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Southington Public Schools Southington, Connecticut MDI Maladministration Authorization Connecticut State Law requires a written order from an authorized prescriber (MD, DDS, OD, DO, PA, APRN) and
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How to fill out mdi self-administration authorization
How to fill out mdi self-administration authorization
01
Step 1: Obtain the necessary forms from your healthcare provider or school nurse.
02
Step 2: Fill out the patient's information including name, date of birth, and any relevant medical conditions.
03
Step 3: Specify the type of medication, dosage, and frequency of administration.
04
Step 4: Include the healthcare provider's information and signature, as well as a parent or guardian's signature if the patient is a minor.
05
Step 5: Return the completed form to the appropriate person for review and approval.
Who needs mdi self-administration authorization?
01
Individuals who require the use of an MDI (Metered Dose Inhaler) for asthma or other respiratory conditions.
02
Students who may need to self-administer medication at school.
03
Patients who are responsible and capable of safely managing their own medication administration.
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What is mdi self-administration authorization?
MDI self-administration authorization is a form that allows individuals to self-administer medication using an inhaler.
Who is required to file mdi self-administration authorization?
Individuals who need to use an inhaler to self-administer medication are required to file mdi self-administration authorization.
How to fill out mdi self-administration authorization?
To fill out mdi self-administration authorization, individuals need to provide their personal information, medical condition, medication details, and physician's instructions.
What is the purpose of mdi self-administration authorization?
The purpose of mdi self-administration authorization is to ensure that individuals can safely self-administer medication using an inhaler.
What information must be reported on mdi self-administration authorization?
MDI self-administration authorization must include personal information, medical condition, medication details, and physician's instructions.
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