
Get the free Medication Administration Form - Sitka School District - sitkaschools
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300 Kostrometinoff Street Site, Alaska 99835 Phone: (907) 747-8622 Fax: (907) 966-1260 SITE SCHOOL DISTRICT http://sitkaschools.org REQUEST FOR ADMINISTRATION OF MEDICATION *This request must be renewed
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How to fill out medication administration form

How to fill out a medication administration form:
01
Start by gathering all necessary information such as the patient's name, date of birth, and medical record number.
02
Indicate the date and time the medication is being administered.
03
Write down the name of the medication, including the dosage strength and form (e.g., tablet, capsule, liquid).
04
Specify the route of administration (e.g., oral, intravenous, topical, inhalation).
05
Include instructions on how the medication should be given, such as if it should be taken with food or at a specific time of day.
06
Note any special considerations or precautions for administering the medication.
07
Document the name and signature of the healthcare professional responsible for administering the medication.
08
If applicable, record the patient's vital signs before and after medication administration.
09
Finally, ensure that all entries on the form are accurate and legible.
Who needs a medication administration form:
01
Healthcare facilities, such as hospitals, clinics, and nursing homes, require medication administration forms to ensure proper documentation and accountability for medication administration.
02
Caregivers, including nurses and certified medication aides, use these forms to record and track medication administration for individual patients.
03
Patients with complex medication regimens or those who need frequent medication administration benefit from having a medication administration form in place to prevent errors and maintain a comprehensive record of their treatments.
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