Professional Documents
Culture Documents
Admn Sheet
Admn Sheet
Admn Sheet
RECORD OF DANGEROUS DRUG PREPARATION AND DRUG PREPARATIONS CONTAINING CONTROLLED CHEMICAL
DISPENSED TO IN- PATIENTS (THROUGH FLOOR STOCK)
Date of Time of Full Name Patient Room / Name of S2 Physician’s Name of PRC Nurse’s Dose Balance Remarks
Adm Adm of Patient Hospital Bed No. Prescribing License Signature Administering License Signature (wastage,
ID No. Physician No Nurse No. etc.)