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DocuSign Envelope ID: B223048032F6402F8E6184A84F0AD546NonPatient Specific Regimen for PharmacistAdministered Vaccines This Inpatient Specific Order (Agreement) is made effective as January 5, 2022

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Identify the specific non-patient specific regimen to be filled out

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Obtain the necessary information such as dosage, frequency, and duration of the regimen

03

Record the information accurately on the specified form or document

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Verify the completed regimen with a healthcare professional for accuracy

Who needs non-patient specific regimen?

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Healthcare providers who are responsible for maintaining and updating non-patient specific regimens for multiple patients

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Pharmacists who dispense medications according to non-patient specific regimens

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What is non-patient specific regimen?

Non-patient specific regimen is a set of treatment instructions or protocols that are not specific to an individual patient.

Who is required to file non-patient specific regimen?

Healthcare organizations or providers are required to file non-patient specific regimens.

How to fill out non-patient specific regimen?

Non-patient specific regimens can be filled out by including the necessary treatment instructions and protocol details.

What is the purpose of non-patient specific regimen?

The purpose of non-patient specific regimen is to provide a standardized set of treatment guidelines for specific conditions or procedures.

What information must be reported on non-patient specific regimen?

Information such as treatment instructions, dosages, frequencies, and any special considerations must be reported on non-patient specific regimens.

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