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St. Peters Catholic School 34 Main Street, PO Box 357 Hookah, MN 55941 www.stpetershokah.org (507) 8944375Medication Administration and Parent Authorization Form Student information: NAME:___BIRTHDATE:___GRADE:
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01
Gather all necessary information such as the patient's name, date of birth, medication name, dosage, route of administration, and frequency.
02
Check the medication label to ensure you have the correct medication and that it has not expired.
03
Wash your hands thoroughly before handling the medication.
04
Administer the medication according to the prescribed instructions, using the appropriate route (oral, injection, etc.).
05
Document the administration of the medication, including the date, time, dosage given, and any observed side effects or other notes.

Who needs medication administration and parent?

01
People who require regular medication as part of their medical treatment plan need medication administration.
02
Parents or caregivers of children who need medication to manage a health condition or illness also need to be familiar with medication administration techniques.
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Medication administration and parent involves the process of giving medication to a child in a childcare setting, as well as documenting that the medication was given by a parent or guardian.
Childcare providers are required to file medication administration and parent forms for each child who requires medication while in their care.
To fill out the medication administration and parent form, providers must document the name of the child, the medication being given, the dosage, the time it was given, and the signature of the parent or guardian.
The purpose of medication administration and parent is to ensure the safety and well-being of children who require medication while in childcare and to provide a record of the medication given.
Information such as the child's name, medication name and dosage, time of administration, and parent or guardian signature must be reported on the medication administration and parent form.
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