Glossary

PO

PO means by mouth, from the Latin per os. It is the route written in the sig — 1 tab PO BID — and ISMP lists it as error-prone because the shorthand is not readable to every patient.

Also written: p.o., per os, by mouth

PO means by mouth, from the Latin per os. It is the route in a sig: 1 tab PO BID is one tablet by mouth twice a day, and it tells the technician the dose is swallowed rather than applied, injected or placed under the tongue.

PO is the route the error-prone abbreviation lists single out. ISMP's List of Error-Prone Abbreviations includes per os (PO) and asks for by mouth instead, for the plain reason that a patient reading PO on a label may not know it means anything, while by mouth cannot be misread. The rest of the routes carry the same risk in different spellings: SL (sublingual), PR (rectal), IM, IV and subcut/SC, top (topical), and the eye and ear abbreviations — OD, OS, OU, AD, AS, AU — which the Joint Commission bans outright in favor of right eye, left eye, both eyes, right ear, left ear, both ears.

Two traps sit beside PO. NPO (nil per os) is not a route to give a drug by — it means nothing by mouth, and it is a holding order, not a sig. And a PO order is only fillable if the drug has an oral form: an order that reads PO for a drug that exists only as an injection is a prescribing error, and catching it is the technician's job at data entry.

Source: PTCB — PTCE Content Outline, effective January 6, 2026 (Domain 4 / KA 4.1, "Interpret prescription and medication orders … sig codes, abbreviations, medical terminology and symbols, and days supply", quoted verbatim); The Joint Commission, Official "Do Not Use" List (NPSG.03.05.01 — the minimum list an accredited organization must adopt, read in full); ISMP, List of Error-Prone Abbreviations, Symbols, and Dose Designations (the labels, symbols and abbreviations ISMP asks prescribers to write out) (outline accessed 2026-10-03, verbatim; the Joint Commission and ISMP lists read from their own fact-sheet and recommendation pages 2026-10-06 — each is revised on its own schedule; the definitions here restate this course's own order-interpretation-and-sig guide, which is the page whose sources back every definition above)

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