Name of Patient

Name of Patient

Patient hospital id

Date of birth

Criteria for assessment of Drug card

INDICATORSYESNO

Admission date

Drug Allergies known/notindicated on front page

Patient on warfarin indicated on the front page

Patient on steroids indicated on the front page

Indication for warfarin

Target INR charted

Generic name of drug

Wrong spelling of drug

Wrong dose of drug

Review date of Antibiotics

Legibility of prescribed drugs

Traceability of the prescriber (e.g. bleep num, name.imc num)

Patients name or hospital number written on every page of the drug card

Consultants name written on the front page

Prophylactic Innohep where indicated

Specific diet indicatedEg:- Diabetic