Medications not yet evaluated by P&T are considered NON-FORMULARY . . . . . Always check 2 unique patient identifiers - NAME and DATE OF BIRTH - at every step! . . . . . Please be sure to document all clinical activities daily.
Pharmacist-Physician Communication Forms (obsoleted post-Cerner)

 

 

Pharmacist-Physician Communication Forms (obsoleted post-Cerner)

Blank Form

doc

pdf

Antibiotic and MISC Form

doc

pdf

Dosing Regimen Form

doc

pdf

Medication Reconciliation Form

doc

pdf

TPN Indication Form

doc

pdf

Acetaminophen Adjustment Form

doc

pdf

Sentri7 Rule Forms

¼ NS Form

doc

pdf

Brilinta-Aspirin Form

doc

pdf

Elevated Potassium Alert Form

doc

pdf

HIT Indicator Monitor Form

doc

pdf

IV DHE Form

doc

pdf

Loop Diuretic with Hypokalemia Form

doc

pdf

Low BG on Antidiabetic Agents Form

doc

pdf

Metoclopramide and Antiparkinson’s Agents Form

doc

pdf

 






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Please note than many documents are accessible via the provided link
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