Medication Changes

[jacesmom2]

I have a new order to increase a medication to 4 times p/day instead of 3 times p/day. Do I need to D/C the original order and then add a new order in the MAR? Please help I'm having a brain "fart!"

Thank You!

[RNGrammie]

absolutely

[CoffeeRTC, BSN, RN]

Yep...even when you are changing coumadin doses every day you should.

[nursegreen]

Yes, if you don't it may cause a medication error. You don't want another nurse to come behind you and give more or less than what the current order states.

[PBAJS]

In my LTC facility ... in the MAR ... If a med is D/C'd we put "X" in the blocks for the remaining times for that day followed by a large "D/C". If a med is changed we put "X" in the blocks for the remaining times for that day followed by "See N/O".

[barefootlady, ADN, RN]

A new order is a new order and should be treated like any other new order. So yes, you discontinue the old order, mark MAR accordingly, and write new order on MAR.

[CapeCodMermaid, RN]

Of course you need to write a new order...dc the old order on the MAR and add the new one.

[Furwillfly]

Isn't that standard practice in the medical field? Just curious.

[1BlessedRN]

I have a new order to increase a medication to 4 times p/day instead of 3 times p/day. Do I need to D/C the original order and then add a new order in the MAR? Please help I'm having a brain "fart!"

Thank You!

yes hun you discontinue the previous phy order and write new phy order using discontinue not d/c (its no longer valid with BON) also note this on your MAR and report it to oncoming shift...if its a med change we also notify pharmacy and RP (responsible party)...