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WASHINGTON STATE BOARD OF PHARMACY CHECKLIST REVIEW SHEET FOR EMERGENCY DRUG ANAPHYLACTIC REACTION KITS FOR NON-HOSPITALIZED PATIENTS For Review by Protocol Applicant and Board WAC 246-871-050 7 Date Applicant Practice Site Address Phone QUESTIONS Does the protocol contain the names and quantities of the medications to be contained in the kit declaring the kit will stay with the nurse and not in the home Is there a physician s standing order on the chart to utilize the kit Is there a...

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Checklist and review sheet is a document used to keep track of tasks that need to be completed and to evaluate the status of a project or process.

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