Örnek Yardımcı Doküman Acil Servis

AS.YD.023 - AŞI DOLABI MİADI DOLAN AŞILARI İMHA TUTANAĞI

Doküman Kodu: AS.YD.023
Yayın Tarihi: 19.04.2017
Revizyon Tarihi: 24.09.2021
Revizyon No: 1

Paylaş:

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Demo Hastanesi (Prokalite.Com) AŞI DOLABI MİADI DOLAN AŞILARI İMHA TUTANAĞI

Doküman Kodu: AS.YD.023

Yayın Tarihi: 19.04.2017

Revizyon Tarihi: 24.09.2021

Revizyon No: 1

Sayfa: Otomatik

….……………………İlçesi ……………………………………Hastanesinde bulunan, aşağıda adı, son kullanma tarihi, miktarı, lot ve seri numarası belirtilen aşılar tüketilememiştir. (………………………………………………………………………………………………………………………………nedeni ile)

Son kullanma tarihi dolduğundan imha edilmek üzere soğuk zincirden çıkarılmıştır. …./……/………

Aşı (ticari ve aşı adı)	Miktarı	Miktarı(flk/amp)	Seri no	Lot no	Son Kullanma Tarihi
Aşı (ticari ve aşı adı)	(doz)	Miktarı(flk/amp)	Seri no	Lot no	Son Kullanma Tarihi

AŞI VE SOĞUK ZİNCİR SORUMLUSU				BAŞHEKİM

ADI SOYADI				ADI SOYADI

İmza				İmza

Acil Servis bölümündeki diğer yardımcı doküman örnekleri

Tümünü gör (39)

AS.YD.019 ZEHİRLENMİŞ HASTAYA GENEL YAKLAŞIM PROTOKOLÜ AS.YD.020 FEBRİL KONVÜLSİYON TEDAVİ PROTOKOLÜ AS.YD.021 AŞI DOLABI AYLIK ISI İZLEM ÇİZELGESİ AS.YD.022 ACİL SERVİS İŞ AKIŞ ŞEMASI AS.YD.024 ERİŞKİN VE ÇOCUKLARDA SOLUNUM ARESTİ ALGORİTMASI AS.YD.025 ONKOLOJİK ACİLLER ALGORİTMASI AS.YD.026 İNME ALGORTİMASI AS.YD.027 KAFA TRAVMALARINDA HASTA YÖNETİMİ ALGORİTMASI

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<p><br></p><table style="border-collapse:collapse" class=" cke_show_border" cellspacing="0"><tbody><tr><td style="border-color:initial; border-style:none; border-width:initial; vertical-align:middle"><span style="font-size:16px"><span style="color:black">….……………………İlçesi ……………………………………Hastanesinde bulunan, aşağıda adı, son kullanma tarihi, miktarı, lot ve seri numarası belirtilen aşılar tüketilememiştir. (………………………………………………………………………………………………………………………………nedeni ile) </span></span></td></tr><tr><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; text-align:justify; vertical-align:middle"><span style="font-size:16px"><span style="color:black">Son kullanma tarihi dolduğundan imha edilmek üzere soğuk zincirden çıkarılmıştır. …./……/………</span></span></td></tr></tbody></table><p><br></p><p><br></p><table style="border-collapse: collapse; width: 882px;" class=" cke_show_border" cellspacing="0"><tbody><tr><td rowspan="2" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle"><span style="font-size:16px"><strong><span style="color:black">Aşı (ticari ve aşı adı)</span></strong></span></td><td style="border-bottom:none; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle"><span style="font-size:16px"><strong><span style="color:black">Miktarı</span></strong></span></td><td rowspan="2" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle"><span style="font-size:16px"><strong><span style="color:black">Miktarı(flk/amp)</span></strong></span><br></td><td rowspan="2" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle"><span style="font-size:16px"><strong><span style="color:black">Seri no </span></strong></span></td><td rowspan="2" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle"><span style="font-size:16px"><strong><span style="color:black">Lot no </span></strong></span></td><td rowspan="2" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; text-align:center; vertical-align:middle"><span style="font-size:16px"><strong><span style="color:black">Son Kullanma Tarihi</span></strong></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:center; vertical-align:middle"><span style="font-size:16px"><strong><span style="color:black">(doz) </span></strong></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><p><br></p></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><p><br></p></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><p><br></p></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><p><br></p></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><p><br></p></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><p><br></p></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><p><br></p></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><p><br></p></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td></tr><tr><td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><p><br></p></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:justify; vertical-align:middle"><br></td></tr></tbody></table><p><br></p><table style="border-collapse: collapse; width: 882px;" class=" cke_show_border" cellspacing="0"><tbody><tr><td colspan="4" style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><span style="font-size:15px"><strong><span style="color:black">AŞI VE SOĞUK ZİNCİR SORUMLUSU</span></strong></span><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black"><strong>BAŞHEKİM</strong> </span></span></td></tr><tr><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td></tr><tr><td colspan="2" style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black">ADI SOYADI</span></span></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black">ADI SOYADI</span></span></td></tr><tr><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td></tr><tr><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black">İmza</span></span></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><br></td><td style="border-bottom:none; border-left:none; border-right:none; border-top:none; vertical-align:bottom"><span style="font-size:15px"><span style="color:black">İmza</span></span></td></tr></tbody></table>