DJJ 11.25, Attachment A . Medication Receipt Log. Youth: DOB: Male Female Facility: Date Received: Time Received:.
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How to fill out the Medication Receipt Log - DJJ Internet Home online
This guide provides clear and comprehensive instructions for users on how to fill out the Medication Receipt Log - DJJ Internet Home online. By following these steps, you can ensure accurate documentation of medication receipts for youth in care.
Follow the steps to successfully complete the log.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Fill in the 'Youth' section with the name of the young person for whom you are documenting medication. Ensure that you include their date of birth in the 'DOB' field immediately following.
- In the 'Facility' section, enter the name of the facility where the youth is located.
- Record the 'Date Received' to indicate when the medication was received. Make sure to include the correct date format.
- Select the appropriate gender by marking either 'Male' or 'Female'.
- Indicate the 'Time Received' to document the precise time the medication was received.
- Under the 'Container Type' section, specify the container type by selecting from the options: B for Bottle, U for Unit of Use, and O for Other. Repeat this for each type of medication as needed.
- In the 'Medication' field, write the name of the medication being received.
- Fill out the 'Strength' of the medication in the designated field.
- Document the 'RX Number' associated with the medication to maintain proper tracking.
- Record the 'Amount Received' to note the quantity of medication received.
- Specify the 'Dosage Frequency' to indicate how often the medication should be administered.
- Confirm whether the prescription has been verified with the Physician Desk Reference (PDR) by ticking 'Yes' or 'No' and include the date and time of verification.
- If applicable, note if the facility physician has given a verbal order to continue with the prescribed medication, including the date and time.
- Conclude the form by having the Health Care Staff sign and include their title in the designated space.
- Once all the fields are completed, you can save changes, download, print, or share the form as required.
Complete the Medication Receipt Log - DJJ Internet Home online to ensure proper documentation of medication management.
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