Quote from RNLisa
Where I work, the docs cannot write a range order, for example, they cannot write Percocet 1 - 2 tabs PO q6 hr PRN pain, they have to maybe say, For pain scale 1 - 5, give Percocet 1 tab PO q6 hr PRN pain, and for pain 6 - 10, give Percocet 1 tab PO q6 hr PRN pain.
If the order states 7.5 mg, and you know that is the correct dose, then you give that.
Our docs routinely prescribe 1-2 Percosets for pain; we pick it up for our MARs as "1 tablet for moderate pain" and "2 tablets for severe pain" (or if 1 tablet ineffective). Same thing for 4-6 mg morphine: gets written up as 4 mg for moderate, 6 mg for severe (or if 4 mg ineffective).
But in no instances can we decide to give half a percoset. If the order says 7.5 mg, then either 7.5 mg is given, or none is given (and MD called for new order). HOWEVER, I have had pts know that, say, 8 mg is ALOT for them (and I don't hesitate to tell them so, if applicable), and had them "refuse" half of it. A patient has the right to refuse any amount of medication, so if the PATIENT refused half of the dose, that's fine, and it's documented. The MD then can make a change if warranted. Or not.
But that's different than the nurse re-prescribing the dose on her own.