BID DOSE-TIMING CHECKLIST
Record the active order and confirmed instructions. Leave unresolved timing questions open for clarification.

PATIENT AND ORDER
Patient identifiers:
Order reference / prescriber / active status:
Medicine, preparation and strength:
Amount per dose and route:
Exact frequency wording:
Meal, clock-time or interval instructions:
Patient's usual meals and sleep schedule:
Last dose actually taken / date and time / information source:

CLARIFICATION
Difference between order, label, record or patient report:
Question sent to / date and time:
Response received / date and time:
Confirmed instructions / authorized by / date:
Confirmed next-dose directions:
Record or label updated / checked by:
Unresolved question / responsible person / next checkpoint:

ADMINISTRATION AND UNDERSTANDING
Planned administration date and time:
Actual medicine, amount, route, date and time:
Given by / medication-record entry:
If not given, reason and action:
Patient explains dose and timing in their own words:
Question still needing an answer:
Missed-dose advice / source / person who confirmed it:

DOCUMENTATION
Event time / entry time:
Narrative and medication record agree:
Entry author / authentication:
Correction reference, if needed: