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AUTHORIZATION FOR THE ADMINISTRATION OF MEDICATION AT SCHOOL Purpose: As required by Section 3313.713 of the Ohio Revised Code. Student Name Date of Birth School Address Grade/ID # Teacher PARENT/GUARDIAN
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How to fill out form administration of medication:
01
Start by writing your full name and contact information at the top of the form.
02
Indicate the date and time of the medication administration.
03
Provide the name of the medication that needs to be administered.
04
Include the dosage and frequency of the medication.
05
Specify the route of administration (e.g., oral, intravenous, injection, etc.).
06
If there are any special instructions or precautions to be taken while administering the medication, make sure to note them.
07
If multiple medications are being administered, list them separately with their respective details.
08
Sign and date the form to indicate your verification and responsibility for administering the medication.
Who needs form administration of medication:
01
Medical professionals, such as doctors, nurses, and pharmacists, who are responsible for administering medications to patients.
02
Caregivers who assist individuals with medication administration at home or in residential care settings.
03
Patients who self-administer medications and need to keep a record of the medications they take and when they were administered.
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What is form administration of medication?
Form administration of medication is a document used to record the details of medication administration to a patient.
Who is required to file form administration of medication?
healthcare professionals such as nurses, doctors, and pharmacists are required to file form administration of medication.
How to fill out form administration of medication?
The form should be filled out with the name of the patient, the date and time of medication administration, the name of the medication, dosage, and route of administration.
What is the purpose of form administration of medication?
The purpose of the form is to ensure accurate documentation of medication administration and to track the patient's medication history.
What information must be reported on form administration of medication?
The form should include the patient's name, date of birth, medical record number, allergies, the name and dosage of the medication, frequency of administration, and any special instructions.
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