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Get the free Parent/Guardian Authorization to Administer Medication at School

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This document is a request from a parent or guardian for school staff to administer medication to their child according to specific health care provider instructions. It includes details about the
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How to fill out Parent/Guardian Authorization to Administer Medication at School

01
Obtain the Parent/Guardian Authorization form from the school office or website.
02
Fill in the student's full name and grade level at the top of the form.
03
Provide the name of the medication that needs to be administered.
04
Indicate the dosage and frequency of the medication as prescribed by the healthcare provider.
05
Specify the start and end dates for when the medication should be administered at school.
06
Include any special instructions or considerations regarding the medication.
07
Sign and date the form as the parent or guardian to confirm authorization.
08
Submit the completed form to the school nurse or designated school staff member.

Who needs Parent/Guardian Authorization to Administer Medication at School?

01
Any student who requires medication to be administered during school hours by school personnel.
02
Students with chronic health conditions requiring routine medication.
03
Students needing emergency medications, like epinephrine or inhalers, to be available at school.
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Give the exact amount of medicine ordered. Ask your child's doctor, health care provider, or pharmacist if the medicine can be mixed with foods and drinks. Some foods or drinks make the medicine not work well. Stay with your child until they swallow all of the medicine.
1 The individual who administers the medication is responsible for ensuring that the right medicine with right dose is administered to the right patient through the right route at the right time. 7.1. 2 All medications shall be administered as ordered by the physician, by an authorized health care professional.
Before administering medication check that you are administering the: right medication for your child, especially if children have more than one medication or there are multiple children in the household. correct dose or amount of medication that was prescribed or recommended for their age or weight.
Mix the medicine with a small amount (1 to 2 teaspoons) or juice or sweetened water. Give with a spoon or let your child drink it. Do not put medicine in a full cup in case your child does not drink very much. Follow the instructions from your child's doctor, health care provider, or pharmacist.
Know Our Safety Guideline: The Five Rights of Medication Administration The Right Patient. The Right Time and Frequency of Administration. The Right Dose. The Right Route. The Right Drug.
Most health care professionals, especially nurses, know the “five rights” of medication use: the right patient, the right drug, the right time, the right dose, and the right route — all of which are generally regarded as a standard for safe medication practices.
The 6 rights (Rs) of medicines administration provide a helpful prompt: Right person. Right medicine. Right route. Right dose. Right time.
Follow the Seven Rights when you are administering medication to the individuals you support: Right Person, Right Medication, Right Dose, Right Time, Right Route, Right Reason, and Right Documentation.

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Parent/Guardian Authorization to Administer Medication at School is a formal document that allows school personnel to administer prescribed medication to a student during school hours.
Parents or guardians of students who need medication during school hours are required to file this authorization form.
To fill out the form, parents or guardians must provide details such as the student's name, the medication name, dosage, administration times, and signature of the parent or guardian.
The purpose of this authorization is to ensure that schools have permission to administer necessary medications safely and legally to students.
The information required includes the student's personal details, medication details (name, dosage, administration times), any relevant medical conditions, and contact information of the parent or guardian.
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