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Exhibit 1 Reg. No. 400-23 FREDERICK COUNTY PUBLIC SCHOOLS/FREDERICK COUNTY HEALTH DEPARTMENT MEDICATION AUTHORIZATION FORM This order is valid only for the current school year (Including Summer Session).

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How to fill out the MEDICATION AUTHORIZATION FORM online

Completing the Medication Authorization Form online is a straightforward process designed to ensure that students receive the necessary medication while at school. This guide will provide clear and detailed instructions for each section of the form, making it easier for users to navigate through the process.

Follow the steps to successfully complete the form online.

  1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the student's name, date of birth, and grade at the top of the form. Ensure that this information is accurate to prevent any issues with medication administration.
  3. Fill out the health care provider authorization section. Provide details about any allergies the student may have, and specify the condition for which the medication is prescribed.
  4. Indicate the type of medication, dosage, and time of administration. Clearly state the route of administration, whether it be oral, inhalation, or other specified means.
  5. If the medication is given as needed (PRN), fill in the frequency of administration. Include any additional instructions, specifying urgent symptoms for medications such as inhalers.
  6. Determine whether the student is competent to self-carry or self-administer the medication. These fields require a simple 'Yes' or 'No' response.
  7. Complete the health care provider information section by providing the provider’s name, telephone number, fax number, address, and the signature confirming the medication order.
  8. Next, move to the parent/guardian authorization section. The parent or guardian must indicate their legal authority to consent and provide their contact information.
  9. Ensure the parent or guardian signs and dates the form, confirming their request for staff to administer the medication as prescribed.
  10. Finally, the registered nurse will review the form. Ensure that all necessary fields are completed to prevent delays in processing.
  11. Once all information is entered, save any changes, and download, print, or share the completed form as required.

Complete your Medication Authorization Form online today to ensure your child's health needs are met at school.

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One of the recommendations to reduce medication errors and harm is to use the “five rights”: the right patient, the right drug, the right dose, the right route, and the right time.

Most health care professionals, especially nurses, know the “five rights” of medication use: the right patient, the right drug, the right time, the right dose, and the right route—all of which are generally regarded as a standard for safe medication practices.

They are: Identify the right patient. ... Verify the right medication. ... Verify the indication for use. ... Calculate the right dose. ... Make sure it's the right time. ... Check the right route.

To ensure safe medication preparation and administration, nurses are trained to practice the “7 rights” of medication administration: right patient, right drug, right dose, right time, right route, right reason and right documentation [12, 13].

WHAT ARE THE THREE CHECKS? Checking the: – Name of the person; – Strength and dosage; and – Frequency against the: Medical order; • MAR; AND • Medication container.

Eight Rights of. Medication Administration. The Right Person. The Right Medication. The Right Time. The Right Dose. The Right Route. The Right Position. The Right Documentation. The Right to Refuse.

The Home Medication Form can help you and your family members keep a current record of information that physicians need to know. This record includes immunizations, allergies, prescribed medications and any vitamins, herbal supplements or over-the-counter medicines. Printable Home Medication Form.

The 10 Rights of Drug Administration Right Drug. The first right of drug administration is to check and verify if it's the right name and form. ... Right Patient. ... Right Dose. ... Right Route. ... Right Time and Frequency. ... Right Documentation. ... Right History and Assessment. ... Drug approach and Right to Refuse.

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