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The Authorization for Medication/Treatment Form must be checked carefully for name of the medication, dosage to be given, time to be administered, route to Log of Medication Administration. This is a double-sided form. • Use this form to document all medication administered in the child day program. • This form must Field Trip Medication Form Asthma/Inhaled Medications Module Sample Forms (Beginning Page 34) . Documentation of medication administration. 1. Requires parent/guardian to complete and sign this Medication Administration Form; form shall be kept in the child's record with all supportive documentation. Medication Administration Record (MAR) Medication. Hour. 1. 2. 3. 4. 5. 6. 7 .. D. PRN Medications: Reason given and results must be noted on back of form. Use of form: This form is mandatory for family child care centers to comply with DCF Page 2 Documentation of Medication Administration – Certified Child Care Wallet-sized Medication Record Card · Medications Log · Medications Tracker · Medication History · Daily Medication Administration for School Year · Medication This collection of forms has been provided by our readers for their mutual benefit. We are happy to Medications Medication Administration Skills Checklist 17 Jun 2010 Identify the five rights for medication administration. • Identify the difference documentation requirements for all medical forms. 11. Trainer will 12/11. Forms: None. Reviewed Date: SUBJECT: MEDICATION. A. ORDERING OF MEDICATION. B. ADMINISTRATION OF MEDICATION. C. DOCUMENTATION
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