POM Medication Book Out
To be used for all prescription drugs (OTC medicines not required)
Staff Name
*
First Name
Last Name
Nexus PIN number
*
Date
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Hour Minutes
Bag Number
*
Please Select
1001
1002
1003
2001
2002
3001
3002
3003
4001
4002
Medication
*
Please Select
Activated Charcoal
Adrenaline 1 in 1,000
Adrenaline 1 in 10,000
Amiodarone Hydrochloride
Aspirin
Atropine Sulfate
Benzylpenicillin Sodium
Chlorphenamine
Dexamethasone
Diazepam
Diazepam Rectal
Furosemide
Glucagon
Glucose 10%
Glucose 40% Gel
Glyceryl Trinitrate
Hydrocortisone
Ibuprofen
Ipratropium Bromide
Methoxyflurane (Penthrox)
Misoprostol
Morphine Sulfate
Morphine Sulfate
Naloxone Hydrochloride
Ondansetron
Paracetamol
Paracetamol
Sablutamol
Sodium Chloride 0.9%
Sodium Chloride 0.9%
Tranexamic Acid
Water for injection
Co-codamol
Co-codamol
Codeine Phosphate
Certirizine Hydrochloride
Chlorphenamine
Amoxicillin
Diazepam
Flucloxacillin
Doxycycline
Lidocaine 1%
Tetracaine
Nitrofurantoin
Naproxen
Prednisolone
Dose Administered
*
Patients Full Name
*
Count Remaining In Pack
*
Number of same medicines left in pack
Submit
Should be Empty: