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R×01 0 942×r CONTAINS PROTECTED HEALTHCARE INFORMATION. HANDLE ACCORDING TO NY ACK HOSPITAL HIPAA POLICY. Rev. 01×30/09 01000000094922 ANTIBIOTIC PHYSICIAN ORDER Sheets, Member: New York Presbyterian
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How to fill out antibiotic physician order sheet

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Who needs antibiotic physician order sheet?

01
Physicians: Antibiotic physician order sheets are primarily used by physicians for prescribing antibiotics to patients. They need this sheet to accurately document the antibiotic treatment plan.
02
Pharmacists: Pharmacists play a crucial role in dispensing antibiotics to patients. They require the antibiotic physician order sheet to verify the prescription details, ensure proper dosing, and confirm any relevant interactions or allergies.
03
Nurses: Nurses are responsible for administering the prescribed antibiotics to patients. The antibiotic physician order sheet provides them with clear instructions on the medication, dosage, frequency, and route of administration.
04
Healthcare Facilities: Medical facilities, such as hospitals and clinics, rely on the antibiotic physician order sheet to maintain accurate records of patients' antibiotic treatments. It serves as a legal document and helps ensure seamless coordination among healthcare providers.

How to fill out antibiotic physician order sheet:

01
Patient Information: Begin by filling out the patient's personal details, including their name, date of birth, and medical record number. This information helps identify the patient and ensures the prescription is correctly linked to their medical history.
02
Diagnosis: Indicate the reason for prescribing antibiotics by stating the patient's diagnosis. This could be a bacterial infection or a condition that requires antibiotic prophylaxis.
03
Antibiotic Selection: Specify the name of the prescribed antibiotic(s). Include the generic and/or brand name, as well as the strength and formulation (e.g., tablet, capsule, suspension).
04
Dosage and Frequency: Clearly state the dosage of the antibiotic and the frequency of administration. This could be in milligrams (mg), grams (g), or other appropriate units. Additionally, specify the frequency of administration, such as once daily, every 8 hours, or as directed.
05
Route of Administration: Indicate the route through which the antibiotic should be administered. This could be oral (by mouth), intravenous, intramuscular, or other applicable routes.
06
Duration of Treatment: Clearly state the duration for which the antibiotic should be taken. This could be a specific number of days or until a particular condition is met (e.g., until symptoms improve or as directed by the physician).
07
Additional Instructions: Provide any additional instructions or precautions that pertain to the antibiotic treatment. This may include guidance on taking the medication with or without food, avoiding certain activities or medications, or monitoring for specific side effects or complications.
08
Physician's Signature and Date: Finally, the prescribing physician should sign the antibiotic physician order sheet and indicate the date of the prescription. This signature ensures accountability and verifies that the prescription is valid.
09
Communication and Documentation: Once the antibiotic physician order sheet is completed, it is essential to communicate its details to the pharmacy and nursing staff. Additionally, maintain a copy of the sheet in the patient's medical record for future reference and documentation purposes.
Note: It is important to adhere to local guidelines, protocols, and legal requirements when filling out antibiotic physician order sheets, as these may vary between healthcare facilities and regions. Always consult the facility's policies and guidelines for accurate and specific instructions.
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The antibiotic physician order sheet is a document used by healthcare providers to prescribe antibiotics for patients.
It is the responsibility of the attending physician or healthcare provider to fill out and file the antibiotic physician order sheet.
The antibiotic physician order sheet should be filled out by the attending physician with relevant information such as patient name, antibiotic prescribed, dosage, frequency, and duration.
The purpose of the antibiotic physician order sheet is to ensure accurate prescribing, administration, and monitoring of antibiotics for patients.
The antibiotic physician order sheet must include patient information, antibiotic prescribed, dosage, frequency, duration, and any relevant notes or instructions.
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