Pharmacy Collection Form

This is the original instruction for the PAPER COLLECTION FORM that was used to by the Data Collectors to tally pharmacy data.

original Manual: "Please be careful and collect and total this information in the unit amounts specified on the data collection form. Standard mixtures are dispensed for a variety of drugs at each site. Please be familiar with what they are. i.e. , inotropes

Discussion

• Do some collectors still use the PAPER pharmacy collection form to collect their data before inputting into laptop? If so, what is holding you back from going to direct-entry?
• VIC ICU:
• GRA ICU:
• OAKS ICU:
• Concordia ICU:
• SBGH ICU:
• HSC ICU:

Legacy Pharmacy Paper Form

• PHARM C HSC Pharmacy Form stopped June 30.12 legacy
• PHARM A STB&Community legacy
• PHARM B STB&Community CCUdrugs