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Volume 23, Number 8 September 2009? ? Drugs & Therapy B U N L N N L N E N T N I N POLICIES AND PROCEDURES FORMULARY UPDATE The Pharmacy and Therapeutics Committee met August 18, 2009. 4 products were
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How to fill out pediatric pca order form
How to fill out a pediatric PCA order form:
01
Start by reviewing the instructions provided on the form. These instructions will guide you on how to accurately fill out the form.
02
Begin by entering the patient's full name, date of birth, and contact information. This ensures that the form is properly identified and linked to the correct individual.
03
Next, provide the name and contact information of the healthcare provider who is prescribing the pediatric PCA. This information helps establish the source of the prescription and allows for any necessary follow-up or clarification.
04
Specify the medication that is being ordered for the pediatric PCA. Include the name of the medication, dosage instructions, and any additional notes or precautions provided by the healthcare provider.
05
Indicate the frequency and duration of the medication administration. Specify how often the medication should be given, such as hourly or as needed, and for how long the prescription is valid.
06
If there are any specific instructions or additional information that needs to be communicated to the healthcare provider or pharmacist, include it in the designated section or as an attachment.
07
Review the completed form for accuracy and completeness. Ensure all required fields have been filled out and that the information provided is legible and correct.
08
Once you are satisfied with the accuracy of the form, sign and date it. This indicates your acknowledgment and consent to the provided information.
Who needs a pediatric PCA order form:
01
Patients who require pain management using patient-controlled analgesia (PCA) in a pediatric setting may need a pediatric PCA order form.
02
Healthcare providers, such as pediatricians, anesthesiologists, or pain specialists who are prescribing the use of PCA for managing pain in pediatric patients, need to complete and submit a pediatric PCA order form.
03
Pharmacists who dispense medication for pediatric PCA must have a valid pediatric PCA order form to ensure accurate dispensing and administration of the prescribed medications.
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