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Background The Institute for Safe Medication Practices (ISMP) developed these Acute Care Guidelines for Timely Administration of Scheduled Medications after conducting an extensive survey in late-2010 involving almost 18,000 nurses regarding the requirement in the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation Interpretive Guidelines to administer medications within 30 minutes before or after the scheduled time. The nurses who responded to the survey made it clear that changes to drug delivery methods and gradual increases in the complexity of care, number of prescribed medications per patient, and number of patients assigned to each nurse have made the long-standing CMS “30-minute rule” error prone. Many nurses reported feeling great pressure to take shortcuts to comply with the rule, which have led to errors, some harmful. While delays in administering certain time-sensitive medications can also result in harm, a one-size-fits-all, inflexible requirement to administer all scheduled medications within 30 minutes of the scheduled time is a precarious mandate given that relatively few medications truly require exact timing of doses. CMS staff have requested a copy of the final guidelines, and based on our conversations with them, we are optimistic that positive changes will be made to the current “30-minute rule.” For now, hospitals will still be held accountable for the “30-minute rule” in the CMS Interpretive Guidelines. However, given widespre...

If you only take these medications during wakeful hours, your blood level will likely rise and fall instead of staying at a more even level. Severe pain is often better managed with ATC dosing, as well. That's because pain tends to come back quickly once the dose wears off. Taking the right dose at set intervals may help keep your pain from spiking. ABBREV. LATIN MEANING OTHER INFO PO per os Orally (by mouth) BID bis in die Twice a day TID ter in die Three times a day Q4H quaque 4 hora Every four hours Q8H quaque 8 hora Every eight hours PRN pro re nata As needed Usually for mild or intermittent symptoms AC or QAC ante cibum or quaque ante cibum Before a meal May be followed with a set amount of time before eating, such as one hour PC post cibum After a meal IM — Intramuscular (into the muscle) For injections only SubQ, SQ, or SC — Subcutaneous (under the skin) For injections only IV — Intravenous (in a vein) Given via an IV line or port GTT gutta Drops For eye drops, ear drops, etc. OD oculus dexter Right eye For drops or ointments OS oculus sinister Left eye For drops or ointments OU oculus uterque Both eyes For drops or ointments Source: Pharmacy Times • Make sure the prescription you get is the prescription your provider intended: Check the instructions on the medication you pick up to make sure that they match the instructions that your healthcare provider explained to you. • Request plain language: If you aren't confident you'll remember what your provider said about...

Proper Use Drug information provided by: Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. If you are using this medicine without a prescription, follow the instructions on the medicine label. This medicine should come with a Medication Guide. Read and follow these instructions carefully. Ask your doctor if you have any questions. Take omeprazole capsules or delayed-release capsules before a meal, preferably in the morning. Omeprazole tablets may be taken with food or on an empty stomach. Take omeprazole powder for oral suspension on an empty stomach at least 1 hour before a meal. For patients receiving continuous feeding through a tube, feeding should be temporarily stopped about 3 hours before and 1 hour after administration of omeprazole powder for oral suspension. It may take several days before this medicine begins to relieve stomach pain. To help relieve this pain, antacids may be taken with omeprazole, unless your doctor tells you otherwise. If you are taking this medicine to treat an ulcer that is associated with an H. pylori infection, take it together with antibiotics (eg, amoxicillin, clarithromycin) at the same time of day. Swallow the capsule and tablet forms of omeprazole whole. Do not open the capsule. Do not crush, break, or chew the capsule or the tablet. If you cannot swallow the omeprazole delayed-release capsules, you may open it and sprin...