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NORRISTOWN FIRE DEPARTMENT 235 East Airy Street Norristown, PA 19401Naloxone Administration Form This form shall be completed when Norristown fire department personnel administers Naloxone. The completed
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To fill out the naloxone-administration-form for Norristown Fire, follow these steps:
02
Obtain the naloxone-administration-form from Norristown Fire or their website.
03
Read the instructions on the form carefully to understand the information required.
04
Fill in your personal details such as name, address, and contact information.
05
Provide accurate details about the patient who received naloxone, including their name, age, and any known medical conditions.
06
Fill out the date and time of naloxone administration.
07
Specify the location where naloxone was administered, if applicable.
08
Provide details about the person who administered naloxone, including their name and any relevant credentials.
09
Include any additional comments or observations.
10
Review the completed form for accuracy and make any necessary corrections.
11
Submit the filled out naloxone-administration-form to Norristown Fire as instructed.

Who needs naloxone-administration-form - norristown fire?

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The naloxone-administration-form - norristown fire is required for individuals or organizations who have administered naloxone for opioid overdose treatment in the jurisdiction covered by Norristown Fire. This form is generally used to document the administration of naloxone, and it helps Norristown Fire keep accurate records and statistics on naloxone usage.
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It is a form used to report the administration of naloxone by Norristown Fire Department.
Norristown Fire Department personnel who administer naloxone are required to file the form.
The form must be filled out with details of the naloxone administration, including date, time, dosage, and patient information.
The purpose is to track and report the use of naloxone in opioid overdose incidents attended by Norristown Fire Department.
Details such as date, time, dosage, patient information, and circumstances of the opioid overdose incident must be reported.
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