Patient's Own Medication Bag with Tear off Receipt


TEAR OFF RECIPT
For POM’s stored on the ward document all patients medications on the “Tear off Reciept” located at the top of the bag and store securely for the pharmacist or other appropriately skilled health professional to reconcile and return to the patient if appropriate.

BAG___OF___
In the event more than one bag is used for a patient clearly number them accordingly here. e.g. Bag 1 of 2, 2 of 2.

PATIENT'S NAME/UMRN
Register patient’s name by applying a label and Hospital Unit Medical Record Number (UMRN) that may assist hospitals to locate patient information/records.

DATE DISCHARGED TABLE
Record all other important information relevant to the patient here.

OTHER POM
Clearly mark medicines with specific storage instructions such as Schedule 8, Schedule 4 Declared Medicines and Fridge items such as eye drops.

$269.50 excl GST

Code: MS 100

500 per box

350 x 430mm - 80mm receipt