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    Medicine Ticket Booklet

    Uploaded by

    Julliane Audrey Lino
    This document contains a medication administration record template with fields for patient name, room number, medication, dosage, time, route of administration, and signature of the person administering the medication. It also includes a physician orders template with fields for patient name, room number, attending physician, age, chief complaint, diagnosis, medication ordered, dosage, route, frequency, date discontinued, and circulating nurse signature. These templates are used to document medication orders and administrations for a patient.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Medicine Ticket Booklet

    Uploaded by

    Julliane Audrey Lino
    129 views2 pages
    This document contains a medication administration record template with fields for patient name, room number, medication, dosage, time, route of administration, and signature of the person administering the medication. It also includes a physician orders template with fields for patient name, room number, attending physician, age, chief complaint, diagnosis, medication ordered, dosage, route, frequency, date discontinued, and circulating nurse signature. These templates are used to document medication orders and administrations for a patient.

    Copyright

    © © All Rights Reserved

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    DOCX, PDF, TXT or read online from Scribd

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    This document contains a medication administration record template with fields for patient name, room number, medication, dosage, time, route of administration, and signature of the person administering the medication. It also includes a physician orders template with fields for patient name, room number, attending physician, age, chief complaint, diagnosis, medication ordered, dosage, route, frequency, date discontinued, and circulating nurse signature. These templates are used to document medication orders and administrations for a patient.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    129 views2 pages

    Medicine Ticket Booklet

    Uploaded by

    Julliane Audrey Lino
    This document contains a medication administration record template with fields for patient name, room number, medication, dosage, time, route of administration, and signature of the person administering the medication. It also includes a physician orders template with fields for patient name, room number, attending physician, age, chief complaint, diagnosis, medication ordered, dosage, route, frequency, date discontinued, and circulating nurse signature. These templates are used to document medication orders and administrations for a patient.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

     

    Date: Room No.:


    Name:
    Medicine:
     
    Dosage:
    Time:
     
    Route:
     
    Printed Name & Signature:
     

     
    Date: Room No.:
    Name:
    Medicine:
     
    Dosage:
    Time:
     
    Route:
     
    Printed Name & Signature:
     
     
    Date: Room No.:
    Name:
    Medicine:
     
    Dosage:
    Time:
     
    Route:
     
    Printed Name & Signature:
     

    Name of Patient:   Room No.:  


    Attending
    Physician:   Age/Sex:  
    Chief Complaint:   Diagnosis:  
       
    Dosag
    Date Ordered: Medicine   e   Route Frequency Date D/C CI's Signature
                 
               
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
                       

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