d. Inadequate Pharmacy Review. Since ward stock is for general use, the
pharmacy cannot check for things such as overdoses, drug interactions, allergies, or
contraindications before a medication is administered to a specific patient.
Section II. BULK DRUG ORDER (DA FORM 3875)
1-4.
GENERAL
DA Form 3875 (figure 1-1) is used for ordering and issuing noncontrolled
medications and solutions with the ward issue system. This form is a set consisting of
three pages. The form is initiated by the patient care area requiring the medications
and/or stock solutions. It is then forwarded to the pharmacy, where the order is filled
and returned to the requesting area. One copy is retained by the requestor, the second
copy by the pharmacy, and the third copy is returned with the completed order. DA
Form 3875 CANNOT be used for controlled substances or individual prescriptions.
1-5.
CONTENTS
Upon receipt of a bulk drug order, pharmacy personnel must ensure the form is
prepared correctly and contains the following information (as a minimum):
a. Authorized signature.
b. Date of order.
c. Page number (one set constitutes one page).
d. Number of pages.
e. Ordering activity (patient care area).
f. Each individual item by name, strength, unit of issue, and quantity of drug
requested.
1-6.
PHARMACY ACTION COLUMN
After the DA Form 3875 has been checked for completeness, the order must be
filled. The pharmacy will note the appropriate comments in the Pharmacy Action
column of the DA Form 3875.
a. If the pharmacy has the drug in the amount specified, the amount provided is
noted (figure 1-1, item #1).
b. If only part of the requested amount can be filled, indicate the amount,
asterisk the line, and note at the bottom of the form when the remaining amount may be
expected (figure 1-1, item #5).
MD0811
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