DA Form 4574-R. Radiopharmaceutical Record (LRA)

Form DA 4574-R is used as a Radiopharmaceutical Record in medical facilities within the Army. This form serves as a comprehensive documentation of radiopharmaceuticals used for diagnostic and therapeutic purposes.

The form consists of sections where medical personnel record essential information about radiopharmaceuticals, including their name, dose, lot number, expiration date, and administration details. It may also include sections for tracking patient information, such as the patient's name, medical record number, and the administering medical personnel's details.

Important fields in this form include accurate identification and documentation of radiopharmaceuticals, ensuring proper dosing and administration to patients. Filling out this form accurately is crucial to maintain an organized and accountable record of radiopharmaceutical usage in medical facilities, as it directly impacts patient safety and treatment effectiveness.

Application Example: A nuclear medicine department in an Army medical facility uses Form DA 4574-R to record the use of radiopharmaceuticals in various diagnostic procedures and therapies. When administering a radiopharmaceutical to a patient, the medical personnel complete the form, documenting the specific radiopharmaceutical used, its dose, and the administration details. By doing so, the medical facility can track radiopharmaceutical usage, monitor inventory, and ensure compliance with safety regulations.

Individuals filling out this form need to consider any additional documentation required for the safe handling and disposal of radiopharmaceuticals, as well as any specific guidelines provided by the medical facility's radiation safety officer.

Related Forms: There may not be direct alternatives to Form DA 4574-R, as it serves as a specific record for radiopharmaceuticals in Army medical facilities. However, there might be other forms related to pharmaceutical inventory management or patient treatment documentation used in similar medical settings.