Transcription of IVIG FLOW SHEET - TherapyOM
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IVIG FLOW SHEET - TherapyOM
ivig FLOW SHEET Form#: CLIN-048C Effective Date: 7/1/12 Approved By: VP of Clinical Operations Revised Date: N/A Karen B. Spano, RPh Patient Name: _____Date: _____ This form is to be used in conjunction with the Nursing Visit Assessment Report Premeds: N/A Yes Time pre-meds given: _____ Medications given: Diphenhydramine _____mg PO IV Acetaminophen _____mg PO Other route: _____ Prednisone _____ mg PO Other: _____PO IV ivig : Brand_____ Dose:_____ grams in _____mls IV to infuse over _____hours via Gravity R egulator ( dial-a-flow) Pump (model): _____ every (enter frequency) _____ Diluent As Provided by Manufacture: Yes NO If no, diluent used: _____ Lot number _____ Expiration Date: _____ Lot Number _____ Expiration Date.
IVIG FLOW SHEET Form#: CLIN-048C Effective Date: 7/1/12 Approved By: VP of Clinical Operations Revised Date: N/A Karen B. Spano, RPh Patient Name: _____Date: This form is to be used in conjunction with the Nursing Visit Assessment Report
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Guide DIAL-A-FLOW ADMINISTRATION, DIAL-A-FLOW ADMINISTRATION, Administration, Flow, Defense Travel System Centrally Billed Account, Defense Travel System Centrally Billed, Material safety data sheet msds, Dial, Grandstream Networks, Inc, Dialysis, Outline of Technical Interview, Institutional Special Needs Plans (“ISNPs”): Clinical