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Controlled Substances Record A3949 - DA Mobile App

Use this mobile app as a record sheet for controlled substances. The app is designed so the user can record daily medication information such as dosage, time of dose, type and who administered the dose. The app can also calculate accountable units based on the information the user logs. This application can be easily tailored to measure various other items.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Controlled Substances Record A3949 - DA Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

  • {{data.title}}

Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    WARD/CLINIC

  • Ico date

    DATE INITIATED

  • Ico textbox

    MONTH/YEAR

  • Ico textbox

    ITEM (Generic Nomenclature; may add trade name for additional clarity)

  • Ico textbox

    ACCOUNTABLE UNIT

  • Ico textbox

    BALANCE FORWARDED

  • Ico signature

    SIGNATURE

  • Ico textbox

    PRINT NAME

  • Ico time

    HOUR

  • Ico textbox

    PATIENT LAST NAME

  • Ico textbox

    PATIENT FIRST NAME

  • Ico textbox

    ORDERED BY (Dr.

  • Ico signature

    SIGNATURE

  • Ico textbox

    PRINT NAME

  • Ico signature

    SIGNATURE

  • Ico date

    DATE

  • Ico decimal

    ACTUAL DOSE ADMINISTERED TO PATIENT

  • Ico decimal

    AMOUNT OF MEDICATION WASTED

  • Ico calculator

    EXPENDITURES (Accountable units used)

  • Ico decimal

    RECEIPTS (Amount from pharmacy)

  • Ico calculator

    BALANCE (Accountable units remaining)

  • Ico integer

    DAY

  • ...and More!

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