Get the free Supervised Field Medication Pass Observation Form

DIVISION OF DEVELOPMENTAL DISABILITIES SERVICES Limited Lay Administration of Medications (SLAM) Supervised Field Medication Pass Observation Form OBSERVED STAFF: DATE:SITE: TIME: ___STEPS 1. New

How to fill out supervised field medication pass

How to fill out supervised field medication pass

1. Gather all necessary supplies such as medication carts, medication packets, gloves, and documentation forms.
2. Verify patient information including name, date of birth, and room number.
3. Compare patient identification band with medication packets to ensure correct patient.
4. Check physician orders for medication dosage and frequency.
5. Administer medication to patient as indicated on physician orders, ensuring proper route and timing.
6. Document medication administration including patient response and any observed side effects.
7. Dispose of any unused medication properly and return cart to designated storage area.

Who needs supervised field medication pass?

1. Individuals who are unable to self-administer medication due to physical or cognitive limitations.
2. Patients in long-term care facilities or group homes who require assistance with medication management.
3. Individuals with complex medication regimens that require close monitoring by healthcare professionals.

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What is supervised field medication pass?

Supervised field medication pass is a protocol where a trained professional administers medications to patients in a controlled environment, ensuring adherence to prescribed treatment regimens.

Who is required to file supervised field medication pass?

Healthcare providers, including nurses and medication aides, who are administering medications in a supervised field setting are required to file the supervised field medication pass documentation.

How to fill out supervised field medication pass?

To fill out the supervised field medication pass, the provider must record the patient's name, medication details, dosage, administration time, and their own signature, along with any observations noted during the pass.

What is the purpose of supervised field medication pass?

The purpose of the supervised field medication pass is to ensure safe and accurate medication administration, monitor patient compliance, and provide accountability for medication management.

What information must be reported on supervised field medication pass?

The information that must be reported includes the patient's identification, medication name, dosage, administration route, time of administration, and the observed response or any adverse effects.