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  • Rs Stifi Bhakti Pertiwi Palembang Instalasi Farmasi

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    Wiwin Permatasari
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    This document contains forms for monitoring a patient's medical therapy at a hospital pharmacy installation. The forms include sections for vital signs, complaints, laboratory tests, the prescribed medications including dosage instructions, and areas for the pharmacist to document subjective and objective assessments, care plans, and monitoring over multiple dates of treatment.

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    form SOAP

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    This document contains forms for monitoring a patient's medical therapy at a hospital pharmacy installation. The forms include sections for vital signs, complaints, laboratory tests, the prescribed medications including dosage instructions, and areas for the pharmacist to document subjective and objective assessments, care plans, and monitoring over multiple dates of treatment.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    4 views3 pages

    Rs Stifi Bhakti Pertiwi Palembang Instalasi Farmasi

    Uploaded by

    Wiwin Permatasari
    This document contains forms for monitoring a patient's medical therapy at a hospital pharmacy installation. The forms include sections for vital signs, complaints, laboratory tests, the prescribed medications including dosage instructions, and areas for the pharmacist to document subjective and objective assessments, care plans, and monitoring over multiple dates of treatment.

    Copyright:

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

    RS STIFI BHAKTI PERTIWI

    PALEMBANG
    RM
    INSTALASI FARMASI

    Nama :
    Nomor RM :
    Tanggal lahir / Umur : / th BB : kg TB : cm
    RPD :
    MRS : Diagnosis :
    Merokok : Kopi : Lainnya : Alergi :

    Diisi oleh Farmasis:


    Parameter / Tanggal Nilai Normal Ket
    Tanda Vital
    Keluhan

    Hasil
    Nilai Normal
    Laboratorium
    Laboraturium

    Terapi
    Aturan pakai
    (Nama obat, kekuatan)
    Oral/ Parenteral

    BB : Berat Badan; TB : Tinggi Badan; MRS: Masuk Rumah Sakit. RPD : Riwayat Penyakit Dahulu
    RS STIFI BHAKTI PERTIWI
    PALEMBANG RM
    INSTALASI FARMASI
    Nama : Nomor RM :

    Tanggal lahir / Umur : / th BB : kg TB : cm

    PEMANTAUAN TERAPI OBAT


    Diisi oleh Farmasis
    Asuhan Kefarmasian
    Planning/
    Tgl Monitoring/
    Subjektif Objektif Assessment
    KIE/
    (Disertai literature)

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