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The nurse manager is providing training to a new graduate nurse on a medical-surgical floor. They are reviewing the medical administration record (MAR) documentation. The new graduate nurse demonstrates correct understanding when she recognizes which of the following as an example of incorrect documentation?

Explanation

•This documentation is incorrect due to the lack of a leading zero: Hydromorphone (Dilaudid), .6 mg IV given PRN for breakthrough back pain rated 8/10, given at 2300, March 9th, 2015.

•Trailing zeros or lack of leading zeros are included on the Joint Commission's official "Do Not Use" list. They can easily cause confusion and be misread. 1.0 looks like 10, and .6 mg could be read as 6 mg.

•The recommendation is to write in a leading zero or an X and to never use a trailing zero for whole numbers.

•Other unapproved abbreviations include MSO4, MgSO4, and MS, IU for international units, u for unit, QD and QOD or any version of it, and trailing zeros or lack of leading zeros.

•All other options were examples of correct documentation.

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