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  • Parenteral Medication Chart

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    Hafiz Rizqi
    2 views3 pages
    The document contains templates for parenteral and oral medication charts used by nursing students during their practicum at RSUD Syari'ah Ambami Rato Ebu Bangkalan. The charts include fields for patient name, medication name, dose, route of administration, date and time of administration, initials of the nurse who administered the medication, doctor's signature and date started. Multiple charts are provided to track medications for several patients over multiple days.

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    Makp

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    The document contains templates for parenteral and oral medication charts used by nursing students during their practicum at RSUD Syari'ah Ambami Rato Ebu Bangkalan. The charts include fields for patient name, medication name, dose, route of administration, date and time of administration, initials of the nurse who administered the medication, doctor's signature and date started. Multiple charts are provided to track medications for several patients over multiple days.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    2 views3 pages

    Parenteral Medication Chart

    Uploaded by

    Hafiz Rizqi
    The document contains templates for parenteral and oral medication charts used by nursing students during their practicum at RSUD Syari'ah Ambami Rato Ebu Bangkalan. The charts include fields for patient name, medication name, dose, route of administration, date and time of administration, initials of the nurse who administered the medication, doctor's signature and date started. Multiple charts are provided to track medications for several patients over multiple days.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    PRAKTIK PROFESI KEPERAWATAN MANAJEMEN

    MAHASISWA PROGRAM STUDI S-1 KEPERAWATAN


    STIKES NGUDIA HUSADA MADURA
    RSUD SYARIFAH AMBAMI RATO EBU BANGKALAN
    Alergi : BB :
    PARENTERAL MEDICATION CHART

    Nama Obat tgl tgl tgl tgl tgl tgl


    Jam C G Jam C G Jam C G Jam C G Jam C G Jam C G
    Dosis ∑Resep Rute 1 1 1 1 1
    2 2 2 2 2
    TTD Dokter Tgl 3 3 3 3 3
    Mulai 4 4 4 4 4
    Ctt 5 5 5 5 5
    6 6 6 6 6

    Nama Obat tgl Tgl tgl tgl tgl tgl


    Jam C G Jam C G Jam C G Jam C G Jam C G Jam C G
    Dosis ∑Resep Rute 1 1 1 1 1
    2 2 2 2 2
    TTD Dokter Tgl 3 3 3 3 3
    Mulai 4 4 4 4 4
    Ctt 5 5 5 5 5
    6 6 6 6 6

    Nama Obat tgl Tgl tgl tgl tgl tgl


    Jam C G Jam C G Jam C G Jam C G Jam C G Jam C G
    Dosis ∑Resep Rute 1 1 1 1 1
    2 2 2 2 2
    TTD Dokter Tgl 3 3 3 3 3
    Mulai 4 4 4 4 4
    Ctt 5 5 5 5 5
    6 6 6 6 6

    Nama Obat tgl Tgl tgl tgl tgl tgl


    Jam C G Jam C G Jam C G Jam C G Jam C G Jam C G
    Dosis ∑Resep Rute 1 1 1 1 1
    2 2 2 2 2
    TTD Dokter Tgl 3 3 3 3 3
    Mulai 4 4 4 4 4
    Ctt 5 5 5 5 5
    6 6 6 6 6

    Nama Obat tgl Tgl tgl tgl tgl tgl


    Jam C G Jam C G Jam C G Jam C G Jam C G Jam C G
    PRAKTIK PROFESI KEPERAWATAN MANAJEMEN
    MAHASISWA PROGRAM STUDI S-1 KEPERAWATAN
    STIKES NGUDIA HUSADA MADURA
    RSUD SYARIFAH AMBAMI RATO EBU BANGKALAN
    Dosis ∑Resep Rute 1 1 1 1 1
    2 2 2 2 2
    TTD Dokter Tgl 3 3 3 3 3
    Mulai 4 4 4 4 4
    Ctt 5 5 5 5 5
    6 6 6 6 6
    Alergi : BB :
    ORAL MEDICATION CHART

    Nama Obat tgl Tgl tgl tgl tgl tgl


    Jam C G Jam C G Jam C G Jam C G Jam C G Jam C G
    Dosis ∑Resep Rute 1 1 1 1 1
    2 2 2 2 2
    TTD Dokter Tgl 3 3 3 3 3
    Mulai 4 4 4 4 4
    Ctt 5 5 5 5 5
    6 6 6 6 6

    Nama Obat tgl Tgl tgl tgl tgl tgl


    Jam C G Jam C G Jam C G Jam C G Jam C G Jam C G
    Dosis ∑Resep Rute 1 1 1 1 1
    2 2 2 2 2
    TTD Dokter Tgl 3 3 3 3 3
    Mulai 4 4 4 4 4
    Ctt 5 5 5 5 5
    6 6 6 6 6

    Nama Obat tgl Tgl tgl tgl tgl tgl


    Jam C G Jam C G Jam C G Jam C G Jam C G Jam C G
    Dosis ∑Resep Rute 1 1 1 1 1
    2 2 2 2 2
    TTD Dokter Tgl 3 3 3 3 3
    Mulai 4 4 4 4 4
    Ctt 5 5 5 5 5
    6 6 6 6 6

    Nama Obat tgl Tgl tgl tgl tgl tgl


    Jam C G Jam C G Jam C G Jam C G Jam C G Jam C G
    Dosis ∑Resep Rute 1 1 1 1 1
    2 2 2 2 2
    TTD Dokter Tgl 3 3 3 3 3
    Mulai 4 4 4 4 4
    Ctt 5 5 5 5 5
    6 6 6 6 6

    Nama Obat tgl tgl tgl tgl tgl tgl


    Jam C G Jam C G Jam C G Jam C G Jam C G Jam C G
    Dosis ∑Resep Rute 1 1 1 1 1
    2 2 2 2 2
    PRAKTIK PROFESI KEPERAWATAN MANAJEMEN
    MAHASISWA PROGRAM STUDI S-1 KEPERAWATAN
    STIKES NGUDIA HUSADA MADURA
    RSUD SYARIFAH AMBAMI RATO EBU BANGKALAN
    TTD Dokter Tgl 3 3 3 3 3
    Mulai 4 4 4 4 4
    Ctt 5 5 5 5 5
    6 6 6 6 6

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