Ok. I am in a small rural hospital. Our OBs/Midwives have a check list of medications they want the patient to have. Then when we note orders we have to transfer them onto a pre-printed med sheet and write any in that are not on the medsheet. Most of the Narcotics are written on the Doctors forms like " Vicodin 1 or 2 every three hours for moderate pain"...but when we write them on the med sheet there are two different boxes for the Vicodin, one that says Vicodin 1 every three hours as needed and Vicodin two every three hours as need....so since they check OR on the doctors orders we open up both meds on the med sheet. I was told that since the doctor order says "One or two every three hours" we can give one now and then if they still have no pain relief in say 45 mins we can give another because it is still under the order of 1 or 2...but how do you chart this on the med sheet when I sign that I gave them ONE under the "Vicodin one every three hours as needed..." when I give ONE more an hour later and chart it in the ONE every three hours because I am only giving one?....it looks like I am giving it two hours early but in fact I gave them one now and one a little later for a order that says 1 or 2....is my question to confusing? If not can you answer?