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Bow Memorial School
20 Bow Center Rd.
Bow, NH 03304
225-3212 Fax: 228-2228
MEDICATION ADMINISTRATION FORM
The NH Code of Administrative Rules: Education, Ed 311.02 for medication administration
requires:
The
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How to fill out medication administration form

How to fill out a medication administration form:
01
Gather all necessary information: Start by collecting all relevant details about the patient, such as their name, date of birth, and medical record number. Additionally, gather information about the medication being administered, including the name, dosage, and frequency.
02
Note any allergies or contraindications: Make sure to check if the patient has any known allergies or previous adverse reactions to medications. If so, ensure that these details are properly documented on the form.
03
Record the date and time: Write down the date and time when the medication is to be administered. This helps healthcare professionals and caregivers stay organized and ensures timely administration.
04
Document dosage instructions: Include specific instructions on how much medication should be given to the patient. This may involve recording the dosage in milligrams, milliliters, or other units of measurement.
05
Specify the route of administration: Indicate the route through which the medication should be administered, such as oral, intravenous, intramuscular, or topical. This helps prevent any errors during the administration process.
06
Include the signature and credentials of the person administering the medication: Ensure that the person administering the medication signs the form and includes their credentials, such as the title or designation (e.g., nurse, physician). This provides accountability and establishes a record of who administered the medication.
Who needs a medication administration form?
01
Healthcare facilities: Hospitals, clinics, nursing homes, and other healthcare institutions require medication administration forms to maintain accurate records of the medications given to patients. This helps track medication history and ensures proper management of patient care.
02
Caregivers and family members: Individuals providing care for loved ones at home may also need medication administration forms. These forms help caregivers keep track of medications, dosages, and administration times, thereby promoting medication adherence and minimizing errors.
03
Schools and daycare centers: Institutions responsible for the well-being of children often require medication administration forms. This ensures that medications are administered safely and accurately while keeping parents informed about the treatment provided.
04
Clinical research studies: When conducting clinical trials or research studies involving medication administration, researchers use these forms to document and monitor the medications received by study participants. This helps maintain data integrity and ensures participant safety.
In conclusion, filling out a medication administration form involves gathering patient and medication information, documenting dosage instructions and administration details, and obtaining the necessary signatures. This form is essential for healthcare facilities, caregivers, schools, and research institutions to maintain accurate records and ensure the safe administration of medications.
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What is medication administration form?
The medication administration form is a document used to record the administration of medication to a patient or resident.
Who is required to file medication administration form?
Healthcare professionals such as nurses, doctors, and caregivers are required to file medication administration forms.
How to fill out medication administration form?
The medication administration form should be filled out accurately with details of the medication given, dosage, time administered, and patient's information.
What is the purpose of medication administration form?
The purpose of the medication administration form is to ensure proper documentation of medication administration for patient safety and continuity of care.
What information must be reported on medication administration form?
The medication administration form must include details of the medication given, dosage, time administered, patient's name, date, and any special instructions.
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