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number | Allergies, sensitivities and adverse drug reactions\u003Cbr>Signed:\u003Cbr>Date: |  |  |\n| First name | Date of admission |  |  |  |\n| Date of birth | Male / female |  |  |  |\n| Responsible consultant | Hospital / ward |  |  |  |\n|  |  |  | Chart number:   Of   | Weight:\u003Cbr>Height: |\n| VTE risk assessment date: |  |  |  |  |\n\n\n| ONCE ONLY MEDICATIONS (‘STAT’ DOSES) |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- |\n| Date &\u003Cbr>time | Medication name | Dose | Route | Prescriber (signature & contact) | Given by |\n|  |  |  |  |  |  |\n|  |  |  |  |  |  |\n|  |  |  |  |  |  |\n|  |  |  |  |  |  |\n|  |  |  |  |  |  |\n|  |  |  |  |  |  |\n|  |  |  |  |  |  |\n\n\n| OXYGEN PRESCRIPTION |  |  |  |  |\n| --- | --- | --- | --- | --- |\n| Date &\u003Cbr>time | Dose (% or L/min) | Route (type of mask) | Target SpO2 | Prescriber (signature & contact) |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n\nNOT FOR CLINICAL USE  \nGEEKY MEDICS   \n\n| REGULAR PRESCRIPTIONS |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n|  |  | Date |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| MEDICATION |  | Time | Dose |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Route | Signature | 06:00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Date |  | 09:00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Pharmacy check |  | 12:00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  | 18:00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  | 22:00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| MEDICATION |  | Time | Dose |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Route | Signature | 06:00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Date |  | 09:00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Pharmacy check |  | 12:00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  | 18:00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  | 22:00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| MEDICATION |  | Time | Dose |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Route | Signature | 06:00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Date |  | 09:00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Pharmacy check |  | 12:00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  | 18:00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  | 22:00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| MEDICATION |  | Time | Dose |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Route | Signature | 06:00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Date |  | 09:00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Pharmacy check |  | 12:00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  | 18:00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  | 22:00 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n\nNOT FOR CLINICAL USE  \nGEEKY MEDICS   \n\n| AS REQUIRED (PRN) MEDICATIONS |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| MEDICATION |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Route | Signature | Date |  |  |  |  |  |  |  |  |  |  |  |\n| Date |  | Time |  |  |  |  |  |  |  |  |  |  |  |\n| Indication |  | Dose |  |  |  |  |  |  |  |  |  |  |  |\n|  |  | Route |  |  |  |  |  |  |  |  |  |  |  |\n|  |  | Given by |  |  |  |  |  |  |  |  |  |  |  |\n| MEDICATION |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Route | Signature | Date |  |  |  |  |  |  |  |  |  |  |  |\n| Date |  | Time |  |  |  |  |  |  |  |  |  |  |  |\n| Indication |  | Dose |  |  |  |  |  |  |  |  |  |  |  |\n|  |  | Route |  |  |  |  |  |  |  |  |  |  |  |\n|  |  | Given by |  |  |  |  |  |  |  |  |  |  |  |\n| MEDICATION |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Route | Signature | Date |  |  |  |  |  |  |  |  |  |  |  |\n| Date |  | Time |  |  |  |  |  |  |  |  |  |  |  |\n| Indication |  | Dose |  |  |  |  |  |  |  |","cbCaisVVIeLyEAoY","https://ap.wps.com/l/cbCaisVVIeLyEAoY","pdf",190527,"English","# Inpatient prescription chart details\n## Patient information and clinical fields\n# Once-only (STAT) medications\n# Oxygen prescription\n# Regular prescriptions\n# As required (PRN) medications","[{\"question\":\"What patient information is captured on the inpatient prescription chart?\",\"answer\":\"The form records surname, first name, hospital number, date of admission, date of birth, sex, responsible consultant, hospital/ward, chart number, and weight/height. It also includes fields for allergies, sensitivities, and adverse drug reactions.\"},{\"question\":\"How are once-only (“STAT”) medications documented?\",\"answer\":\"Once-only medications are recorded with date \\u0026 time, medication name, dose, route, prescriber (signature \\u0026 contact), and who gave the medication.\"},{\"question\":\"What information is required for PRN (as-required) medications?\",\"answer\":\"PRN entries include medication, route, prescriber signature, date and time, indication, dose, route, and who administered it (given by).\"}]","Inpatient-drug-prescription-chart - Inpatient prescription chart and administration record | PDF"]