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PHYSICIAN'S ORDER SHEETS

Physician's Order Sheets DPO3

DPO3
3 SECTION PAGE
CLICK TO ENLARGE

Usage: Allows three days of orders. Physician writes first day's orders. Part one is lifted from the bottom to allow removal of Parts 2 & 3 at the first perforation. Parts 2 & 3 are glued at left and perforated to form three 8 x 3" sets, which can be easily removed as a set and separated for distribution to Nursing and Pharmacy. Process repeated for second and third day's orders.

Base Specifications:
Size: Overall 8 x 11 (Parts 1 & 4)
          8 x 9 (Parts 2 & 3)

Paper: Part 1: 15# White CB
      Part 2: 14# Canary CFB
      Part 3: 15# White CF
      Part 4: 15# White Bond

Ink: Reflex Blue

Punching: Three 5/16" holes Part 1 only (For Viewing Number of Orders)

Gluing: Parts 1 & 4: Top (Line glue)
       Parts 2, 3 & 4: Bottom (Line glue)
       Parts 2 & 3: Left (Cross-web glue)

Other: Parts 2 & 3 have 2 additional horizontal performations

Special Design Features:

  • Two copies of each day's orders: the special glue feature allows Pts. 2 & 3 to form three individual 2-part (8 x 3) sets – to be distributed (1) to Nursing without delay for transcribing, and (2) to Pharmacy.
  • Size 8 x 11 for ease in chart and medical records filing.
  • No Carbon Handling.

Description

Quantity/Case

Price/Case

Secure Order

Physician's Order Sheets DPO3

1000

$425.00


Quantity:
 

Discounts available for large quantities.
Contract pricing available. Call for details!

 

Physician's Order Sheets DPO4

DPO4
4 PART
CLICK TO ENLARGE

Usage: Allows three or four days of orders. Physician writes orders. Only current day's orders copy through to pharmacy copies (perf 2-4). Pharmacy copy goes to nursing for transcribing on medication administration record (mar) and is then forwarded to the pharmacy.

Base Specifications:

Size: 8 x 11 Overall
     Detached: Part 1 - 8 x 11
             Parts 2-4/5 – 8 x 10

Paper: All Carbonless
     Part 1: 15# White CB
     Parts 2–4: 15# Canary CF

Carbon: Short Carbon at Top (For Face of Parts 3, 4) for Patient Imprint.

Ink: Black

Punching: One 5/16" Diameter Hole on Part 1 Only (For Viewing Number of Orders Remaining in Set.)

Gluing: Spot Glue Top Part 1 for Easy Removal of chart Copy. Line Glue Top Parts 2-4.

Other: Horizontal Lines Parts 2-4 are Screened

Special Design Features:

  • Pharmacy copy shows only Current Day's Order. Saves Pharmacist time from reading entire Order to Pick Out the Current Order.
  • Double Imprint Area at Top (Can also be used for "Quick Custom" Imprint.)
  • No Carbon Handling: Short Carbons at Top (for Patient Imprint) are Not Handled but Removed with Stub and Discarded.
  • Size 8 x 11 for Ease in Chart and Medical Records Filing.
  • Horizontal Lines on Parts 2-4 are Screened for Ease and accuracy of Pharmacy and Nursing Interpretation. (Solid Lines on the Pharmacy Copy make it Difficult to Differentiate Between 10.0mg. and 100mg. If the Decimal is on the Line.)

Description

Quantity/Case

Price/Case

Secure Order

Physician's Order Sheets DPO4

1000

$350.00


Quantity:
 

Discounts available for large quantities.
Contract pricing available. Call for details!

 

Physician's Order Sheets DPO5

DPO5
5 PART
CLICK TO ENLARGE

Usage: Allows three or four days of orders. Physician writes orders. Only current day's orders copy through to pharmacy copies (perf 2-5). Pharmacy copy goes to nursing for transcribing on medication administration record (mar) and is then forwarded to the pharmacy.

Base Specifications:

Size: 8 x 11 Overall
     Detached: Part 1 - 8 x 11
              Parts 2-5 – 8 x 10

Paper: All Carbonless
      Part 1: 15# White CB
      Parts 2–5: 15# Canary CF

Carbon: Short Carbon at Top (For Face of Parts 3, 4, 5) for Patient Imprint.

Ink: Black

Punching: One 5/16" Diameter Hole on Part 1 Only (For Viewing Number of Orders Remaining in Set.)

Gluing: Spot Glue Top Part 1 for Easy Removal of chart Copy. Line Glue Top Parts 2-5.

Other: Horizontal Lines Parts 2-5 are Screened

Special Design Features:

  • Pharmacy copy shows only Current Day's Order. Saves Pharmacist time from reading entire Order to Pick Out the Current Order.
  • Double Imprint Area at Top (Can also be used for "Quick Custom" Imprint.)
  • No Carbon Handling: Short Carbons at Top (for Patient Imprint) are Not Handled but Removed with Stub and Discarded.
  • Size 8 x 11 for Ease in Chart and Medical Records Filing.
  • Horizontal Lines on Parts 2-5 are Screened for Ease and accuracy of Pharmacy and Nursing Interpretation. (Solid Lines on the Pharmacy Copy make it Difficult to Differentiate Between 10.0mg. and 100mg. If the Decimal is on the Line.)

Description

Quantity/Case

Price/Case

Secure Order

Physician's Order Sheets DPO5

1000

$360.00


Quantity:
 

Discounts available for large quantities.
Contract pricing available. Call for details!

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