reason and result on the back of the log.

What is administered a PRN medication?

400

You missed administering a scheduled medication. You circled your initials, you provided reason on the back of the medication log, you used the proper code "o" on the back of the log, and you notified the nurse trainer.

What is an omission error?

400

Take metformin BID PO.

What is dose?

400

BID

What is 2 times a day?

400

You are taking a client to an annual physical appointment, and I need to bring these.

What is the physical form, annual recommendations form, and an HCP form.

500

Your client has refused to take their medications. You completed this form.

What is and Incident Report?

500

RT received his morning medications. Nurse trainer discovered that the medication was not signed off.

What is a documentation error?

500

Melatonin 5 mg. Take 10 mg PO 

What is time?

500

QID

What is 4 times a day?

500

SD asked for Tylenol for a fever. You need to do 3 things.

Check if there is order.

Check the PRN Protocol to see if SD can take Tylenol for fever.

Check the last time it was given and is in the proper time frame.

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