To ensure patient safety, the practicing nurse must have knowledge of the current Joint Commission's "Do Not Use" list of abbreviations. Which of the following abbreviations is acceptable for use?

a. q.o.d. or Q.O.D
b. MSO4 or MgSO4
c. International Unit
d. Lack of a leading zero


C

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A This abbreviation should be written out as "every other day." The period after the "Q" could be mistaken for an "I"; the "o" could also be mistaken for an "i."
B It is too easy to confuse one medication for another. These medications are used for very different purposes and could put a patient at risk for an adverse out-come if the wrong medication was administered. They should be written as morphine sulfate and magnesium sulfate.
C "i.u." and "I.U." are no longer acceptable because they could be misread as "I.V." or the number "10."
D To avoid the decimal point before a fractional number being overlooked and causing confusion, a leading zero should always be included in such cases; e.g., 0.4 rather than .4.

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