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Get the free Administration of Medication Form UPDATED Prescribed and OTC

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Chinatown Local School District ADMINISTRATION OF MEDICATION School policy requires consent of the parent/legal guardian and written statement from the licensed prescriber before school personnel
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How to fill out administration of medication form

01
Begin by filling out the patient's name and date of birth at the top of the form.
02
Include the name of the medication being administered, the dosage, and the frequency of administration.
03
Note the route of administration (e.g. oral, intravenous, intramuscular).
04
Specify the date and time the medication was administered and initial the form.
05
Document any side effects or complications that occur during or after administration.
06
Have a licensed healthcare provider review and sign the form before filing it in the patient's medical record.

Who needs administration of medication form?

01
Patients who require regular medication administration in a healthcare setting.
02
Caregivers responsible for administering medications to individuals at home or in a care facility.
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The administration of medication form is a document used to record the details of medications administered to a patient, including the type of medication, dosage, timing, and the healthcare professional responsible for the administration.
Healthcare professionals, such as nurses, pharmacists, or physicians, who administer medications to patients are required to file the administration of medication form.
To fill out the administration of medication form, include the patient's details, medication name, dosage, route of administration, date and time of administration, and the signature of the administering healthcare professional.
The purpose of the administration of medication form is to ensure accurate record-keeping of medication administered to patients, to improve patient safety, and to provide a legal record of medication administration.
The information that must be reported includes patient name, medication name, dosage, route of administration, time and date of administration, and the name or signature of the healthcare provider who administered the medication.
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