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Injectable Medication Administered by Provider Authorization FormCareOregon Advantage and HP Members Please fax form and chart notes to 5034164722 Use this form if All the following are met:DO NOT
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How to fill out injectable medication administered by

01
Wash your hands thoroughly with soap and water before preparing the medication.
02
Assemble all the necessary supplies including the medication, syringe, needle, alcohol swab, cotton ball, and a sharps container.
03
Check the medication label to ensure it is the correct medication and has not expired.
04
Clean the rubber top of the medication vial with an alcohol swab.
05
Draw the required amount of air into the syringe by pulling back the plunger to the desired dosage.
06
Insert the needle into the vial and inject the air into the vial.
07
Turn the vial and syringe upside down and gently pull back the plunger to withdraw the correct amount of medication.
08
Tap the syringe to remove any air bubbles and push the plunger up slightly to remove the air.
09
Remove the needle from the vial and dispose of it properly in a sharps container.
10
Select an injection site, typically in the fatty tissue of the abdomen, thigh, or upper arm.
11
Clean the injection site with an alcohol swab and let it dry before injecting the medication.
12
Hold the syringe like a pencil and insert the needle into the cleaned injection site at a 90-degree angle.
13
Slowly push the plunger down to inject the medication.
14
Withdraw the needle from the injection site and apply gentle pressure with a cotton ball to prevent bleeding.
15
Dispose of the used syringe in a sharps container.
16
Wash your hands again after completing the injection.

Who needs injectable medication administered by?

01
Injectable medication can be administered by trained healthcare professionals such as doctors, nurses, or pharmacists.
02
Patients who require regular medication but have difficulty swallowing or absorbing oral medications may need injectable medication.
03
Individuals with certain medical conditions such as diabetes, autoimmune disorders, or hormonal imbalances may also require injectable medication.
04
The specific need for injectable medication should be determined and prescribed by a qualified healthcare provider.
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Injectable medication is typically administered by healthcare professionals such as doctors, nurses, or pharmacists.
Healthcare facilities or providers who administer injectable medication are required to file the necessary documentation.
The injectable medication administered by can be filled out by providing details such as the type of medication, dosage, date/time administered, and the patient's information.
The purpose of injectable medication administered by is to maintain accurate records of the medication administered to patients for monitoring, tracking, and billing purposes.
The information that must be reported on injectable medication administered by includes the name of the medication, dosage, route of administration, date/time administered, patient's name, and healthcare provider's name.
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