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(Golimumab) INFUSION REFERRAL CHECKLIST Patient Name: Date: DOB: Referring Physician: Referring Office Contact: Phone: Fax: Address: Diagnosis: ICD Code: Dose and frequency: Special Instructions:
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To fill out dosing and administration of a medication, follow these steps:
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Read the instructions: Read the dosing and administration instructions provided with the medication carefully.
03
Measure the dose: Use a measuring device (such as a spoon, dropper, or syringe) to accurately measure the prescribed dose.
04
Administration method: Administer the medication as directed. This may include taking it orally, applying it to the skin, injecting it, or using another specified method.
05
Timing: Pay attention to the recommended timing of doses. Some medications need to be taken with meals or at specific intervals.
06
Follow the schedule: Stick to the prescribed schedule for taking the medication. It is important not to skip doses or take more than the prescribed amount.
07
Storage: Store the medication as directed, usually in a cool, dry place away from direct sunlight or extreme temperatures.
08
Dispose of properly: Follow the appropriate guidelines for disposing of any unused or expired medication. This may involve returning it to a pharmacy or using a medication take-back program.

Who needs dosing and administration of?

01
Dosing and administration of medication is necessary for individuals who have been prescribed a particular medication by a healthcare professional.
02
Anyone who requires treatment with medication needs to understand and follow the dosing and administration instructions to ensure the medication is taken correctly and effectively.
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This could include patients with chronic conditions, acute illnesses, mental health conditions, or those undergoing specific treatments.
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It is important for individuals to consult with their healthcare provider or pharmacist for specific guidance on dosing and administration based on their unique medical condition.
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Dosing and administration of refers to the proper amount and method of giving medication to a patient.
Healthcare providers and medical professionals are required to document and file dosing and administration information.
Dosing and administration information can be filled out on medication administration records or electronic health record systems.
The purpose of dosing and administration documentation is to ensure that patients receive the correct medication in the correct dosage and at the correct time.
Information that must be reported includes the name of the medication, dosage, route of administration, date and time given, and the healthcare provider administering the medication.
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