The healthcare profession is full of acronyms and abbreviations.
PRN or “pro re nata” (we’ll get to that shortly) is just one of many such abbreviations.
This article is going to answer the question of what does prn mean.
What Does PRN Mean
PRN is an abbreviation of the Latin phrase “pro re nata.” “Pro re nata,” depending on the translation, means “as needed,” “as necessary,” or “as the circumstance arises.”
PRN is an acronym that’s widely used in medical jargon and documentation.
It’s also an acceptable abbreviation for the Joint Commission. In other words, it is not on the Joint Commission’s “Do Not Use List of Abbreviations list.”
You might also see PRN written as p.r.n.
What Does PRN Mean in Medical Terms?
As stated above, PRN means “as needed.” PRN is often used in physician orders, and you’ll see it a lot when it comes to pain medications.
For example, you might get an order that reads as such:
Give Tylenol 325mg PO q6h PRN.
Or
Give Ibuprofen 200mg PO q6h PRN.
So in the case of Tylenol, it would mean you can give 325mg of Tylenol by mouth as needed every 6 hours.
I’m going to clarify something that’s very important.
PRN medication orders are different from scheduled medication orders. For example, if the order was:
Give Metformin 500mg PO BID.
This means you have to give the medication twice a day unless the patient refuses (but that’s a different topic).
When you’re talking to patients, you want to tell them the frequency of their medications. In the case of pain medications, you don’t want patients in pain.
But you also don’t want them to keep pressing the call light if it’s not time for their pain medication.
If you tell patients PRN means they can have it“whenever they want it” or “as they need it,” the patient might literally take it as they can have it whenever which is not the case.
Let’s use the Tylenol example again.
What the order is saying is after 6 hours you can have 325mg of Tylenol if you need it.
After the patient gets the dose, they don’t get the option to have another dose until 6 hours after the last dose.
What Does PRN Stand for in Nursing?
It’s possible that you might come across nurses in a “PRN position.”
In nursing, the term PRN means something similar to its meaning in medical terms.
Essentially, it implies that those nurses do not have a fixed schedule like everyone else.
For instance, full-time nurses are usually required to work 80 hours within a two-week period. However, PRN nurses don’t have those same requirements.
Depending on the hospital, they may only be obligated to work a couple of shifts a month.
It varies from hospital to hospital and sometimes even from one department to another within the same hospital system.
The primary objective of having PRN positions is to fill staffing shortages or to fill in when full-time nurses are sick or on vacation.
As someone who has worked in plenty of PRN nursing positions,
I’m a fan.
Nonetheless, there are pros and cons to PRN nursing positions that you should consider before accepting them.
Pros and Cons of PRN Nursing Positions
Pros of PRN Nursing Positions
1. Flexibility and freedom
PRN gives you a lot of flexibility to pick the shifts you want. Also to work when you want. At least more so than you would with a full-time nursing position.
2. Supplement your income
PRN nursing positions are good ways to supplement your income and make more money as a nurse. I’ve worked with nurses who have had 2+ PRN nursing jobs.
3. Higher per-hour pay
PRN nursing staff are usually paid more per hour than their equivalent nurse peers.
4. No drama
Some units and departments are known for being drama-filled.
As a PRN nurse, you have a better chance of avoiding the drama. It helps that you’re not one of the regular staff.
5. Try out a unit before committing
I’ve heard of nurses who do this.
They’ll start per diem in a department to see if they like working there. If they do, then they’ll apply for a full-time position when it’s available.
Cons of PRN Nursing Positions
1. Your hours are limited and sometimes not guaranteed
PRN nursing positions are typically temporary rather than permanent.
Many hospitals have specific requirements for PRN nurses, and even with those requirements, there’s no guarantee for hours.
In addition, PRN nurses are usually the first to be canceled if necessary.
2. Not ideal hours
PRN nursing staff is usually required in situations where the permanent staff is insufficient, or in shifts where there are frequent call-ins.
Typically, these shifts are during nights, weekends, and holidays.
3. No benefits
PRN employees usually do not qualify for any benefits, which means they do not receive insurance, unemployment, retirement benefits, or other similar benefits.
4. No consistency
PRN nurses need to be able to adapt to situations quickly. You’re more likely to be floated to other units than the full-time nurses.
Nursing Terminology and Medical Abbreviations are Hard
When I was in nursing school, I found medical abbreviations to be quite confusing.
It made me wonder why medical professionals use so many abbreviations instead of spelling things out like other professions do.
To be honest, the questions just kept coming, and I was getting frustrated.
But now, most of these abbreviations have become second nature to me. If you’re new to healthcare, you’ll eventually get the hang of them too.
There will come a point when you’ll even get annoyed at having to spell things out.
You’ll start wondering why nobody has created an abbreviation for certain phrases yet.
If you need more help with medical abbreviations, consider checking out some of the books listed below to help you learn them more easily.
Helpful Resources to Learn Medical Abbreviations
- Medical Abbreviations Quick Study
- Medical Terminology the Best and Most Helpful Way to Memorize
- Dorland’s Dictionary of Medical Acronyms and Abbreviations
Have You Read any of These Articles?
Here are some articles related to PRN medical abbreviations.
Frequently Asked Questions
These are frequently asked questions related to PRN nursing.
Very helpful as i am not a nurse but Live close To two hospitals that post many PRN positions in a variety of positions
Glad you found it helpful.
I heard a receptionist refer to a doctor as a PRN, but the doctor isn’t a nurse — he’s a doctor. Do you have any idea what she meant? He’s replacing a doctor at the practice who’s retiring
Without more context it’s hard to say. My first thought is that he might just be filling in for the doctor who’s return and therefore they are just there on a PRN (as needed) basis until they find a permanent replacement.