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(CLEAN) ADMINISTRATION FORM FOR PATIENTS ON THE DVT PATHWAY IMPORTANT: When the prescription has been completed, this page should be given to the patient. This will enable the administration of treatment.
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How to fill out clexane administration form for

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How to fill out clexane administration form for

01
Fill out the patient's information section on the Clexane administration form.
02
Enter the dosage and frequency of Clexane administration as prescribed by the healthcare provider.
03
Specify the injection site and method of administration (e.g., subcutaneous) on the form.
04
Indicate any relevant medical history or allergies of the patient.
05
Note the date and time of each administration of Clexane on the form.
06
Ensure that the form is signed and dated by the healthcare provider or authorized personnel.

Who needs clexane administration form for?

01
Patients receiving Clexane therapy prescribed by a healthcare provider.
02
Hospital or clinic staff responsible for administering Clexane injections.
03
Individuals with a history of blood clots or certain medical conditions requiring anticoagulant treatment.
04
Patients undergoing surgery, especially orthopedic procedures such as hip or knee replacement.
05
Individuals at risk of developing deep vein thrombosis (DVT) or pulmonary embolism (PE).
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Clexane administration form is used for recording the administration of Clexane injections.
Healthcare professionals, nurses, or caregivers who administer Clexane injections are required to file the administration form.
The form should include details such as patient's name, date and time of administration, dose given, injection site, and the initials of the person administering the injection.
The purpose is to ensure accurate and timely documentation of Clexane injections for patient safety and treatment monitoring.
Patient details, date and time of administration, dose, injection site, and the initials of the person administering the injection must be reported.
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