CERNER STANDARD MEDICATION ADMINISTRATION TIMES

Default times:
DAILY
0900
qAM
BID 0900, 1700
TID 0900, 1300, 2100
QID 0900, 1300, 1700, 2100
Before Meals 0730, 1130, 1630
After Meals 0830, 1230, 1730
q1h 0700, 0800, 0900, 1000 etc.
q2h 0900, 1100, 1300, 1500 etc.
q3h 0900, 1200, 1500, 1800 etc.
q4h 0900, 1300, 1700, 2100, 0100, 0500
q6h 0600, 1200, 1800, 0000
q8h 0500, 1300, 2100
q12h 0900, 2100
HS 2100

EXCEPTIONS:
FUROSEMIDE BID 0900, 1300
LEVOTHYROXINE DAILY 2100
STATINS DAILY 2200
ANTICOAGULANTS
(Dalteparin, Enoxaparin, Apixaban, Dabigatran)
DAILY 2100
BID 0900, 2100
(Rivaroxaban)
DAILY 1700
BID 0800, 1700
(Warfarin)
DAILY 2100
BETA BLOCKERS BID 0900, 2100
ORAL ANTIBIOTICS 0900, 2100
METFORMIN BID 0800, 1700

** Pharmacists are permitted to use professional judgment to substitute dosing frequencies stated in the physician’s
order. Certain medications, due to pharmacokinetics or need of administration with/without food, are more effective if
given at specific times, whether it be at equal intervals around the clock or at mealtime. (from CMAR and Medication
Administration Policy)
Staggering doses to achieve standard administration time

The following charts may be used as a guideline for staggering medication doses (which are begun off schedule) back to
standard hospital administration times.
Identify the time of administration of the initial dose, then administer the second and third doses at the tabulated times.
The fourth and subsequent doses should be given according to standard administration times.
**staggered admin times will not be pre-populated on the CMAR by the pharmacy system – a manual adjustment will be
needed
FOR Q24H or Once daily doses

Time of 1st/stat dose Time of 2nd dose Time of 3rd dose Time of 4th dose
0100 Following day at 0400 Following day at 0700 Standard 0900 time
0200 Following day at 0400 Following day at 0700 Standard 0900 time
0300 Following day at 0700 Following day at 0900 Standard 0900 time
0400 Following day at 0700 Following day at 0900 Standard 0900 time
0500 Following day at 0700 Following day at 0900 Standard 0900 time
0600 Following day at 0700 Following day at 0900 Standard 0900 time
0700 Following day at 0900 Standard 0900 time Standard 0900 time
0800 Following day at 0900 Standard 0900 time Standard 0900 time
0900 Following day at 0900 Standard 0900 time Standard 0900 time
1000 Following day at 0900 Standard 0900 time Standard 0900 time
1100 Following day at 0900 Standard 0900 time Standard 0900 time
1200 Following day at 0900 Standard 0900 time Standard 0900 time
1300 Following day at 0900 Standard 0900 time Standard 0900 time
1400 Following day at 0900 Standard 0900 time Standard 0900 time
1500 Following day at 1300 Following day at 0900 Standard 0900 time
1600 Following day at 1300 Following day at 0900 Standard 0900 time
1700 Following day at 1300 Following day at 0900 Standard 0900 time
1800 Following day at 1300 Following day at 0900 Standard 0900 time
1900 Following day at 1300 Following day at 0900 Standard 0900 time
2000 Following day at 1700 Following day at 1300 Standard 0900 time
2100 Following day at 1700 Following day at 1300 Standard 0900 time
2200 Following day at 1700 Following day at 1300 Standard 0900 time
2300 Following day at 1700 Following day at 1300 Standard 0900 time
2400 Following day at 1700 Following day at 1300 Standard 0900 time
**adapted from the 2001-2002 Formulary of Drugs – the Hospital for Sick Children (20th edition)
 FOR Q12H or bid doses
Time of 1st/stat dose Time of 2nd dose Time of 3rd dose Time of 4th dose
0100 0900 Standard Standard
0200 1000 Standard Standard
0300 1100 Standard Standard
0400 1200 2100 Standard
0500 1300 2200 Standard
0600 1400 2300 Standard
0700 1500 2400 Standard
0800 Standard Standard Standard
0900 Standard Standard Standard
1000 Standard Standard Standard
1100 Standard Standard Standard
1200 Standard Standard Standard
1300 2100 Standard Standard
1400 2200 Standard Standard
1500 2300 Standard Standard
1600 2400 Standard Standard
1700 0700 Standard Standard
1800 0700 Standard Standard
1900 0700 Standard Standard
2000 Standard Standard Standard
2100 Standard Standard Standard
2200 Standard Standard Standard
2300 Standard Standard Standard
2400 Standard Standard Standard

**adapted from the 2001-2002 Formulary of Drugs – the Hospital for Sick Children (20th edition)

FOR Q8H or tid doses

st
Time of 1 /stat dose Time of 2nd dose Time of 3rd dose Time of 4th dose
0100 0800 1400 Standard
0200 0800 1400 Standard
0300 1000 1900 Following day standard
0400 1000 1900 Following day standard
0500 1300 2100 Following day standard
0600 1400 Standard Standard
0700 1400 Standard Standard
0800 1400 Standard Standard
0900 1400 Standard Standard
1000 1700 2200 Following day standard
1100 1700 2200 Following day standard
1200 1700 2200 Following day standard
1300 2000 Following day standard Standard
1400 2000 Following day standard Standard
1500 2000 Following day standard Standard
 1600 2200 Following day standard Standard
1700 2200 Following day standard Standard
1800 2400 Following day standard Standard
1900 2400 Following day standard Standard
2000 0100 Following day standard Standard
2100 Following day standard Standard Standard
2200 Following day standard Standard Standard
2300 Following day standard Standard Standard
2400 Following day standard Standard Standard

FOR Q6H or qid doses

Time of 1st/stat dose Time of 2nd dose Time of 3rd dose Time of 4th dose
0100 Standard Standard Standard
0200 0700 1300 Standard
0300 0700 1300 Standard
0400 0800 1300 Standard
0500 1100 1800 Standard
0600 1100 1800 Standard
0700 1200 1800 Standard
0800 1300 1800 Standard
0900 1300 1800 Standard
1000 1500 2200 Following day standard
1100 1700 2200 Following day standard
1200 1700 2200 Following day standard
1300 1800 2400 Following day standard
1400 1800 2400 Following day standard
1500 2100 Following day standard Standard
1600 2100 Following day standard Standard
1700 2400 Following day standard Standard
1800 2400 Following day standard Standard
1900 2400 Following day standard Standard
2000 2400 Following day standard Standard
2100 0200 0700 1300
2200 0200 0700 1300
2300 0500 1100 1800
2400 Standard Standard Standard

**adapted from the 2001-2002 Formulary of Drugs – the Hospital for Sick Children (20th edition)