Get Medication Occurrence Report. Medication Occurrence Report

This guide provides clear and concise instructions for completing the Medication Occurrence Report online. Each section of the report is outlined step-by-step to ensure that all necessary details are accurately captured.

Follow the steps to successfully complete your Medication Occurrence Report.

1. Press the ‘Get Form’ button to acquire the Medication Occurrence Report and open it in the designated editor.
2. Begin by filling in the agency name and the date when the medication occurrence was discovered. Make sure to also enter the individual's name and the time of discovery.
3. In the site address section, provide the street address, city or town, and zip code. Additionally, include the site telephone number and the DPH registration number.
4. Complete the section regarding the type of occurrence by selecting the appropriate option(s) that apply, such as wrong individual, wrong medication, or omission.
5. Enter the medication(s) involved by providing the medication name, dosage, frequency/time, and route for both what was ordered and what was given.
6. Indicate whether the MAP consultant was contacted by checking the relevant checkboxes and providing their contact details, including the date and time contacted.
7. For any hotline events that occurred following the incident, indicate 'yes' or 'no.' If applicable, check all relevant types of events and ensure to note them.
8. In the MAP consultant's recommended action, specify if any medical interventions were necessary, and provide additional relevant information as required.
9. Move to the supervisory review/follow-up section and check all factors contributing to the occurrence, providing a narrative if necessary.
10. Finally, finalize the report by entering your name, title, contact phone number, and email address before saving the document. You may also choose to download, print, or share the completed form.

Complete your Medication Occurrence Report online today to ensure proper documentation and compliance.