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This form is required to be completed for patients receiving injectable medications at University Health Services (UHS). It must be submitted along with the most recent office visit note before starting treatment. It includes sections for prescribing provider information, patient details, medication specifications, and necessary precautions.
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How to fill out administration of injectable medication

How to fill out administration of injectable medication
01
Gather all necessary supplies including medication, syringe, needle, alcohol swabs, and gloves.
02
Wash your hands thoroughly with soap and water or use hand sanitizer.
03
Prepare the medication by checking the label for the correct dosage and expiration date.
04
Clean the top of the medication vial with an alcohol swab.
05
Draw air into the syringe equal to the amount of medication you will inject.
06
Insert the needle into the vial, push the air in, and then draw back the required dose of medication.
07
Remove any air bubbles from the syringe by tapping it lightly and pushing the plunger slightly.
08
Choose an appropriate injection site and clean it with an alcohol swab.
09
Insert the needle at the correct angle and inject the medication slowly.
10
Withdraw the needle quickly and apply pressure with a clean cotton ball.
11
Dispose of the needle and syringe in a biohazard sharps container.
12
Document the administration of the medication including time, dosage, and site of injection.
Who needs administration of injectable medication?
01
Patients requiring vaccinations.
02
Individuals with chronic health conditions needing regular medication.
03
Patients requiring emergency medication delivery.
04
Those undergoing certain medical treatments like chemotherapy.
05
Children who need routine immunizations.
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What is administration of injectable medication?
The administration of injectable medication refers to the process of delivering medication directly into the body through a syringe or needle, ensuring that the drug reaches the bloodstream quickly for effective treatment.
Who is required to file administration of injectable medication?
Healthcare professionals, such as nurses and physicians, who administer injectable medications are typically required to document and file the administration records as part of patient care.
How to fill out administration of injectable medication?
To fill out administration of injectable medication, healthcare professionals should record the date and time of administration, name of the medication, dosage, route of administration, and the patient's response to the treatment.
What is the purpose of administration of injectable medication?
The purpose of administering injectable medication is to provide a fast and efficient way to deliver drugs that may be ineffective when taken orally or to ensure proper patient compliance.
What information must be reported on administration of injectable medication?
The information that must be reported includes the patient's name, drug name, dosage, administration route, date and time of administration, and any adverse reactions experienced.
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