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KERTAS KERJA TINJAUAN DAN PELAYANAN RESEP

1. Receive and Validate Prescription Nama pasien/No RM


Alergi
Umur dan Berat Badan
Jenis pasien Umum/BPJS/Karyawan RS/Relasi lain …………………….
Alamat
Nama dokter/SIP
2. Understand and Interpretation Problem
Medik/Diagnosa
Prescription (Prescription review)
Drug Related Problem

Resep (disalin sesuai aslinya) Drug Related Problem (s)


 Unnecessary drug/duplication………………………..
 Needs additional drug therapy…………………………..
 Ineffective drug………………………………………..
 Dosage too low…………………………………………….
 Adverse drug reaction………………………………………
 Dosage too high…………………………………………….
 Noncompliance……………………………………………..
 Drug interactions……………………………………………….
 Need for monitoring………………………………………..
 Non Hospital Formulary……………………………………
 Non National Formulary……………………………………
3. Prepare and Label item for issue

4. Make a Final Check

5. Record Action taken -

6. Issue medicine to patients/nurses with


Nama obat
clear instructions and advice
Jumlah
(dijelaskan untuk masing-masing obat)
Indikasi/kegunaan
Cara dan waktu
penggunaan/penyiapan
Cara peyimpanan
Efek samping yang
mungkin terjadi dan
pengatasannya
Saran lain terkait gaya
hidup dan pola diet
Informasi lain yang
diperlukan termasuk
informasi tertulis
7 Referensi
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