MEDICATION ADDED IDENTIFICATION LABELS
SMA-23
SMA-25
SMA-14
SMA-231
SMA-2124
MEDICATION ADDED IDENTIFICATION LABELS
Product Number
Unit Price
Qty Per Unit
Unit of Measure
Label Dimensions
Core Size
Imprint Text
MEDICATION ADDED / NAME ____ RMNO.____ / DRUG ADDED ________ / DATE ____ TIME____ AM PM / ADDED BY____ / STORAGE____ / RETURN TO PHAR- MACY AFTER ____ HRS PARENTERAL SOLUTIONS / Patient _____ Room _____ / Bag/Bottle _____ Date _____ Time _____ / Solution: / Medication Added: / Rate _____ cc/hr _____ gtts/min By _____ / Exp. Date _____ MEDICATION ADDED / DRUG ADDITIVE AMOUNT / _____ / _____ / ______ / _____ / _____ / _____ / ADDED BY _____ / DATE _____ TIME _____ A.M. P.M. / EXP. DATE _____ / PATIENT _____ / ROOMNO. _____ / START TIME _____ / START DATE _____ / FLOWRATE _____ / BASE SOL’N _____ MEDICATION ADDED / DRUG ADDITIVE AMOUNT / ADDED BY / DATE__ TIME__ AM PM / PATIENT / ROOMNO. / SPECIAL INFORMATION MEDICATION ADDED / NAME____ / ROOMNO.__ DATE__ AM PM__ / DRUGS ADDED AMOUNT / ADDED BY ____ / DONOT USE AFTER ____ / SPECIAL INSTRUCTIONS ____ / REFRIGERATE
SMA-23
124.88 1000
Roll
2” x 3”
1”
SMA-25
124.88 1000
Roll
2” X 4”
1”
SMA-14
124.88 1000
Roll
3” x 2”
1”
SMA-231
124.88 1000
Roll
3” x 2”
1”
SMA-2124
71.77 500
Roll
4” x 2-1/2”
1”
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