BID strictly every 12h or just twice a day?

  1. 0
    I am a new grad and just started my first nursing job. I was doing med pass and a patient asked me for a prn pain med that was BID. I told them they had just had it about 5 hours before so they could'nt have it till later and their argument was that they just have an allotment of twice a day, but not necessarily 12 hours apart and that no other nurse waits 12 hours in between doses. What is the correct way to go about that?

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  2. 14 Comments...

  3. 1
    Hi, BID means two-times-a-day. the timing depends on the hospital guidelines in giving medication.. some hospital timed BID as every 6am-6pm, or 8am-6pm, or 8am-8pm...IT ALL DEPENDS ON THE HOSPITAL'S GUIDELINES.. To play safe, ask your senior or supervising nurse.. It is very important to memorize the 12 Rights in giving medication, such as the timing and color coding the medications since nurses are prone to medication errors. Hope this helps.
    Meriwhen likes this.
  4. 0
    In addition to the PRN, when the doctor's order is BID PRN ... same rule can be applied... that the medication should be given 2x a day as needed.. when the patient complaint of ex.pain, u should check the previous time the PRN was given, if it is not relieved, then its time to refer it because the patient may be suffering too much that the dose of BID PRN cannot give any relief. ALWAYS, ALWAYS KEEP IN MIND THAT "ASK" YOUR SUPERIOR WHEN IN DOUBT.
  5. 0
    BID is twice a day, or every 12 hours...but as PPs have mentioned, it depends on your hospital's policy. If a patient only has a PRN med ordered BID and they are still complaining of a lot of pain, perhaps it is time to speak with the patient's physician about increasing the dose or increasing the frequency if possible.
  6. 0
    At my workplace, BID PRN means twice a day, but at least 6 hours apart.

    Therefore, a patient could have their medicine at 8am and again at 2pm.
  7. 2
    BID PRN is roughly 8-12 hours apart, depending on your facility's specific policies and the medication involved. If they want to have it given strictly every 12 hours, q12h would be the better choice. If they are more concerned with limiting the number of doses than the timing of them, then they could say "NTE 2 doses in 24 hours".

    If BID PRN isn't working for the pain, you need to let the prescriber know so they can increase to dose amount and/or frequency.
    echoRNC711 and joanna73 like this.
  8. 0
    BID of 'regular' meds is usually 9A & 5P. So there should be at least 8 hrs between those doses. Ask for clarification.
  9. 0
    Oh ok, so it varies from facility to facility? I will be sure to ask my supervisor tomorrow then! Thanks so much for the input everyone!
  10. 1
    Just like TID is not necessarily Q8h. It could be 0800, 1400 and 2000, or 0700, 1400 and 2100 depending on facility policy.

    It could also be TID with meals (0700, 1200, 1700).
    KelRN215 likes this.
  11. 0
    The order isn't truly complete, there should be a "not closer than" part. And, unless your P+P states it, BID isn't nec. Q12. good luck

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