Unique Plan Description: BH PRN Medications (JE)
Plan Selection Display: BH PRN Medications (JE)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2026-02-05 10:54:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2026-02-05 10:55:14
Available at all facilities: No

BH PRN Medications (JE)
Medications
	acetaminophen
		650 mg, Tab, By Mouth, Q4H, PRN pain-mild
			Comment: For pain rating 1-3
		1,000 mg, Tab, By Mouth, Q8H, PRN pain-mild
			Comment: For pain rating 1-3
	LORazepam
		1 mg, Tab, By Mouth, Q6H, PRN anxiety, duration: 14 Day(s)
			Comment: restlessness
		1 mg, Injection, IM-Intramuscular, Q4H, PRN anxiety, duration: 14 Day(s)
			Comment: restlessness
	bacitracin ointment
		1 appl, Ointment, TOPICAL, TID
	diphenhydrAMINE
		25 mg, Tab, By Mouth, Q4H, PRN itching-severe, duration: 5 Day(s)
		50 mg, Tab, By Mouth, Q6H, PRN agitation, duration: 5 Day(s)
		50 mg, Injection, IM-Intramuscular, Q6H, PRN agitation, duration: 5 Day(s)
			Comment: Use when patient intolerant to oral
	benzocaine topical 20% mucous membrane gel
		1 appl, Gel, Mucous Membrane, QID, PRN mouth sore pain
	benztropine
		1 mg, Tab, By Mouth, BID, PRN extrapyramidal side effects
		2 mg, Tab, By Mouth, BID, PRN extrapyramidal side effects
		1 mg, Injection, IM-Intramuscular, DAILY, PRN extrapyramidal side effects
			Comment: Use oral first if ordered and patient able to take PO
		2 mg, Injection, IM-Intramuscular, DAILY, PRN extrapyramidal side effects
			Comment: Use oral first if ordered and patient able to take PO
	Cepacol Regular Strength lozenge
		1 Loz, Lozenge, By Mouth, Q1H, PRN sore throat
	chlorproMAZINE
		25 mg, Tab, By Mouth, Q4H, PRN agitation, duration: 48 hr
		25 mg, Injection, IM-Intramuscular, Q4H, PRN agitation, duration: 48 hr
	Haldol  Oral
		2 mg, Tab, By Mouth, Q4H, PRN psychosis
			Comment: agitation
	haloperidol  Injectable
		2 mg, Injection, IM-Intramuscular, Q4H, PRN see comment
			Comment: agitation/psychosis
	hydrocortisone 1% topical ointment
		1 appl, Ointment, TOPICAL, BID, PRN itching
	hydrocortisone 2.5% topical cream
		1 appl, Cream, TOPICAL, TID, PRN hemorrhoids
	ibuprofen
		400 mg, Tab, By Mouth, Q6H, PRN pain-moderate
			Comment: and/or fever
	loperamide
		2 mg, Capsule, By Mouth, Q4H, PRN diarrhea
			Comment: Max 8 capsules per day
	Maalox Plus oral susp
		15 mL, Suspension-Oral, By Mouth, DAILY, PRN constipation
	melatonin
		3 mg, Tab, By Mouth, QHS, PRN insomnia
			Comment: give 30min prior to bedtime
		5 mg, Tab, By Mouth, QHS, PRN insomnia
			Comment: give 30min prior to bedtime
	miconazole 2% topical powder
		1 appl, Powder, TOPICAL, BID
	Milk of Magnesia 8% oral suspension
		15 mL, Suspension, By Mouth, DAILY, PRN constipation
			Comment: If MiraLax ineffective
	MiraLax oral powder for reconstitution
		17 gm, Packet, By Mouth, DAILY, PRN constipation
			Comment: Mix in 6oz juice or water
	nicotine
		2 mg, Gum, TransMUCOSAL, Q1H, PRN smoking cessation
			Comment: <25 cigarettes/day; max 24 pieces/24 hours
		4 mg, Gum, TransMUCOSAL, Q1H, PRN smoking cessation
			Comment: >25 cigarettes/day; max 24 pieces/24 hours
	sodium chloride 0.65% nasal spray
		1 spray, Solution, NARE, EACH, Q4H, PRN dryness
	Artificial Tears ophthalmic solution
		1 gtt, Solution, Eye, Both, Q4H, PRN dry eyes
	ondansetron
		4 mg, Tablet-Disintegrating, By Mouth, Q6H, PRN nausea and/or vomiting
	simethicone
		80 mg, Tablet-Chew, By Mouth, Q6H, PRN gas
	calcium carbonate
		500 mg, Tablet-Chew, By Mouth, QID, PRN dyspepsia

nicotine 14 mg/24 hr Patch
	nicotine
		14 mg, Patch, TOPICAL, DAILY
	nicotine Patch Removal
		Patch Removal, Patch, TOPICAL, DAILY, T+1;0900
Patient Care
	Medication patch site check
		T;N, QHS

nicotine 21 mg/24 hr Patch
Medications
	nicotine
		21 mg, Patch, TOPICAL, DAILY
	nicotine Patch Removal
		Patch Removal, Patch, TOPICAL, DAILY, T+1;0900
Patient Care
	Medication patch site check
		T;N, QHS

nicotine 7 mg/24 hr Patch
Medications
	nicotine
		7 mg, Patch, TOPICAL, DAILY
	nicotine Patch Removal
		Patch Removal, Patch, TOPICAL, DAILY, T;N+1440
Patient Care
	Medication patch site check
		T;N, QHS

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase