| MP5591 |
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| Medication Side Effects/Adverse Effects Form |
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Updated to identify medications on the ISMP (Institute for Safe Medication Practices) List of High-Alert Medications.
Co-developed by the American Society of Consultant Pharmacists and MED-PASS, Inc.
This form provides an extensive, alphabetical list of medications classes and examples of generic medications for each class that are commonly used by geriatric patients in the community or long-term care setting.
Numerous examples of generic medications are listed for 94 classes of medications along with their associated side effects/adverse effects.
By simply circling the medication classes on the form that correspond to a patient's medication regimen, LTC facilities can use this form to help comply with federal guidelines (F272) requiring listing of potential medication adverse effects in a resident's clinical record. |
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| Features: |
- Includes 94 medication classes with generic medications for each and their associated side effects/adverse effects
- Codes indicate medications subject to 4 different types of potentially inappropriate medication use based on the Beers criteria
- Updated to identify individual medications and medication classes administered via any route and medications and medication classes administered intravenously, subcutaneously and intramuscularly on the ISMP (Institute for Safe Medication Practices) List of High-Alert Medications.
- Utilizes Tall Man lettering to help prevent medication errors
- Format revised to portrait style for easier reference in charts and binders
- 3 hole punched side and top to fit in standard facility charts and binders
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| Specifications: |
| 11 x 24-7/8 folds to 8-1/2 x 11, handwritten, 100 per package |
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