DAFORMFILLABLE.COM | DA FORM 4678 Fillable – Army Pubs 4678 PDF – DA FORM 4678 – Therapeutic Documentation Care Plan (Medication) is a vital document utilized in the medical field to meticulously track and manage patient medication plans. This form ensures that all therapeutic interventions are appropriately documented, which is crucial for maintaining high standards of patient care.
DA FORM 4678 – Therapeutic Documentation Care Plan (Medication)
| Form Number | DA Form 4678 |
| Form Title | Therapeutic Documentation Care Plan (Medication) |
| Form Date | 02/01/1979 |
| Form Proponent | TSG |
Overview of DA FORM 4678
Pub/Form Number: DA FORM 4678
Pub/Form Date: 02/01/1979
Pub/Form Title: THERAPEUTIC DOCUMENTATION CARE PLAN (MEDICATION)
Pub/Form Proponent: TSG
Pub/Form Status: ACTIVE
Prescribed Forms/Prescribing Directive: AR 40-66
Footnotes: 42-ITEM ONLY PRODUCED IN ELECTRONIC MEDIA
Security Classification: UNCLASSIFIED
Dist Restriction Code: A APPROVED FOR PUBLIC RELEASE; DISTRIBUTION IS UNLIMITED
Pub/Form IDN: 990001
Pub/Form PIN: 008205
Purpose of DA FORM 4678
DA FORM 4678 is designed to provide a structured method for documenting medication therapy plans. This documentation is essential for ensuring that patients receive the correct medications in the proper dosages at the appropriate times.
Key Features of DA FORM 4678
Comprehensive Medication Documentation
One of the primary purposes of DA FORM 4678 is to offer a detailed account of all medications prescribed to a patient. This includes the name of the medication, dosage, frequency, and duration of the therapy. By maintaining this detailed documentation, healthcare providers can avoid medication errors and ensure continuity of care.
Coordination of Care
DA FORM 4678 facilitates the coordination of care among different healthcare providers. By having a centralized document that outlines a patient’s medication plan, different members of the healthcare team can easily access and review the patient’s medication history, making it easier to make informed decisions about their care.
Compliance with Regulatory Requirements
This form helps healthcare institutions comply with regulatory requirements, such as those outlined in AR 40-66. Proper documentation is a key component of regulatory compliance, and DA FORM 4678 provides a standardized way to meet these requirements.
Importance of Accurate Documentation
Accurate documentation on DA FORM 4678 is crucial for several reasons:
- Patient Safety: Ensuring that all medication information is accurately recorded helps prevent medication errors that could potentially harm the patient.
- Quality of Care: Thorough documentation contributes to higher quality of care by enabling healthcare providers to track and review patient medication plans systematically.
- Legal Protection: Properly documented medication plans can serve as legal protection for healthcare providers in case of disputes or investigations regarding patient care.
How to Complete DA FORM 4678
Patient Information
Start by entering the patient’s full name, identification number, and other relevant personal details. This information is critical for correctly identifying the patient and ensuring that the medication plan is accurately associated with them.
Medication Details
Next, list each medication prescribed, including:
- Medication Name: The generic or brand name of the drug.
- Dosage: The specific amount of the drug to be administered.
- Frequency: How often the medication should be taken (e.g., twice daily).
- Duration: The total length of time the medication should be taken.
Special Instructions
Include any special instructions related to the medication, such as administration guidelines (e.g., take with food), potential side effects, and monitoring requirements. These details help ensure that the medication is taken correctly and safely.
Conclusion
DA FORM 4678 – Therapeutic Documentation Care Plan (Medication) is a critical tool in the healthcare industry for managing and documenting patient medication plans. Its comprehensive structure helps healthcare providers ensure patient safety, coordinate care, and comply with regulatory requirements. Accurate and detailed completion of this form is essential for delivering high-quality healthcare and protecting both patients and providers.
For those involved in the administration of medications, understanding and utilizing DA FORM 4678 effectively is crucial for maintaining optimal patient care and adherence to best practices.
DA FORM 4678 Fillable – Army Pubs 4678 PDF DOWNLOAD
