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  • Formulir Telaah Resep

    Uploaded by

    Sri Yeni Ali
    907 views2 pages
    farmasi rumah sakit

    Original Title

    FORMULIR TELAAH RESEP

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    © © All Rights Reserved

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    farmasi rumah sakit

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    907 views2 pages

    Formulir Telaah Resep

    Uploaded by

    Sri Yeni Ali
    farmasi rumah sakit

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    NO

    1
    2
    3
    4
    5
    6
    7
    8
    9
    10

    NO TELAAH RESEP
    KEJELASAN TULISAN RESEP
    TEPAT OBAT
    TEPAT DOSIS
    TEPAT RUTE
    TEPAT WAKTU
    DUPLIKASI
    ALERGI
    INTERAKSI OBAT
    BERAT BADAN (PASIEN ANAK)
    KONTRA INDIKASI LAINNYA
    FORMULIR TELAAH RESEP

    YA

    TDK

    NAMA DAN TANDA TANGAN PENELAAH

    FORMULIR TELAAH OBAT

    NO

    TELAAH OBAT

    OBAT DENGAN RESEP/PESANAN

    JUMLAH/DOSIS DENGAN
    RESEP/PESANAN

    RUTE DENGAN RESEP/PESANAN

    WAKTU DAN FREKUENSI


    PEMBERIAN DENGAN
    RESEP/PESANAN

    YA

    TDK

    KETERANG
    AN/
    TINDAK
    LANJUT

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