A nurse is preparing to document in the client’s medical record. The nurse should identify that which of the following abbreviations are specified by The Joint Commission for placement on a facility’s Do Not Use list? (Select all that apply.)
A.
U
B.
I&O
C.
IU
D.
q.d
E.
PRN
The Correct Answer and Explanation is:
The correct answers are A (U), C (IU), and D (q.d).
Explanation:
The Joint Commission has established a “Do Not Use” list of abbreviations to prevent errors in medication prescribing, dispensing, and administration. This list aims to enhance patient safety by eliminating terms that can be easily misinterpreted.
- U (Unit): This abbreviation is discouraged because it can be mistaken for “0” (zero) or “4” (four), leading to potentially dangerous medication errors. For instance, “10U” could be misread as “100” if the “U” is misinterpreted, which could result in administering an incorrect dose.
- IU (International Unit): Similar to “U,” this abbreviation can also be misinterpreted, particularly as “IV” (intravenous) or “10.” The ambiguity surrounding this abbreviation can lead to incorrect dosing of medications, especially with drugs that require precise dosing such as insulin or vitamins.
- q.d. (once daily): This abbreviation is also on the list because it can be confused with “q.i.d.” (four times daily), particularly if the “d” is misread as a “0.” Such confusion can significantly impact treatment plans and patient outcomes, especially in the context of critical medications.
- I&O (Intake and Output): This abbreviation is not included in The Joint Commission’s “Do Not Use” list. It is widely accepted in clinical practice to monitor patients’ fluid balance, particularly in settings where precise fluid management is critical.
- PRN (as needed): Like I&O, PRN is a standard abbreviation that indicates medications or interventions should be administered only as necessary. It is not part of the “Do Not Use” list.
By adhering to these guidelines, healthcare professionals can significantly reduce the risk of medication errors and improve overall patient safety. The use of clear, unambiguous language in documentation is essential in providing high-quality care.