Question

Prescription

Encounter Type Medication/ Dose Strength/ Form Route/ Frequency Status Entry By Date
Office Visit - Follow- up/ Establish ed Visit 12/13/2017 Lisinopril Tablet - Prinivil, Zestril)/1 Tab 20/Tablet Buccal/BI D Active Dr. Mills 12/13/17

Identify the abbreviation errors made in this record. What is the proper notation that should be used?

Answer 1

These are the abbreviation errors made in this record and the proper notation that should be used:

• Office Visit - Follow-up/ Establish ed Visit 12/13/2017
• Lisinopril Tablet (Prinivil, Zestril) 1 tab 20 mg BID Buccal
• Active
• Dr. Mills
• 12/13/17

What are the errors?

Abbreviation errors:

"BI D" should be "BID". BID stands for "bis in die", which means "twice a day" in Latin.

"Tab" should be "Tablet". This is a more specific way of indicating the dosage form.

"Buccal" should be "Buccal". This is the correct route of administration for lisinopril.

Proper notation:

Office Visit - Follow-up/ Establish ed Visit 12/13/2017

Lisinopril Tablet (Prinivil, Zestril) 1 tab 20 mg BID Buccal

Active

Dr. Mills

12/13/17

This notation is more clear and concise, and it follows the standard abbreviations for medication orders.