Medication Sheets

Drug Order Classification and Adverse Reactions Patient/Family Teaching Assessment Evaluation
Patient Use (check before) (check after)
Every drug order must have Classification of the Most commonly seen Pertinent teaching Assess ___?___ before Assess ___?___ after
all 4 parts: drug & Mechanism adverse reactions regarding this giving this medication? giving this medication?
1. Name of action medication
2. Dose Why is your patient
3. Route taking this med?
4. Frequency
1.

2.

3.

4.

1.

2.

3.

4.

1.

2.

3.

4.

Sept 2013 KA