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NICHOLS SCHOOL
HEALTH CARE PROVIDER AND PARENT PERMISSIONS
REQUIRED FOR INDEPENDENT MEDICATION USE AND CARRY
Directions for the Health Care Provider: This form may be used as an addendum to a medication
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How to fill out medication administered in school

How to fill out medication administered in school
01
Obtain the medication authorization form from the school.
02
Obtain the necessary medication from a licensed pharmacist.
03
Ensure the medication is properly labeled with the student's name, medication name, dosage, and instructions.
04
Wash your hands thoroughly before administering the medication.
05
Check the medication expiration date before administering.
06
Follow the specific instructions provided by the student's parent or guardian.
07
Administer the medication according to the prescribed dosage and method.
08
Record the date, time, and dosage administered on the medication log.
09
Store the medication securely and out of reach of children when not in use.
10
Communicate any concerns or issues to the school nurse or designated staff member responsible for medication administration.
Who needs medication administered in school?
01
Students who have a medical condition or require medication during school hours need medication administered in school. This can include students with asthma, diabetes, severe allergies, ADHD, epilepsy, or other chronic illnesses that require regular medication.
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What is medication administered in school?
Medication administered in school refers to any prescription or over-the-counter medication given to students during school hours under the supervision of school staff.
Who is required to file medication administered in school?
Typically, school nurses or designated school personnel are required to file documentation regarding any medication administered in school.
How to fill out medication administered in school?
To fill out medication administration forms, one must provide details including the student's name, medication name, dosage, time of administration, and necessary signatures from parents or guardians.
What is the purpose of medication administered in school?
The purpose is to ensure that students who require medication for health conditions can receive it safely and effectively during school hours.
What information must be reported on medication administered in school?
The information that must be reported includes the student's name, medication details (name, dosage, route), time of administration, and any observed side effects.
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