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Appendix A ORC 3313.713 AUTHORIZATION TO DISPENSE MEDICATION Student Name Grade Student Address Building Part I: Parental Request I request that the medication described below be administered to Student.

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supply shall be documented on the Medication Administration Report/Record (MAR) in the patient's medical record by authorized nursing personnel administering the medication.

The times and dates the medication is to be taken 3. The initials of the person assisting with the medication 4. A start date should be noted; a stop date is noted when known 5. Identifying information about the individual, including date of birth, allergies, diagnoses, and names of medical providers.

PRN Orders: Complete any time a PRN is administered. Record the administration time under Hour. Under Reason, document the symptom, notification of the RN, and any instructions received. Under Results, document the observed effect on the individual's symptoms and any follow-up actions taken.

General principles be legible. be signed by the care home staff or care workers. be clear and accurate. have the correct date and time (either the exact time or the time of day the medicine was taken) be completed as soon as possible after the person has taken the medicine. avoid jargon and abbreviations.

Orders for medications prescribed for PRN administration must include Symptoms that require the administration of the medication; Exact dosage; Exact time frame between dosages; Maximum dosage to be administered in 24-hour period;

The administration of all medication should be recorded on the MAR chart immediately to prevent an incident or accidental overdose occurring. It is also good practice to record in the resident's daily notes when they were offered each PRN medication.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232