(1) Figure 3-11 below shows a prepared Brooke Army Medical Center (BAMC)
Form 305 NS, Pharmacy Sterile Products Order, illustrating no additive being
requested. This solution has no additives but has been identified for a specific patient.
The UCA value is 2.0 per unit. Uniform Chart of Accounts weighted procedure
value is 4.0.
In the block titled Administration Schedule, a solution was prepared for
administration at 0200 hours and again at 1000 hours.
# of bags (units)
Figure 3-11. BAMC Form 305 NS, Pharmacy Sterile Products Order (no additive being
requested) with UCA c alculations.