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THE SCHOOL BOARD OF BROWARD COUNTY, FLORIDA Coordinated Student Health Services (formerly Health Education Services), 600 SE 3 Avenue, 9th Floor, Ft. Lauderdale, FL. 33301 Phone: 754-321-2272 AUTHORIZATION.

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How to fill out the Authorization For Medication/Treatment Form online

Filling out the Authorization For Medication/Treatment Form online is an essential step in ensuring that your child's medical needs are met while at school. This guide will walk you through each section of the form, providing you with clear, step-by-step instructions to help you complete it accurately and efficiently.

Follow the steps to successfully complete the form online.

  1. Press the ‘Get Form’ button to obtain the Authorization For Medication/Treatment Form and open it in a digital editor.
  2. In the student information section, enter your child's name, date of birth, grade, school name, and contact details including the phone number and fax number.
  3. In the allergies section, clearly list any known allergies your child has. This information is crucial for their safety.
  4. Proceed to the diagnosis section and specify any medical conditions or diagnoses your child has. This helps school personnel understand your child's health needs.
  5. Fill out the dosage and medication section by providing the name of the medication, its dosage, route of administration, frequency, and specific times it should be given.
  6. Include any special instructions or potential side effects for the medications listed. This section is important for ensuring the appropriate response to any adverse effects.
  7. List any emergency precautions and anticipated health emergencies, such as allergy triggers or diabetic responses, that should be noted.
  8. Complete the physician's information by entering the physician's name, signature, contact numbers, office address, and the date the form was completed.
  9. Switch to the parental permission section and fill in your child's name, date of birth, and grade. Authorize the school to administer medication or treatment by signing and dating the form.
  10. Finally, review the entire form for accuracy, then save your changes. You can now download, print, or share the completed form as needed.

Ensure your child's health needs are met by completing the Authorization For Medication/Treatment Form online today.

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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.

Name of medication, dosage, route, time, An area for staff signatures, initials or other means for agency-specific staff identification. Acronyms are used to describe the reasons why medications were not given.

Match Patient 's name. Birth Date. The date the prescription was written. Room # Name of drug. Strength, dose, of the drug. Times the drug is to be given. Route by which the drug is given.

There are five stages of the medication process: (a) ordering/prescribing, (b) transcribing and verifying, (c) dispensing and delivering, (d) administering, and (e) monitoring and reporting.

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.

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].

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.

The Medication Administration Record (MAR) is used to document medications taken by each individual.

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