Inpatient Dispensing Verification

PATIENT ORDERS

UNIVERSITY MEDICAL CENTER

Patient Information

Patient Name: Danny Caldwell

Medical Record: 568376 Ward: 2-South Room Number: 203-1

Age: 58 Weight (kg): 95 kg Height: 6' 1"

Allergies: None Adverse Drug Reactions: None

Diagnosis: Schizophrenia, DM II, hypercholesterolemia, osteoarthritis

Final Medication Reconciliation List

Date

Time

Orders

2-1-XX

10:20

Diabeta 5 mg bid w/ meals

Zocor 20 mg qhs

Motrin 800 mg tid prn

Ativan 1 mg q6h prn

Risperdal 2 mg bid

Orders to be entered by treating physician: J. Warren

MEDICATION ADMINISTRATION RECORD

24HR MAR - ADMINISTRATION DATE:2-2-XX
Patient Name: Danny Caldwell Physician: J. Warren
Medical Record: 568376 Ward: 2-South Room Number: 203-1
Allergies: None Adverse Drug Reactions: None
Order Start Date	Order Stop Date	Order Type	Medication	Directions	Admin Times	Time / Initials	Notes
2-1-XX	2-15-XX	C	Glipizide 5 mg tab	5 mg PO BID w/ MEALS	0700 1700	1624 ST
2-1-XX	2-15-XX	C	Risperidone 2 mg tab	2 mg PO BID	0900 2100	0850 RL 2055 ST
2-1-XX	2-15-XX	C	Simvastatin 20 mg tab	20 mg PO QHS	2100	2045 ST
2-1-XX	2-15-XX	P	Ibuprofen 800 mg tab	800 mg PO TID PRN
2-1-XX	2-15-XX	P	Lorazepam 2 mg/mL, 1 mL vial	1 mg IM Q6H PRN		0815 RL, dose effective

PATIENT ARM BAND

Patient Name: Danny Caldwell
Room Number: 203-1
Allergies: None
ADR: None

MEDICATION DRAWERS

Glipizide 5 mg Tablet Lot Num: 37411 Exp Date: 4-6-XX Pkg by: Endo	Doses: 2
Risperidone 2 mg Tablet Lot Num: 52314 Exp Date: 3-2-XX Pkg by: Janssen	Doses: 2
Simvastatin 20 mg Tablet Lot Num: 74877 Exp Date: 9-9-XX Pkg by: Merck	Doses: 1
Ibuprofen 800 mg Tablet Lot Num: 66471 Exp Date: 7-2-XX Pkg by: Barr	Doses: 3
Lorazepam 1 mg Tablet Lot Num: 87221 Exp Date: 4-5-XX Pkg by: Mylan	Doses: 4