[whosyourbadkitty]

i sure could use some help... i'm transcribing medical records for a pain management doctor and of course i can't read his writing. forget that i have no experience doing this but it's a great addition to my income and i'm figuring it all out.

anyway... i need help... he's written out a "change of medication" that reads: percocet 5mg 1/2 tablet?? PO a circle with a dot in the middle, the number 8L? PNN. and i have no clue what it all means. from what i've figured out so far, he's prescribing percocet, 5mg, 1/2 tablet, by mouth, and the rest is foreign to me and i don't know if i've even got the mg right... it looks like a 5.

can anyone help me with this????????

[Mimi2RN]

Originally Posted by whosyourbadkitty

i sure could use some help... i'm transcribing medical records for a pain management doctor and of course i can't read his writing. forget that i have no experience doing this but it's a great addition to my income and i'm figuring it all out.

anyway... i need help... he's written out a "change of medication" that reads: percocet 5mg 1/2 tablet?? PO a circle with a dot in the middle, the number 8L? PNN. and i have no clue what it all means. from what i've figured out so far, he's prescribing percocet, 5mg, 1/2 tablet, by mouth, and the rest is foreign to me and i don't know if i've even got the mg right... it looks like a 5.

can anyone help me with this????????

PNN is probably PRN, which means as needed. The dosage and time should be clarified with the doc. He may get irritated, but you need to get it correct. It's best not to guess. Eventually, you'll get used to his lousy handwriting! You need a dosage, a time and a route for each med.

[whosyourbadkitty]

thanks so much mimi. he's actually quite nice and doesn't get the least bit irritated when i ask questions. i impressed him with the quality of my work so i started off on a great note with him. i've set that report aside and highlighted that entire area for clarification. that's definitely not something i can guess at, nor would i even try to slip that through... thanks again for your reply.

do you happen to know of a web site i could check for a list of all the symbols used in prescriptions? that would be a huge help.

[NRSKarenRN]

Due to drug errors, great emphasis on avoiding abbreviations these days . Do not GUESS anything from this docs handwriting. Highlight and communicate issue in your and HIS best interest.

Medication Abbreviations -

Prescription And Other Medical Abbreviations

Error-ProneAbbreviations Symbols Dose Designations

Drug Name Confusion: Preventing Medication Errors - Medications ...

REDUCING ABBREVIATIONS IN MEDICATION ORDERS: AN ACTION PLAN AND ...

[MyReign1]

Could the circle with a dot be a Q, the 8L=8h, and the PNN = PRN?

So it would say "Q 8h PRN" = "Every 8 hours as needed."

Just a suggestion. Remember to clarify, though.

[Angie O'Plasty, RN]

I'd call and ask him to clarify. If you make an error transcribing....baaaaaaaaaaaaaaad things could happen.

[whosyourbadkitty]

nrskarenrn... i can't thank you enough for providing those links. i've bookmarked one and printed the ismp's list so i can laminate it. i'll be turning in my reports on wednesday so i'll let you all know what the mystery prescription was... i think myreign may have guessed it.

i really appreciate everyone's help with this, especially considering i'm not a nurse. i'm glad i found and bookmarked this site... keep an eye out for me, i may need you all again and if i can return the favor... just yell.

[NRSKarenRN]

You might just want to print the ISMP list and attach to your paperwork too since the DO NOT ACCEPT abbreviations list all started due to handwriting issues.

[grammyj]

CALL THE DOC to clarify!
Never "assume" what you don't know....he may get angry, but I'd rather deal with an angry doc than to know I potentially harmed a patient!

(You'll get more used to his handwriting as time goes on.)

[whosyourbadkitty]

drum roll please...

the doctor's prescription was supposed to be:

"percocet 5mg tablet, taken by mouth, 8L as needed"

now i don't know what the "8L" means but that's ok i suppose... as long as i correct the report as requested, i'm good.

you all are such a great help! i'll be coming back PRN.