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Pine Bluffs Jr×Sr High School Medication Authorization /Administration Form Deidre Hanson, School Nurse * Phone 3072454073 * FAX 3072453144 Child's Name Grade Date Medication Name Dosage Time×Frequency
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How to fill out Pine Bluffs HS medication:

01
First, gather all necessary documentation such as a copy of the prescription, medication details including dosage and frequency, and any specific instructions provided by the healthcare provider.
02
Next, carefully read and understand the medication labels and instructions. Pay close attention to any warnings or precautions mentioned.
03
Use a clean and well-lit area to prepare the medication. Wash your hands thoroughly before handling any medications.
04
Open the medication packaging following the instructions provided. This may involve removing a protective cap or foil seal.
05
Measure the prescribed dose accurately using a medication syringe, spoon, or cup, depending on the form of the medication. Make sure to use the measuring device provided with the medication to ensure accuracy.
06
Administer the medication as instructed. This can include swallowing tablets/capsules with water, applying creams/ointments to the affected areas, or using an inhaler properly to inhale the medication.
07
After administering the medication, properly dispose of any packaging materials and wash your hands again.
08
Keep track of the medication doses and any side effects experienced. It is important to follow up with the healthcare provider if there are any concerns or issues.

Who needs Pine Bluffs HS medication:

01
Students who have a valid prescription for medication that has been approved by their healthcare provider for administration during school hours.
02
Individuals who require regular medication to manage chronic conditions or for emergency situations.
03
Students who have specific medical needs that require medication administration, such as allergies, asthma, diabetes, or epilepsy.
04
Students who have documented medical conditions that may require medication administration during school hours, as agreed upon by the healthcare provider, parents/guardians, and the school administration.
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Pine Bluffs HS medication is any medication prescribed to students at Pine Bluffs High School.
The school nurse or designated school staff member is required to file Pine Bluffs HS medication.
To fill out Pine Bluffs HS medication, the school nurse or designated staff member must document the student's name, medication details, dosage, administration instructions, and any pertinent notes.
The purpose of Pine Bluffs HS medication is to ensure that students receive the necessary medications in a safe and timely manner while at school.
The information reported on Pine Bluffs HS medication must include the student's name, medication details, dosage, administration instructions, and any pertinent notes.
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