Round Orders

Round orders are the instructions given during a ward round for the management of patients.

Types of Orders

1. Routine Orders

• Regular medications and their timing
• Diet and fluid restrictions
• Nursing care instructions
• Physiotherapy or mobilization

2. PRN Orders (As Needed)

• Medications to be given when specific conditions occur
• Must specify: drug name, dose, route, frequency, and indication
• Example: "Inj. Morphine 2-4 mg IV q4h PRN severe pain"

3. STAT Orders

• Single dose to be given immediately
• Used for urgent situations

4. Investigative Orders

• Lab tests, imaging studies, procedures
• Include specific instructions (e.g., fasting, contrast)

Writing Orders Properly

• Use clear, legible handwriting (or electronic system)
• Include: date, time, order, and your signature
• Avoid abbreviations that can be misunderstood
• Review and renew orders regularly