GL/PTC/16.

R1-2014

CHANGI GENERAL HOSPITAL

MEDICATION ADMINISTRATION DECISION GUIDE

N.B. 1. This table is meant as a guideline only. Physicians may choose to vary the timing of administration according to a given clinical scenario.
2. This table is intended mainly as a guide to standardise the times of administration of medication to inpatients as well as the administration of the
first dose of a newly-prescribed order. It is not meant to override any orders for stat medications.
3. Exclusions to this table include:
a. Antidiabetic drugs (oral and parenteral)
b. Antibiotics these shall be administered 24H, 12H, 8H or 6H (regardless of manner of prescribing in the inpatient medication record

Frequency Hour of the Day

OM 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23
08 Hold dose and give @ 0800 hrs Give now, resume OM @ 0800 hrs tomorrow Hold dose and give @ 0800 hrs tomorrow
ON 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23
20 Give now, resume ON Hold dose and give @ 2000 hrs Give now, resume ON @ 2000 hrs tomorrow
@ 2000 hrs
BD 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23
08-20 Give now, Hold dose Give now, resume BD Hold dose Give now, resume BD
resume BD and give @ 2000 hrs and give @ 0800 hrs
@ 0800 hrs @ 0800 hrs @ 2000 hrs
12H 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23
08-20 Give now, Hold dose Give now, resume 12H Hold dose Give now, resume 12H
resume 12H and give @ 2000 hrs and give @ 0800 hrs
@ 0800 hrs @ 0800 hrs @ 2000 hrs
TDS 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23
08-14-20 Hold dose and give Give now, resume TDS Give now, resume TDS Give now, resume TDS
@ 0800 hrs @ 1400 hrs @ 2000 hrs @ 0800 hrs
8H 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23
00-08-16 Give now, Hold dose Give now, resume 8H Hold dose Give now, resume 8H Hold dose Give now,
resume 8H and give @ 1600 hrs and give @ 0000 hrs and give resume 8H
@ 0800 hrs @ 0800 hrs @ 1600 hrs @ 0000 hrs @ 0800 hrs
QDS 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23
02-08-14-20 Give now, resume QDS Give now, resume QDS Give now, resume QDS Give now, resume QDS
@ 0800 hrs @ 1400 hrs @ 2000 hrs @ 0800 hrs
6H 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23
02-08-14-20 Give now, resume 6H Give now, resume 6H Give now, resume 6H Give now, resume 6H
@ 0800 hrs @ 1400 hrs @ 2000 hrs @ 0200 hrs
4H 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23
00-04-08- Give dose now, Give dose now, Give dose now, Give dose now, Give dose now, Give dose now, Give dose now,
12-16-20 resume 4H resume 4H resume 4H resume 4H resume 4H @ resume 4H resume 4H
@ 0400 hrs @ 0800 hrs @ 1200 hrs @ 1600 hrs 2000 hrs @ 0000 hrs @ 0400 hrs

IF IN DOUBT, PLEASE CHECK WITH A PHYSICIAN OR A PHARMACIST