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River Edge Elementary Schools 410 Bogart Road, River Edge, New Jersey 07661 2012613404 Fax 2012610698 www.riveredgeschools.org Building Bright Futures Together Dr. Nova Bend Superintendent of Schools

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How to fill out schoolnurseforformemergencyadministrationofepinephrineviaapre-filled

01

Start by reading the provided instructions on the school nurse form for emergency administration of epinephrine via a pre-filled syringe.

02

Gather all the necessary information about the student and their medical condition.

03

Fill out the student's personal information, including their name, date of birth, and contact details.

04

Provide details about the student's medical condition that requires the administration of epinephrine.

05

Indicate any known allergies or previous adverse reactions to epinephrine.

06

Specify the dosage and instructions for administering the epinephrine.

07

Include any additional information or special instructions as required.

08

Review the completed form for accuracy and ensure all necessary information has been provided.

09

Sign and date the form to certify its completion and validity.

10

Submit the filled-out school nurse form to the appropriate authorities or medical personnel for proper record-keeping and emergency preparedness.

Who needs schoolnurseforformemergencyadministrationofepinephrineviaapre-filled?

01

Students with known medical conditions that may require the emergency administration of epinephrine via a pre-filled syringe.

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What is schoolnurseforformemergencyadministrationofepinephrineviaapre-filled?

It is a form used by school nurses to document the emergency administration of epinephrine using a pre-filled device for students at risk of severe allergic reactions.

Who is required to file schoolnurseforformemergencyadministrationofepinephrineviaapre-filled?

School nurses, along with the student's guardians or parents, are required to file this form for any student who has been prescribed epinephrine for severe allergies.

How to fill out schoolnurseforformemergencyadministrationofepinephrineviaapre-filled?

To fill out the form, the school nurse must provide student information, details about the allergy, the epinephrine dosage, and emergency contact information.

What is the purpose of schoolnurseforformemergencyadministrationofepinephrineviaapre-filled?

The purpose is to ensure that the school staff is authorized and prepared to administer epinephrine in an emergency situation, ensuring student safety.

What information must be reported on schoolnurseforformemergencyadministrationofepinephrineviaapre-filled?

The form must report the student's name, date of birth, diagnosis of allergy, prescribed epinephrine dosage, emergency contact details, and signatures from the parent/guardian and healthcare provider.

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